Department:  Social Services

Schedule: Full Time Days

Facility: Prime Healthcare St Francis Hospital

Location: Evanston, IL

The working Supervisor of Case Management is responsible for providing supervision to the Social Worker Case Managers, RN Case Managers, UR Tech, and Discharge Planners; as well as working with the facility Medical Review Coordinator (MRC) on all cases of Peer to Peer review, outcomes and initial appeal requests. The Case Management Supervisor provides oversight for the quality and resources 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 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 to assure all parameters for MCG/Milliman criteria/InterQual which includes the medical overview to find medical necessity, intensity of service and severity of illness.

EDUCATION, EXPERIENCE, TRAINING

Required qualifications: 1. Licensed clinician in your state. 2. At least one-year experience in case management, discharge planning or management, 4. Experience and knowledge in basic to intermediate computer skills. Preferred qualifications: 1. CCM or obtained within 1year 2. Minimum 5 years of acute care experience 3. Current BCLS certificate preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred.

Saint Francis 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 $77,209.60 to $103,916.80 on an annualized basis. 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/