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.
For seasoned case management leaders ready to make a measurable impact, West Kendall Baptist Hospital offers a leadership opportunity at the forefront of complex care coordination within an innovative, high-performing health system.
Take your career to the next level as you lead complex discharge strategy, influence hospital throughput, and shape patient outcomes across the continuum of care.
Join a mission-driven organization where case management plays a central role in operational performance-driving length of stay, reducing avoidable days, and ensuring efficient, high-quality transitions of care in a fast-paced, collaborative environment.
Why West Kendall Baptist Hospital:
Degrees:
Licenses & Certifications:
Additional Qualifications:
Minimum Required Experience: 5 Years
| Location | Miami, FL |
| Industry | Healthcare Services |
| Salary | $91,132.84–$118,472.69 Per Year |
| Company Size | 2,000 to 2,499 employees |
| Website | https://careers.baptisthealth.net/ |
Baptist Health South Florida is once again one of the 2020 Fortune 100 Best Companies to Work For! This is the 20th time Baptist Health has been recognized on the list. We have also been recognized for being among the best healthcare providers in the nation by U.S. News & World Reports in its 2020-2021 Best Hospitals and have been honored as one of PEOPLE's 2020 50 Companies that Care by PEOPLE magazine and Great Place to Work.
Baptist Health South Florida is the region's largest not-for-profit healthcare organization with more than 23,000 employees working across 11 hospital campuses and more than 100 outpatient facilities throughout Miami-Dade, Monroe, Broward, and Palm Beach counties. In 2016 we welcomed the newest weapon in the fight against cancer, the world-class Miami Cancer Institute and proton therapy center.
Everything we do at Baptist Health, we do to the best of our ability. That includes supporting our team with extensive training programs, millions of dollars in tuition assistance, comprehensive benefits and more. Working within our award-winning culture means getting the respect and support you need to do your best work ever. Find out why this is the best place to be your best!