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Director, Care Management & Social Work - UH, UMMC, NWCH, CSHC

Rochester General Hospital -
Rochester, NY

Quick Apply

Job Details

Full-time
$85,000 - $135,000 a year
7 days ago

Qualifications

Master's degree in social work
Team leadership
Supervising experience

Full Job Description

Director, Care Management & Social Work

Unity Hospital, United Memorial Medical Center, Newark Wayne Community Hospital and Clifton Springs Hospital and Clinic

SUMMARY:

The Director is primarily responsible for managing utilization review and discharge planning activities, as well as addressing psychosocial needs to appropriately transition patients through the continuum of care. Working collaboratively with the MD Advisor for Care Management, the Director also is responsible for building coalitions with all members of the care team as well as hospital and health system leadership to implement changes to improve patient flow, the patient experience, and staff and physician satisfaction, as well as increase reimbursement and reduce denials.

RESPONSIBILITIES:

Lead the development, implementation, and evaluation of strategic department plans to optimize length of stay, discharge planning, patient flow, and resource utilization across the hospital.
Oversee utilization and denial management programs, ensuring appropriate levels of care, strong payer relationships, adherence to regulations, and proactive strategies to reduce denials and prevent readmissions.
Build and maintain effective internal and external partnerships to drive process improvement, monitor performance metrics, and support optimal clinical, operational, financial, and patient satisfaction outcomes.
Manage departmental operations including staffing, budgeting, role development, performance evaluations, regulatory compliance, and quality review processes.
Serve as a consultant and liaison for long-term care facilities and state agencies, ensuring regulatory alignment, supporting complex psychosocial needs, and guiding policy, risk management, and patient experience initiatives.
Perform other related duties as assigned.

REQUIRED QUALIFICATIONS:

BSN or Master's Degree in Social Work
RN or LMSW license
Minimum of five years in Health Care setting, three years in supervisory capacity

PREFERRED QUALIFICATIONS:

Case management/utilization review/discharge planning experience

EDUCATION:

MS: Social Work (Required)

LICENSES / CERTIFICATIONS:

BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA)American Heart Association (AHA), LCSW - Licensed Clinical Social Worker - New York State Education Department (NYSED)New York State Education Department (NYSED)New York State Education Department (NYSED)

PHYSICAL REQUIREMENTS:

S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

PAY RANGE:

$85,000.00 - $135,000.00

CITY:

Rochester

POSTAL CODE:

14617

The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

Quick Apply

Refine Your Search

Unity Health System jobs in Rochester, NY

Director, Care Management & Social Work - UH, UMMC, NWCH, CSHC

Remote Support Professional

Sr. Volunteer Engagement Specialist

Pharmacy Technician

Registered Nurse (RN), ElderONE (Per Diem, Days)

Registered Nurse - Interventional Radiology/Cardiac Cath Labs

Registered Nurse - IR/Cath Lab

Director, Employee Relations

Program Coordinator - BHN

Care Navigator - BHN

Director, Operations - Join a $45B Industry Leader!

Assistant Teacher, Health Moms (Part-Time, Days)

Facilities Tech-Skilled

Financial Case Manager - Senior

Teacher Aide - Child Care

Home Health Care Manager - Senior (Full time, Day Shift)

Supervisor Pharmacy Operations Inpatient

Senior Medical Technologist - Unity Hospital (Full-Time, Days)

Director of Finance

Certified Respiratory Therapist

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Director, Care Management & Social Work

Unity Hospital, United Memorial Medical Center, Newark Wayne Community Hospital and Clifton Springs Hospital and Clinic

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