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. Required qualifications: 1. Licensed RN in PA. 2. Minimum 5 years’ experience in a Case Management position. 3. Must have analytical ability for problem identification and assessment and evaluation of data/statistics obtained from an on-going review process. 4. 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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