What are the responsibilities and job description for the Director Case Management - Utilization Management position at Prime Healthcare Services?
Overview
San Dimas Community Hospital is a 101 bed facility located on a 13-acre campus in the heart of San Dimas. With a multidisciplinary team of experts and state of the art technology, we are committed to serving the community with personalized, high-quality care. We offer a full range of comprehensive services, including 24-hour emergency services, a family birth center, orthopedic surgery, advanced diagnostic services, cardiopulmonary and gastrointestinal services. San Dimas Community Hospital has received multiple awards including the "100 Top Hospitals," Women's Choice Award for America's Best Hospitals for Patient Safety, and Healthgrades awards, including the "Patient Safety Excellence Award." Learn more at sandimashospital.com.
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community !
Why Prime Healthcare? San Dimas Community Hospital , a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to
making a difference.
San Dimas Community 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
- 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!!!
San Dimas Community Hospital is nationally recognized, locally preferred, and community focused.
Company is an equal 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 law. 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
Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
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.
2. Minimum 5 years’ experience in a Case Management position.
3. Must have analytical ability for problem identification and assessment and evaluation of data/statistics obtained from an on-going review process.
4. 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.
San Dimas Community 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, 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.
Salary : $112,486 - $151,382
