Director of Case Management

Centinela Hospital Medical Center; Inglewood (CA); On-site; USD 108,000 - 164,000; Full time

Benefits offered by this job

Total Rewards package including PTO, ̂

401K retirement plan

Medical, dental, and vision coverage

Tuition reimbursement

Job summary

Centinela Hospital Medical Center is seeking a strategic Director of Case Management to lead our Case Management Team, including RNs, social workers, and coordinators. You will oversee utilization management, discharge planning, and care coordination to ensure timely, appropriate care while driving program development and continuous quality improvement.

The ideal candidate will have RN licensure in California, BSN, and LCSW eligibility with significant case management leadership experience to

Qualifications

• Must have analytical ability for problem identification and evaluation of data from ongoing reviews.
• Bachelor's of Science in Nursing is required.
• LCSW credentials or grandfathered status with minimum 5 years post-graduate social work experience preferred.

Responsibilities

• Lead Case Management Team: oversee utilization management, discharge planning, and care coordination.
• Develop staff and systems for a comprehensive Case Management Program.
• Provide leadership to case managers, social workers, and discharge planners; utilize CQI tools to improve services.

Skills

Analytical ability

Computer skills

Leadership

Case management experience

Education

Bachelor's of Science in Nursing

Licensed Clinical Social Worker eligibility (grandfathered)

Tools

BCLS certificate

Milliman Criteria

InterQual Criteria

Job description

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 integrates 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.

Required qualifications:

• 1. CA Registered Nurse
• 2. Bachelor's of Science in Nursing.
• 3. 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.
• 7. Current BCLS certificate preferred.
• 8.Knowledge of Milliman Criteria and InterQual Criteria preferred.

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.

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. KKnow Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf