Case Management Director jobs in Atlantic City, NJ

Community Medical Center, an affiliate of RWJBarnabas Health, is a 592-bed, fully accredited acute care hospital offering area residents world-class medical treatment with the comforts of hometown care. Opened in 1961, CMC has evolved into the state s newest teaching hospital with four residency programs and Ocean County s largest and most active health care facility caring for over 21,500 inpatients, 178,000 outpatients and 73,700 emergency department patients each year.

Summary of Job Function:

The Manager of Case Management is Integral to Department strategic leadership along with Director and Supervisor of Clinical Social Work. Accountable for clinical leadership of Utilization Management and Technical staff, and Denials, Appeals, and Compliance processes. The Manager serves as a key resource in establishing efficient, effective, and fiscally responsible, patient-centered department strategic objectives. Provides management, analysis, and reports on Care Management Dashboard outcomes. Serves on hospital Committees and demonstrates strong multisystem collaboration and leadership skills to optimize clinical outcomes within best practice, ethical, legal, and regulatory parameters. Collaborates with all disciplines, departments, payers, system partners, vendors, and community agencies.

Job Qualifications/Education:

• Master's Degree - LSW
• Case Management certificaion preferred
• Konowledge of Interqual and Milliman Utilization criteria required.
• 1 year in non-acute hospital based health care preferred.
• 5 years acute hospital clinical nursing experience
• 3-5 years progressive managment experience including supervisory experience.

At Community, our employees make the difference which is why we offer a comprehensive benefit package that includes health, dental, vision, disability insurance, and a 401(k)-retirement savings plan. To encourage the advancement of our employees, we offer a tuition assistance program and provide opportunities for professional development and growth.

Community Medical Center is dedicated to advancing the quality of life and health of our community while delivering compassionate care for our patients. Our core values include: Compassion, Quality, Accountability, Integrity, Diversity and Teamwork.

Equal Opportunity Employer