Director - Case Management Social Work job Lancaster California
Director - Case Management Social Work job Lancaster California
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Director - Case Management/Social Work Job

Employer Name: Independent Recruiter SpiderID: 9277208
Location: Lancaster, California Date Posted: 1/8/2020
Wage: Category: Medical/Health
Job Code:
Number Of Openings: 2

Job Description:

• Accountable for Patient Care Coordination activities including system-wide Case Management and Discharge Planning.
• Aligns Case Management with client's strategic and operational objectives.
• Develops, monitors and evaluates Case Management Metrics (InterQual).
• Initiates data-driven process improvements.
• Optimizes efficient Case Management roles and processes.
• Integrates managed care contract criteria into overall Case Management functions.
• Maintains Case Management regulatory compliance to include CMS, Total Joint Commission and California State Regulations.


• Under the direction of the Chief Nursing Officer (CNO) or designee, the Case Management Director develops and implements case management programs, including utilization review, intake or discharge planning, and managed care contracting.
• Evaluates patient care data to ensure that care is provided in accordance with clinical guidelines and organizational standards.
• Seeks treatments that balance clinical and financial concerns with the family’s needs and patient’s quality of life.
• Contributes to the development of strategic planning for the program to ensure coordination of goals and targets for both the clinical operations and the organization’s.
• Guides and is fully accountable for all department activities to support hospital wide strategic objectives.

> Patient Types: Adult, Pediatric, Geriatric
> Licenses and Certifications: BLS, CA License, CCM, RN, LCSW
> Minimum Education: Bachelors, Masters
> Years Experience: 3+ years

Job Requirements:
• Current California Registered Nursing License (Required)
• Current Certification of Case Management (CCM) (Strongly Preferred)
• Current California Licensed Clinical Social Worker or Registered Nurse License (Required)

• Valid California Registered Nurse license
• Minimum of three years of experience of acute care hospital case management is required.
• Minimum of 3-5 years' experience in supervisor or administrative setting required
• Current California Licensed Clinical Social Worker or Registered Nurse License (Required)
• Knowledgeable about CMS, Managed Care, California Medi-Cal guidelines and California Health Benefit Exchange Regulations

Job Criteria:
Start Date:
Position Type: Full-Time Permanent
Years of Experience Required:
Education Required:
Overnight Travel:
Vacation Time:

Job Benefits:
Health/Dental Benefits, Retirement Benefits, Paid Holidays, Vacations, and Sick Leave, Relocation Assistance, Tuition Reimbursement, Transportation Subsidies

Contact Information:
Contact Name: Maricella Zamora Company Type: Recruiter
Company: Independent Recruiter
City: Newark
State: California
Zip: 94560
Web Site:

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