Director Case Management

2 weeks ago

Montclair, United States Montclair Hospital Medical Center Full time

Overview:
**_
Montclair Hospital Medical Center_**_ is a 106-bed acute care, not-for-profit community hospital, received the “100 Top Hospital” in the nation award from IBM Watson Health, the Patient Safety Excellence award from Healthgrades®, and the Women's Choice Award® for America's Best Emergency Care. For more information visit _**_Montclair-hospital.org_**

At Montclair Hospital Medical Center, our dedicated team of professionals are committed to our core values of **quality, compassion, and community**

**Why Prime Healthcare?** Montclair Hospital Medical Centes** is a member of Prime Healthcare, **offers incredible opportunities to expand your horizons** and be part of a community dedicated to making a difference.

**Our Total Rewards package includes, but is not limited to**:

- Paid Time Off
- 401K retirement plan
- Outstanding Medical
- Dental
- Vision Coverage
- Tuition Reimbursement
- Many more Voluntary Benefit Options

Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time.

**This is a Fast-paced work environment in which you can take pride in serving an underserved community. Come Join a Team of Dedicated Healthcare Workers**

**Montclair Hospital Medical Center is nationally recognized, locally preferred, and community focused.**-
**Responsibilities**:
The Director of Case Management is responsible for the development of staff and systems to effectively operate a comprehensive Case Management department standard of practices and scope of services for health care delivery system and transition of care. Provides leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators and utilization technicians. Integrates and coordinates best practices in the areas of education, care coordination, compliance, transition management and utilization management.

Qualifications:
**EDUCATION, EXPERIENCE, TRAINING**

**Required qualifications**:
1. Licensed clinician in the state of California.

2. Grandfathered prior to April 1, 2015. Minimum 5 years’ postgraduate of an accredited school of Social Work for Licensed Clinical Social Worker or Minimum Associates Degree in Nursing (ADN) and/or Licensed Vocational Nurse (LVN) credential.

3. Minimum 5 years’ experience in a Case Management position. Experience in discharge planning / utilization management / case management functions, in both managed care and non-managed care environments.

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. Experience in the hospital setting preferred.

2. Certification in Case Management or related field preferred.

3. Current BLS or BCLS (AHA) certificate preferred.

4. Knowledge of Milliman Criteria and InterQual Criteria preferred.

Montclair Hospital Medical Center 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. 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 $112,486.40 to $151,382.40 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.

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