Director of Case Management

Prime Healthcare; Lewiston (ME); On-site; USD 80,000 - 120,000; Full time

Job summary

Prime Healthcare is seeking a Director of Case Management in Lewiston, Maine. This role is crucial for leading the Case Management Program, providing supervision to case managers, social workers, and coordinators.

The ideal candidate must possess at least 5 years of case management experience and be a licensed clinician. Responsibilities include integrating and coordinating services that align with patient and hospital needs, while ensuring continuous quality improvement.

Qualifications

• Minimum 5 years’ experience in a Case Management position.
• Must have analytical ability for data assessment and evaluation.
• Experience in problem identification.

Responsibilities

• Develop staff and systems for Case Management Program.
• Provide leadership and supervision to case management staff.
• Integrate and coordinate services using quality improvement tools.

Skills

Analytical ability for problem identification

Basic to intermediate computer skills

Education

Licensed clinician in state

Graduate of an accredited school of Social Work

Job description

Overview

Central Maine Healthcare is an integrated healthcare delivery system serving 400,000 people living in central, western and Midcoastal Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice organization. Other system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services.

Responsibilities

The Director of Case Management is responsible for the development of staff and systems to effectively operate a comprehensive Case Management Program. Provides leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. Assesses needs and plans, communicates and designs services that are appropriate to the hospital mission and patient/family needs. Integrates and coordinates services using continuous quality improvement tools.

Qualifications

• Licensed clinician in your state.
• Grandfathered prior to April 1, 2015. Minimum 5 years’ post graduate of an accredited school of Social Work for Licensed Clinical Social Worker.
• Minimum 5 years’ 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.

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

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