Director of Case Management

Prime Healthcare; Passaic (NJ); On-site; USD 89,000 - 114,000; Full time

Job summary

St. Mary's General Hospital in Passaic, NJ, seeks a Director of Case Management to lead the program and supervise case managers, social workers, and discharge planners. You will design services, assess needs, and align care plans with patient/family goals while coordinating utilization review.

Ideal candidates bring LCSW credentials, 5+ years in case management, and strong analytical and computer skills to drive continuous quality improvement in a high-volume hospital setting.

Qualifications

• Licensed clinician in your state or grandfathered prior to Apr 1, 2015 with 5+ years post-graduate social work (LCSW).
• Minimum 5 years’ experience in a Case Management position.
• Analytical ability for problem identification and data evaluation.
• Experience and knowledge of basic to intermediate computer skills.

Responsibilities

• Develop staff and systems to operate a comprehensive Case Management Program.
• Provide leadership and supervision to case managers, social workers, coordinators, and utilization staff.
• Assess needs, plan, communicate, and design services aligned with hospital mission and patient/family needs.
• Coordinate services using continuous quality improvement tools.

Skills

Analytical ability

Data analysis

Computer skills

Education

LCSW / Licensed clinician

5+ years post-graduate social work

CCM certification (preferred)

BS/BSN or related field (preferred)

BCLS certificate (preferred)

Milliman/InterQual knowledge (preferred)

Job description

Overview

St. Mary's General Hospital, located in Passaic, NJ, is a community-based tertiary medical center focused on providing quality, compassionate care. It is an acute care hospital providing a broad range of services including cardiovascular services as well as a comprehensive program for cancer care. The hospital is also a center of excellence for maternal-child health and outpatient behavioral health services. It is the only hospital in Passaic and with over 550 physicians and 1,000 employees, and is one of the largest employers in the county. Every member of the St. Mary's General team is committed to providing respectful, personalized, high-quality care. St. Mary's General Hospital is a member of Prime Healthcare, which has been lauded as a "Top 15 Healthcare System" by Truven Health Analytics. For information, visit www.smh-nj.com.

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

EDUCATION, EXPERIENCE, TRAINING

Required qualifications:

1. Licensed clinician in your state or;

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

3. Minimum 5 years’ experience in a Case Management position.

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

5. Experience and knowledge in basic to intermediate computer skills.

Preferred qualifications:

1. CCM or obtained within 1year2. BS or BSN or related field preferred.3. Current BCLS certificate preferred.4. Knowledge of Milliman Criteria and InterQual Criteria preferred.

Pay Transparency

St. Mary's General Hospital 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
• 401K retirement plan
• medical, dental, and vision coverage
• tuition reimbursement
• 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 $89,440.00 to $114,108.00 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 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