Prime Healthcare

Director of Case Management

Prime Healthcare  •  $85k - $124k/yr  •  Illinois (Onsite)  •  13 hours ago
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Job Description

Director of Case Management RN or LCSWEmployment Status: Full-Time, Days, ExemptPay Range: $85,363 – $123,635 annually The Director of Case Management leads Case Management, Utilization Review, Social Work, Care Coordination, and Discharge Planning, driving effective resource utilization, patient throughput, quality outcomes, and regulatory compliance.

Responsibilities

  • Lead Case Management, Social Work, Utilization Review, and
  • Discharge Planning teams.
  • Drive patient throughput, LOS, utilization management, readmission, and denial prevention strategies.
  • Partner with physicians, nursing, payers, and interdisciplinary teams to remove barriers to care and discharge.
  • Monitor performance metrics and lead quality and process improvement initiatives.
  • Ensure compliance with CMS, accreditation, regulatory, and payer requirements.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

Required qualifications:

  • Licensed clinician in your state.
  • Grandfathered prior to April 1, 2015. Minimum 5 years’ post graduate of an accredited school of Social Work for Licensed Clinical Social Worker.
  • Minimum 5 years’ experience in a Case Management position.
  • Must have analytical ability for problem identification and assessment and evaluation of data/statistics obtained from an on-going review process.
  • Experience and knowledge in basic to intermediate computer skills.
  • Preferred qualifications:

  • Certification in Case Management, BS or BSN or related field preferred.
  • Current BCLS certificate preferred.
  • Knowledge of Milliman Criteria and InterQual Criteria preferred.
  • #LI-TA1

    Pay Transparency

    Olympia Fields Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $85,363 to $123,635 annually. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

    The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs, and voluntary options serve as a foundation for individual growth and well-being. Learn more here: https://www.primehealthcare.com/benefitsthatmattermost/

    Employment Status

    Full Time

    Shift

    Days

    Equal Employment Opportunity

    Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

    Prime Healthcare

    About Prime Healthcare

    About Prime Healthcare and Prime Healthcare Foundation: Prime Healthcare is an award-winning health system operating 51 hospitals and more than 360 outpatient locations in 14 states, providing over 2.5 million patient visits annually. It is one of the nation's leading health systems, with nearly 57,000 employees and affiliated physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Based in Ontario, California, Prime Healthcare is nationally recognized for award-winning quality care and has been named a 10 Top and 15 Top Health System by Truven Health Analytics. Its hospitals have been named among the nation's "100 Top Hospitals" 69 times and have received more Patient Safety Excellence Awards from Healthgrades than any other health system in the past eight years. To learn more, please visit primehealthcare.com.

    Industry
    Healthcare & Social Services
    Company Size
    5,001-10,000 employees
    Headquarters
    Ontario, California
    Year Founded
    Unknown
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