Overview
Director of Case Management RN or LCSWEmployment Status: Full-Time, Days, ExemptPay Range: $85,363 – $123,635 annuallyThe 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 years9 post graduate of an accredited school of Social Work for Licensed Clinical Social Worker.

Minimum 5 years9 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.

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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 StatusFull Time ShiftDays