Job Information
Ascension Health Director of Case Management - Utilization Review in Kalamazoo, Michigan
Details
Department: Case Management
Schedule: Monday through Friday; Day shift
Hospital: Ascension Borgess Hospital
Location: Kalamazoo, MI 49048
Benefits
Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance and salary range at the time of the offer.
Responsibilities
Lead and direct case management services, workflow and resources.
Formulate and implement operational strategies and initiatives in the case management program.
Direct and evaluate all services provided, including care plan development, service level determination, and complaint management to achieve performance and quality control objectives.
Provide specialized expertise, ensure resource alignment with system-wide initiatives, and update appropriate parties on case management strategies, initiatives, outcomes and issues.
Successfully partner with physicians and others to ensure delivery of evidence-based care and reduction of avoidable clinical variation in care.
Requirements
Licensure / Certification / Registration:
One or more of the following required:
Case Manager credentialed from the Commission for Case Manager Certification (CCMC) obtained prior to hire date or job transfer date.
Registered Nurse credentialed from the Michigan Board of Nursing obtained prior to hire date or job transfer date.
Social Worker credentialed from the Michigan Board of Social Work obtained prior to hire date or job transfer date. Any level accepted.
Education:
High school diploma/GED with 2 years of experience, or Associate's degree, or Bachelor's degree required.
Master's degree preferred.
Work Experience:
5 years of experience required.
10 years of experience preferred.
2 years of leadership or management experience required.
5 years of leadership or management experience preferred.
Additional Preferences
There will be a dual focus on case management and utilization review in this position
Case Management experience - Strongly preferred
Utilization Review experience - Strongly preferred
Why Join Our Team
Ascension Michigan operates 16 hospitals and more than 300 related healthcare facilities that together employ nearly 23,000 compassionate associates. When you join our care teams, you join a team dedicated to providing spiritually centered, holistic care which sustains and improves the health of the communities we serve throughout Michigan.
Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.
Equal Employment Opportunity Employer
Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.
For further information, view the EEO Know Your Rights (English) (https://www.eeoc.gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRights_10_20.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRightsSp_10_20.pdf) poster.
As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.
Pay Non-Discrimination Notice (https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf)
Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.
This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.