Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation’s leading health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. 

Prime Healthcare stands apart from others by its unique ability to save and transform hospitals. We have been named the “fastest-growing hospital system” in the country by Modern Healthcare. And as we continue to grow and fulfill our mission of “saving hospitals, saving jobs and saving lives,” we remain committed to delivering exceptional care, and creating a legacy that will improve healthcare

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.

EDUCATION, EXPERIENCE, TRAINING

Required qualifications:

1. Licensed clinician in your state.
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. Certification in Case Management, BS or BSN or related field preferred.
2. Current BCLS certificate preferred.
3. Knowledge of Milliman Criteria and InterQual Criteria preferred.

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Prime Healthcare Management Inc. 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. 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.

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