What are the responsibilities and job description for the Dir - Case Management - ELOH Utilization Review position at Prime Healthcare Services?
Overview
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! East Liverpool City Hospital, a member of the Prime Healthcare Foundation, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
East Liverpool City Hospital is an award-winning community hospital proudly serving residents of the tristate region since 1905. With 152 licensed beds and more than 500 employees, the hospital averages 31,000 Emergency Department visits annually. East Liverpool's medical staff is comprised of more than 160 physicians with an additional 21 resident physicians completing their training in Family Medicine and Internal Medicine. The hospital provides 24/7 emergency services, general surgery, medical stabilization for substance abuse, behavioral health for adults over the age of 55, and remains the ONLY cardiac rehabilitation program in Columbiana County. For more information, visit www.elch.org.
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, and Training:
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.
6. Behavioral Violence Prevention Training within 3 months of hire and maintain current.
Preferred qualifications:
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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