The Director of Case Management is responsible for the development of staff and systems to effectively operate a comprehensive Case Management Program. Collaborates with physicians/providers to gather insights and inputs. Provides leadership and supervision to case managers and social workers. Assesses needs and plans, including recent expansion of Gritman's clinic network; communicates and designs services that are appropriate to the hospital mission and patient/family needs.
Required: Bachelor's of Science in Nursing (BSN) and/or Master's of Social Work (MSW)
Preferred: Licensed Certified Social Worker (LCSW) or Master's of Nursing (MSN)
Five (5) to Seven (7) years of related experience, including experience with medical statistical process and control procedure, required.
Familiarity with InterQual and Milliman USA Criteria.
Computer skills with knowledge of excel and word.
[Idaho, United States] Social Worker
Valid Idaho Social Worker License
[Idaho, United States] Registered Nurse
Valid State of Idaho or Multistate RN License
Demonstrated skills in the areas of negotiation, communication (verbal and written), conflict, interdisciplinary collaboration, management, creative problem solving, and critical thinking; knowledgeable of healthcare finance, organizational operations and resources, patient care processes and data analysis; knowledgeable of utilization management as it relates to RAC preparedness and third-party payers; knowledgeable of post-acute care community resources; excellent verbal and written communication skills; ability to engage with all clinical and financial leaders in achieving organizational deliverables; demonstrates flexibility via an ability to adapt to changing priorities and regulations; possess intermediate to advanced computer skills; ability to apply Utilization Review criteria; skills in care coordination and post-acute continuum process; knowledge and understanding of Medicare, Medicaid and other regulatory guidelines required. Must have excellent written and verbal skills. Ability to evaluate and prioritize quality/utilization management data. Must demonstrate the ability to effectively interact with medical staff, individuals who possess diverse personalities and levels of professional expertise.
Internal Number: 2021-2628
About Gritman Medical Center
Gritman Medical Center is a private, community, nonprofit Critical Access Hospital. We deliver comprehensive service and exceptional health care through our growing main campus in Moscow and network of regional internal medicine and primary care clinics. Located in North Idaho.
Gritman has been ranked as one of the top 100 Critical Access Hospitals in the country. For over 120 years, Gritman has brought advanced technology, comprehensive service and compassionate care to the communities we serve.
Over 150 physicians and allied health professionals, and over 670 employees.
We operate an Internal Medicine Clinic, five regional family medicine clinics, Urgent Care, Interventional Pain, Pulmonology, and partner with other area hospitals to provide a host of important specialty services.