Supervisor, MSW, Inpatient Case Management

Sentara Health•Norfolk, VA

3d•Onsite

About The Position

Sentara Norfolk General Hospital is hiring a Supervisor, MSW, Inpatient Case Management. This is a full-time 40 hour per week position. The Supervisor, MSW, Inpatient Case Management assumes responsibility, accountability and leadership for the daily operations including coordination of work, quality, and service. First line supervisor in the Utilization Management Department. Facilitates the work of assigned team members. Provides a leadership role in ongoing utilization review competency assessment, needs identification and educational offerings. Provides educational services to the Utilization Management staff. Participates in the work activities of assigned teams. Responsible for review of clinical information received from providers ensuring clinical data is substantial enough to meet Medical Necessity Criteria to authorize services as needed. Requires knowledge of managed care contracting, Medical Necessity, CMHRS services, DMAS protocols, clinical protocols and clinical review requirements. Requires knowledge of contractual, regulatory and compliance requirements for government payers, self funded and commercial payers. Ensures appropriate and accurate information is entered into claims system for processing of payment.

Requirements

Master's Degree in Social Work (MSW)
Licensed LMFT, LPC, LCSW or LPC
3 years clinical experience
3 years related experience
prior supervisory experience
Knowledge of managed care contracting, Medical Necessity, CMHRS services, DMAS protocols, clinical protocols and clinical review requirements.
Knowledge of contractual, regulatory and compliance requirements for government payers, self funded and commercial payers.

Responsibilities

Assumes responsibility, accountability and leadership for the daily operations including coordination of work, quality, and service.
Acts as a first line supervisor in the Utilization Management Department.
Facilitates the work of assigned team members.
Provides a leadership role in ongoing utilization review competency assessment, needs identification and educational offerings.
Provides educational services to the Utilization Management staff.
Participates in the work activities of assigned teams.
Responsible for review of clinical information received from providers ensuring clinical data is substantial enough to meet Medical Necessity Criteria to authorize services as needed.
Ensures appropriate and accurate information is entered into claims system for processing of payment.

Benefits

Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to $10,000
Paid Time Off and Sick Leave
Paid Parental & Family Caregiver Leave
Emergency Backup Care
Long-Term, Short-Term Disability, and Critical Illness plans
Life Insurance
401k/403B with Employer Match
Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down – $10,000
Reimbursement for certifications and free access to complete CEUs and professional development
Pet Insurance
Legal Resources Plan
Annual discretionary bonus if established system and employee eligibility criteria is met