Director of Case Management

Hudson Regional Hospital; Secaucus (NJ); On-site; USD 120,000 - 130,000; Full time

Job summary

Hudson Regional Hospital in Secaucus, NJ invites applications for a Director of Case Management to lead social work and discharge planning, ensuring continuity of care and adherence to Medicare/Medicaid guidelines.

As a key member of Administration, you will mentor Social Workers and Case Managers, coordinate complex discharge planning, identify high-risk patients, and collaborate with families to support palliative care decisions and community-based services, driving service excellence and

Qualifications

• Master's Degree in Social Work from a CSWE-accredited program.
• Minimum 3 years of current relevant social work experience.
• Current NJ Social Worker license: LSW or LCSW.
• Excellent verbal and written communication skills.
• Capable of multitasking and handling multiple tasks simultaneously.

Responsibilities

• Mentors and oversees the work of Social Workers and Case Managers.
• Directs discharge planning to ensure continuity of care and least restrictive setting.
• Ensures compliance with Medicare, Medicaid and managed care guidelines for utilization management and discharge planning.
• Identifies high-risk patients for social work services and discharge planning.
• Coordinates community-based services to support continuation of care and special services.
• Documents assessments and maintains case folders for regulatory standards.

Skills

Verbal and written communication

Multitasking

Education

Master's Degree in Social Work

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Director of Case Management

Administration Full Time Non Union Management Secaucus, NJ, US

Salary Range: $120,000.00 To $130,000.00 Hourly

Responsibilities:

Mentors and oversees the work of Social Workers and Case Managers.

Directs and provides for the discharge planning of patients to ensure continuity of care and discharge to the least restrictive setting.

Ensure compliance with Medicare, Medicaid and managed care guidelines for utilization management and discharge planning.

Identifies "high risk" patients in order to provide social work services and complex discharge planning needs.

Participates in Interdisciplinary Discharge Planning Rounds to assess discharge planning needs, identify problems and communicate on-going interventions.

Supports/assists patients' families in palliative care/ethics discussions/considerations.

Educates patients and/or families about discharge planning, patient needs, as well as availability and eligibility criteria for programs/services benefits to meet those needs.

Ensures Social Workers are completing a PASRR Level 1 screen and faxes to appropriate division for acceptance.

Ensures Social Workers are completing a EARC-PAS screen and faxes to appropriate agency.

Ensure compliance with Medicare, Medicaid and managed care guidelines for utilization management and discharge planning.

Creatively negotiates, coordinates, and advocates community based services (DYFS, APS, Office of Public Guardian, DDD, etc.) to assure continuation of care and special services appropriate to the age of patients and needs identified.

Maintains current community information and establishes community liaison relationships to maintain an open and efficient referral system and ensure better service delivery to patients and families.

Documents all assessments, reassessments and interventions to enhance multidisciplinary communications, as well as, to meet all regulatory and reimbursement standards.

Maintains appropriate case folders, resource files and statistical reports to facilitate monitoring and evaluations. When deficiencies are identified assists in initiating corrective actions.

Helps the physician advisor in preparation of the Denial P2P and first level of appeals.

Monitors discharge planning delays to identify and report trends for performance improvement and Identifies opportunities for process improvement in patient care delivery, patient safety, and in departmental work process through recognizing, reporting, and resolving barriers to patient throughout.

EDUCATION + EXPERIENCE REQUIREMENTS

Master's Degree in Social Work from a professional school accredited by the Council on Social Work. Minimum 3 years current relevant social work experience.

Current NJ Social Worker license: LSW (Licensed Social Worker) or LCSW (Licensed Clinical Social Worker).

Excellent verbal and written communication skills.

Capable of working with multiple tasks simultaneously