Dir - Case Mgmt - SFMC Utilization Review in Lynwood, CA at Prime Healthcare

Date Posted: 7/8/2020

Job Snapshot

Job Description


Responsibilities

The Director of Case Management is responsible for the development of staff and systems to effectively operate a comprehensive Case Management Program. Provides leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. Assesses needs and plans, communicates and designs services that are appropriate to the hospital mission and patient/family needs. Integrates and coordinates services using continuous quality improvement tools.

Qualifications

EDUCATION, EXPERIENCE, TRAINING
 
Required qualifications:
 
1.    Licensed clinician in your state.
2.    Grandfathered prior to April 1, 2015. Minimum 5 years’ post graduate of an accredited school of Social Work for Licensed Clinical Social Worker.
3.    Minimum 5 years’ experience in a Case Management position.
4.    Must have analytical ability for problem identification and assessment and evaluation of data/statistics obtained from an on-going review process.
5.    Experience and knowledge in basic to intermediate computer skills.
6.    Behavioral Violence Prevention Training within 3 months of hire and maintain current.
 
Preferred qualifications:
 
Certification in Case Management, BS or BSN or related field preferred.Current BCLS (AHA) certificate preferred.Knowledge of Milliman Criteria and InterQual Criteria preferred.
 
We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics.  If you need special accommodation for the application process, please contact Human Resources.  EEO is the Law: http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf