Manager of Case Management - SMKIL Social Work

Prime Healthcare; Kankakee (IL); On-site; USD 88,000 - 119,000; Full time

Benefits offered by this job

401K retirement plan

Medical/dental/vision coverage

Tuition reimbursement

Job summary

Prime Healthcare's St. Mary's Hospital in Kankakee seeks a Working Manager of Case Management to lead a comprehensive program and drive quality outcomes. You will mentor staff, oversee discharge planning, and coordinate utilization review to ensure medical necessity and cost efficiency.

Selected candidate will bring strong clinical credentials, at least 5 years in case management, and proven leadership in hospital settings. Excellent communication and analytical skills are essential.

Qualifications

• Licensed clinician in your state is required.
• MSW/LCSW with 5+ years post-graduate experience is required.
• Minimum 5 years’ experience in a Case Management position.
• Analytical ability for problem identification and evaluation of data/statistics from ongoing reviews.
• 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, discharge planners, and utilization review staff.
• Assess needs and plan services aligned with hospital mission and patient/family needs.
• Coordinate services using quality improvement tools to ensure clinical and cost-effective outcomes.
• Perform holistic admission and concurrent reviews of medical records for medical necessity and severity of illness.

Skills

Analytical ability

Case management experience

Computer skills

Education

Licensed clinician in your state

MSW/LCSW with 5+ years post-graduate

Minimum 5 years’ experience in Case Management

BS or BSN or related field preferred

Current BCLS certificate preferred

Tools

Computer skills

Job description

Overview

Department: SMKIL Social WorkShift: Full-Time, Days, 1.0 FTEFacility:St. Mary's Hospital-KankakeeLocation: 500 W Court St, Kankakee, IL 60901Compensation Range: $88,483.20 to $119,100.80

Responsibilities

The working Manager 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, case management coordinators/discharge planners, utilization review coordinators and utilization review 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. Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.

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 1 year 2.
• 2. BS or BSN or related field preferred.3.
• 3. Current BCLS certificate preferred.4.
• 4. Knowledge of Milliman Criteria and InterQual Criteria preferred.

Pay Transparency

St. Mary's Hospital - Kankakee 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. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $88,483.20 to $119,100.80 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.

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