Director, Case Management

Prime Healthcare4 months ago
Pennsylvania
On-site
Full-time
Junior Level (1-3 years)

Job Description

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Lower Bucks Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Lower Bucks Hospital is a community hospital, serving the Lower Bucks County region with medical, surgical, and emergency care. Located in historic Bristol, Pennsylvania, the Hospital is well-known for its knowledgeable medical staff, including cardiology, orthopedics, radiology, wound care, and general surgery. The hospital has more than 200 physicians on staff, as well as another 700 employees.

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 and Work Experience:
  • PARN license required.
  • Minimum 5 years' experience in a Case Management RN position.
  • Must have analytical ability for problem identification and assessment and evaluation of data/statistics obtained from an ongoing review process.
  • Previous Leadership experience required.
  • Knowledge of Milliman Criteria and InterQual Criteria preferred.
  • Experience and knowledge in basic to intermediate computer skills.
  • BSN, Certification in Case Management, BLS preferred.

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

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: Know Your Rights.

Required Skills

Assessment and Evaluation
Leadership
Analytical Skills
Familiarity with Milliman and InterQual Criteria
Utilization Review
Coordination of Services
Data Analysis
Continuous Quality Improvement
Communication
Case Management
Problem Identification
Computer Skills