Prime Healthcare · 19 hours ago
Case Management Supervisor
Prime Healthcare is committed to providing quality, compassionate care through its community-based tertiary medical center, St. Mary's General Hospital. The Case Management Supervisor is responsible for overseeing Case Managers and Coordinators, ensuring quality and resource management for admitted patients, and promoting cost containment while delivering seamless care.
Responsibilities
Providing supervision to the Case Managers, Coordinators, and Discharge Planners
Provides oversight for the quality and resource 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 perceived seamless delivery of care
Facilitate and insure the achievement of quality, clinical and cost effective outcomes
Perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness
Qualification
Required
Grandfathered prior to April 1, 2015 for LCSW. Valid RN or LCSW state licensure required
CCM obtained within 6 months with a minimum of 2 years' experience
Experience and knowledge in basic to intermediate computer skills
Preferred
Minimum 5 years of acute care experience preferred
At least 2 years' experience in case management, discharge planning or management, preferred
Current BCLS (AHA) certificate preferred
Knowledge of Milliman Criteria and InterQual Criteria preferred
Benefits
Paid time off
A 401K retirement plan
Medical, dental, and vision coverage
Tuition reimbursement
Many more voluntary benefit options
Company
Prime Healthcare
About Prime Healthcare and Prime Healthcare Foundation: Prime Healthcare is an award-winning health system operating 51 hospitals and more than 360 outpatient locations in 14 states, providing over 2.5 million patient visits annually.
Funding
Current Stage
Late StageTotal Funding
$1.5B2024-09-04Debt Financing· $1.5B
Recent News
2026-01-16
2026-01-12
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