Supervisor, Case Management

St. Mary's General Hospital•Passaic, NJ

21d

About The Position

St. Mary's General Hospital, located in Passaic, NJ, is a community-based tertiary medical center focused on providing quality, compassionate care. It is an acute care hospital providing a broad range of services including cardiovascular services as well as a comprehensive program for cancer care. The hospital is also a center of excellence for maternal-child health and outpatient behavioral health services. It is the only hospital in Passaic and with over 550 physicians and 1,000 employees, and is one of the largest employers in the county. Every member of the St. Mary's General team is committed to providing respectful, personalized, high-quality care. St. Mary's General Hospital is a member of Prime Healthcare, which has been lauded as a "Top 15 Healthcare System" by Truven Health Analytics. For information, visit www.smh-nj.com. The working Supervisor of Case Management is responsible for providing supervision to the Case Managers, Coordinators, and Discharge Planners. Provides oversight for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.

Requirements

Grandfathered prior to April 1, 2015 for LCSW.
Valid RN or LCSW state licensure required.
CCM obtained within 6 months with a minimum of 2 years’ experience.
Experience and knowledge in basic to intermediate computer skills.

Nice To Haves

Minimum 5 years of acute care experience preferred.
At least 2 years’ experience in case management, discharge planning or management, preferred.
Current BCLS (AHA) certificate preferred.
Knowledge of Milliman Criteria and InterQual Criteria preferred.

Responsibilities

providing supervision to the Case Managers, Coordinators, and Discharge Planners
providing oversight for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management
working on behalf of the advocate, promoting cost containment
demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care
facilitate and insure the achievement of quality, clinical and cost effective outcomes
perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness