Manager Social Work & Care Management, Case Management, FT, 9A-5:30P

 

Baptist Health is the region’s largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors. 

What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients’ shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact – because when it comes to caring for people, we’re all in.

Description:

The Manager of the Social Work & Case Management Services Department is responsible, under the general supervision of the Department Director, for the daily planning, development and implementation of the utilization review, case management and social work functions in accordance with Baptist health and departmental policies, legal and regulatory agencies guidelines. This includes but is not limited to staffing issues and activities related to referral and prior insurance authorizations, concurrent reviews, discharge planning issues, retrospective claims reviews, report generation and state and federal regulatory and accreditation program compliance. Assumes overall responsibility of assuring cost effective utilization of hospital resources and ancillary services, including the appropriateness of IP/OP admissions, continued stay and discharge. Provides support and problem solving interventions to department staff and is available for consultation to the health care team. The Manager will support the Director in the development of long range strategic initiatives for the Department and will support interventions dedicated to team development, cross training and the continuous development of caring and compassionate professionals. Estimated salary range for this position is $91132.84 - $118472.69 / year depending on experience.

Qualifications:

Degrees:

• Masters.

Licenses & Certifications:

• Licensed Clinical Social Worker.

Additional Qualifications:

• Masters degree in Social Work from a program accredited by the Council on Social Work Education.
• Must have five years or more of previous experience in a hospital or health care setting; knowledge of crisis intervention and treatment skills, clinical assessment skills, utilization review criteria and utilization management.
• Must be familiar with performance improvement and quality initiatives.
• Must demonstrate ability to communicate effectively both verbally and in written work.
• Certified in Case Management or Interqual criteria.

Minimum Required Experience: 5 Years

EOE, including disability/vets