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Case Management Supervisor - Social Work

TypeFull time
ScheduleDays
Experience1+ yrs
PostedNov 13
✓You’ll need
Licensure
✓Licensed clinician in your state. 2.
Certifications
✓CCM or obtained within 1year 2.
Current BCLS certificate preferred. 4.
Qualifications
✓At least one-year experience in case management, discharge planning or management, 4.
✓Experience and knowledge in basic to intermediate computer skills.
✓Minimum 5 years of acute care experience 3.
Preferred qualifications: 1.
Knowledge of Milliman Criteria and InterQual Criteria preferred.
+Benefits
Medical, dental and vision401(k)Paid time offTuition assistanceRetirement plan
3,448Prime Healthcare open roles
3case management roles open at this facility
Want the next case management job in Illinois by email?
Weekly, free, unsubscribe with one click.
✓You’ll need
Licensure
✓Licensed clinician in your state. 2.
Certifications
✓CCM or obtained within 1year 2.
Current BCLS certificate preferred. 4.
Qualifications
✓At least one-year experience in case management, discharge planning or management, 4.
✓Experience and knowledge in basic to intermediate computer skills.
✓Minimum 5 years of acute care experience 3.
Preferred qualifications: 1.
Knowledge of Milliman Criteria and InterQual Criteria preferred.
+Benefits
Medical, dental and vision401(k)Paid time offTuition assistanceRetirement plan
3,448Prime Healthcare open roles
3case management roles open at this facility
Want the next case management job in Illinois by email?
Weekly, free, unsubscribe with one click.

Full employer posting

Department: Social Work

Full-Time, Days

$37.12 to $56.26 Hourly Hospital: Saint Mary of Nazareth Location: Chicago, IL 60622 Responsibilities The working Supervisor of Case Management is responsible for providing supervision to the Social Worker Case Managers, RN Case Managers, UR Tech, and Discharge Planners; as well as working with the facility Medical Review Coordinator (MRC) on all cases of Peer to Peer review, outcomes and initial appeal requests. The Case Management Supervisor provides oversight for the quality and resources 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.

Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a seamless delivery of care. 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 to assure all parameters for MCG/Milliman criteria/InterQual which includes the medical overview to find medical necessity, intensity of service and severity of illness.

Qualifications EDUCATION, EXPERIENCE, TRAINING Required

1. Licensed clinician in your state. 2. At least one-year experience in case management, discharge planning or management, 4.

Experience and knowledge in basic to intermediate computer skills.

1. CCM or obtained within 1year 2. Minimum 5 years of acute care experience 3.

Current BCLS certificate preferred. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred. Pay Transparency Saint Mary of Nazareth Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs.

Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $37.12 to $56.26. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs, and voluntary options serve as a foundation for individual growth and well-being. Learn more here: https://www.primehealthcare.com/benefitsthatmattermost/ 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: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Day shift

About the role

The working Supervisor of Case Management is responsible for providing supervision to the Social Worker Case Managers, RN Case Managers, UR Tech, and Discharge Planners; as well as working with the facility Medical Review Coordinator (MRC) on all cases of Peer to Peer review, outcomes and initial appeal requests.