Manager of Social Work, Case Management

Baptist Health South Florida is the largest healthcare organization in the region, with 12 hospitals, more than 24,000 employees, 4,000 physicians and 100 outpatient centers, urgent care facilities and physician practices spanning across Miami-Dade, Monroe, Broward and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. A not-for-profit organization supported by philanthropy and committed to its faith-based charitable mission of medical excellence, Baptist Health has been recognized by Fortune as one of the 100 Best Companies to Work For in America and by Ethisphere as one of the World’s Most Ethical Companies.

Everything we do at Baptist Health, we do to the best of our ability. That includes supporting our team with extensive training programs, millions of dollars in tuition assistance, comprehensive benefits and more. Working within our award-winning culture means getting the respect and support you need to do your best work ever. Find out why we’re all in for helping you be your best.

Description:

The Manager of the Social Work & Case Management Services Department is responsible, under the general supervision of the Department Director, for the daily planning, development and implementation of the utilization review, case management and social work functions in accordance with Baptist health and departmental policies, legal and regulatory agencies guidelines. This includes but is not limited to staffing issues and activities related to referral and prior insurance authorizations, concurrent reviews, discharge planning issues, retrospective claims reviews, report generation and state and federal regulatory and accreditation program compliance. Assumes overall responsibility of assuring cost effective utilization of hospital resources and ancillary services, including the appropriateness of IP/OP admissions, continued stay and discharge. Provides support and problem solving interventions to department staff and is available for consultation to the health care team. The Manager will support the Director in the development of long range strategic initiatives for the Department and will support interventions dedicated to team development, cross training and the continuous development of caring and compassionate professionals. Estimated salary range for this position is $82167.72 - $106818.04 / year depending on experience.

Qualifications:

Degrees: Masters Licenses & Certifications: Licensed Clinical Social Worker Additional Qualifications: Masters degree in Social Work from a program accredited by the Council on Social Work Education. Must have five years or more of previous experience in a hospital or health care setting; knowledge of crisis intervention and treatment skills, clinical assessment skills, utilization review criteria and utilization management. Must be familiar with performance improvement and quality initiatives. Must demonstrate ability to communicate effectively both verbally and in written work. Certified in Case Management or Interqual criteria. Minimum Required Experience: 5 Years