Director of Case Management

Central Maine Medical Center Inc; Lewiston (ME); On-site; USD 106,000 - 153,000; Full time

Benefits offered by this job

Health insurance

Retirement plan

Job summary

Central Maine Medical Center in Lewiston, ME seeks a Director of Case Management to lead staff across case management, social work, and discharge planning. You will design services aligned with the hospital mission and coordinate utilization review using QA tools.

Requirements include licensure as a clinician, MSW, and at least five years in case management; strong analytical, data review, and computer skills; certification in case management preferred.

Qualifications

• Licensed clinician in your state.
• 5+ years post graduate in Social Work for LCSW.
• Minimum 5 years in a Case Management role.
• Analytical ability for data review and problem solving.
• Basic to intermediate computer skills.
• Certification in Case Management preferred.
• MSW or related field preferred only if not listed above.

Responsibilities

• Develop staff and systems for a comprehensive Case Management Program.
• Provide leadership to case managers, social workers and discharge planners.
• Coordinate services using continuous quality improvement tools.

Skills

Licensed clinician

Analytical skills

Leadership

Education

Master of Social Work (MSW)

Licensed Clinical Social Worker (LCSW)

Tools

Milliman Criteria

InterQual Criteria

Job description

Overview

Central Maine Healthcare (CMH), a member of Prime Healthcare Foundation, is an integrated healthcare delivery system serving approximately 400,000 residents across central, western, and midcoast Maine through a network of more than 40 primary and specialty care locations. The system includes Central Maine Medical Center (CMMC) in Lewiston, a 250-bed, not-for-profit regional referral hospital that is home to the region’s only Cancer Care Center, an orthopedic ambulatory surgery center, and the Central Maine Heart and Vascular Institute. CMMC also serves as the central Maine base for LifeFlight of Maine, the state’s only medical helicopter service.

CMH also includes Bridgton Hospital and Rumford Hospital, two 25-bed critical access hospitals that provide essential care to Maine’s rural communities.

As part of its commitment to healthcare education and workforce development, CMH is home to the Maine College of Health Professions, Maine’s first nursing and medical imaging school. The private, not-for-profit institution is accredited by the New England Commission of Higher Education and plays an important role in training the next generation of healthcare professionals.

To learn more, visit www.cmhc.org.

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

Required 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.

• LI-SM6

• LI-TA1

Pay Transparency

• Central Maine Medical Center offers competitive compensation and a reasonable compensation estimate for this role is $105,955 to $153,441. 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 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++