Prime Healthcare

Case Management Manager - Centinela Hospital [Full Time/Days]

Facility Centinela Hospital Medical Center
Location
US-CA-Inglewood
ID
2021-69554
Category
Manager
Position Type
Full Time
Shift
Days

Overview

Full Time Exempt / Day Shift / Licensed RN . LCSW or LMFT

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

  • Licensed clinician in your state. RN / LCSW / LMFT etc..
  • Minimum 5 years’ experience in a Case Management position.
  • Must have analytical ability for problem identification and assessment and evaluation of data/statistics obtained from an on-going review process.
  • Experience and knowledge in basic to intermediate computer skills.
  • Behavioral Violence Prevention Training within 3 months of hire and maintain current.
  • Certification in Case Management, BS or BSN or related field preferred.
  • Current BCLS (AHA) certificate preferred.
  • Knowledge of Milliman Criteria and InterQual Criteria preferred.

 

We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law:https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

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