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Prime Healthcare

Acquires and reorganizes underperforming hospitals

Director of Case Management

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-timeReno, NV, USANo salary listedIn-person

About the Job

Requirements

  • A licensed clinician in the state, or grandfathered before April 1, 2015.
  • For a Licensed Clinical Social Worker, at least five years post-graduate from an accredited school of social work.
  • At least five years of experience in a case management position.
  • Analytical ability to identify problems and assess and evaluate data and statistics from an ongoing review process.
  • Experience and knowledge in basic to intermediate computer skills.

Responsibilities

  • Develop staff and systems to effectively operate a comprehensive Case Management Program.
  • Provide leadership and supervision to case managers, social workers, case management coordinators and discharge planners, utilization review coordinators, and utilization technicians.
  • Assess needs; plan, communicate, and design services appropriate to the hospital mission and patient and family needs.
  • Integrate and coordinate services using continuous quality improvement tools.

Desired Qualifications

  • CCM certification, or obtain it within one year.
  • A BS or BSN, or a degree in a related field.
  • Current BCLS certificate.
  • Knowledge of Milliman Criteria and InterQual Criteria.

About the Company

Prime Healthcare

Acquires and reorganizes underperforming hospitals

Prime Healthcare operates a network of hospitals and outpatient centers across the United States, concentrating on turning around financially struggling facilities. It invests in infrastructure and technology, restructures operations, and negotiates payer terms (including pursuing higher out-of-network reimbursements) to improve financial performance, and it manages both for-profit hospitals and not-for-profit facilities through the Prime Healthcare Foundation. The company aims to raise clinical quality and patient safety while expanding access in hundreds of communities, though it has faced legal and regulatory scrutiny over billing practices and service-line decisions. Its goal is to stabilize and improve the financial and clinical performance of underperforming hospitals so they can continue serving their communities.

Company size
5,001-10,000
Company stage
Debt Financing
Total funding
$2.2B
Headquarters
Ontario, CA
Founded
2001

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