Regional Director Case Management

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

The Regional Director of Case Management is responsible for the implementation of systems to effectively oversee the Case Management Programs used throughout the Prime Healthcare Management hospitals. Provides leadership and supervision to facility staff including case management directors, case managers, discharge planners and social workers. Assess needs, plan, communicate and implements services that are applicable as per the expected protocols. Ensures appropriate resource management is obtained to provide quality and cost effective outcomes.

EDUCATION, EXPERIENCE, TRAINING

Required qualifications:

1. Licensed clinician in your state. (RN, or Medical Graduate with CCS Certification) or, Minimum 5 years' postgraduate of an accredited school of Social Work for Licensed Clinical Social Worker.

2. Minimum 5 years' experience in a Case Management/ Utilization Review position.

3. Must have analytical ability for problem identification and assessment and evaluation of data/statistics obtained from an on-going review process.

4. Knowledge of Milliman Criteria and InterQual Criteria.

5. Behavioral Violence Prevention Training within 3 months of hire and maintain current.

Preferred qualifications:

1. Certificate in Case management, BS/BSN or related field preferred.
2. Current BCLS (AHA) certificate preferred.
3. Knowledge or Microsoft Office.

Saint Joseph 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. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $52.00 to $75.31. 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.

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