St Marys Regional Medical Center

Director of Case Management - Utilization Management

St Marys Regional Medical Center$108K — $163K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • CA Registered Nurse license required
  • Bachelor's degree in Nursing
  • Minimum 5 years’ experience in a Case Management position
  • Minimum 5 years’ experience post-graduation in Social Work for Licensed Clinical Social Worker
  • Strong analytical skills for assessing data and problem identification
  • Basic to intermediate computer skills required
  • Current BCLS certificate preferred

Responsibilities

  • Lead and supervise the Case Management Team comprising nurses, social workers, and clinical coordinators
  • Oversee utilization management, discharge planning, and care coordination
  • Implement and develop effective Case Management Program systems and staff
  • Assess patient and family needs to design appropriate services
  • Integrate quality improvement tools for service coordination
  • Drive positive patient outcomes and reduce readmissions
  • Foster a collaborative and fast-paced healthcare environment

Benefits

  • Comprehensive benefits package includes medical, dental, and vision coverage
  • Flexible options for tailoring benefits to individual needs
  • Paid time off
  • 401K retirement plan
  • Tuition reimbursement and voluntary benefit options
Full Job Description
Overview

   

Responsibilities

We are seeking a strategic and compassionate Director of Case Management to lead our dynamic Case Management Team consisting of Registered Nurses, Social Workers, and Clinical Coordinators. This leader will oversee all facets of utilization management, discharge planning, and care coordination to ensure patients receive timely, appropriate, and efficient care throughout their hospital stay. The Director is responsible for the development of staff and systems to effectively operate a comprehensive Case Management Program. The Director provides leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. Additionally, this leader assesses needs and plans, communicates and designs services that are appropriate to the hospital mission and patient/family needs. The Director of Case Management ntegrates and coordinates services using continuous quality improvement tools.

 

Preferred leadership style and ideal candidate is a forward-thinking professional who thrives in a collaborative, fast-paced healthcare setting and is passionate about driving positive patient outcomes and reducing readmissions.

 

#LI-CC2

Qualifications

Required qualifications:

 

1. CA Registered Nurse

2. Bachelor's of Science in Nursing3. Grandfathered prior to April 1, 2015. Minimum 5 years’ post graduate of an accredited school of Social Work for Licensed Clinical Social Worker.4. Minimum 5 years’ experience in a Case Management position.5. Must have analytical ability for problem identification and assessment and evaluation of data/statistics obtained from an on-going review process.6. Experience and knowledge in basic to intermediate computer skills.

1. Current BCLS certificate preferred.2. Knowledge of Milliman Criteria and InterQual Criteria preferred.

 

 

 

 

Pay Transparency

Centinela Hospital Medical Center 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.  Benefits may vary based on employment status, i.e. full-time, part-time, per diem or temporary.  A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $108,160.00 to $163,800.00 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.

Employment StatusFull Time

ShiftDays

About St Marys Regional Medical Center

St. Mary's Regional Medical Center is a 229-bed hospital located in Enid, Oklahoma. The hospital offers a wide range of services, including emergency care, cardiology, orthopedics, surgery, and women's health. St. Mary's Regional Medical Center is part of SSM Health, a Catholic, not-for-profit health system serving communities across the Midwest. The hospital is committed to providing high-quality, compassionate care to all patients, regardless of their ability to pay.
Learn more about St Marys Regional Medical Center
Size
1,000 employees
Industry

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