Director, Case Management Lakewood and Los Alamitos - Full Time - Days

University of California, Irvine • Lakewood, CA

2d

About The Position

Position Summary:
The Director, Case Management is responsible for the operational leadership and management of all case management functions at their assigned facility or facilities. The incumbent is accountable for the clinical quality, operational performance, regulatory compliance, and financial management of case management services within the assigned area. This role directs departmental activities to ensure case management services are delivered accurately, efficiently, and in alignment with health system standards, payer requirements, and organizational objectives, supporting safe and effective patient transitions across the continuum of care. The Director collaborates with clinical, nursing, physician, revenue cycle, post-acute, and administrative leadership on coworker development, technology and information systems planning, length of stay management, denial prevention, and performance improvement initiatives. This position provides direct oversight, serves as a role model and primary resource to coworkers and others, maintaining accountability for departmental performance and the financial integrity of case management operations. The Director exercises wide latitude of authority in managing facility-level case management operations with limited oversight.

Requirements

• Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
• Must demonstrate extraordinary levels of customer service and transmit these behaviors to the entire care management team
• Minimum 5 years’ experience of progressive management responsibility
• Minimum of 1 year experience in an management leadership role
• Minimum of 5 years of case management and/or social work experience in a health care setting
• Master's degree in related field and Bachelor's degree in Nursing or Social Work
• Knowledge of CMS, Joint Commission, CADP, and other regulatory and compliance requirements
• In depth knowledge of relevant regulatory requirements as well as related legislative, accreditation, licensing, and compliance environments
• In depth hospital management skills with progressive expertise in case management, utilization review, discharge planning, home and/or managed care
• Graduate of an accredited school of Nursing or Social Work and currently licensed in California or eligible for licensure
• Experience and results in improving hospital throughput
• Excellent written and verbal English communication skills
• Excellent working knowledge of desktop computer productivity tools
• Excellent leadership and fiscal management skills and ability to create a goal-oriented climate of teamwork, collaboration, and consistent achievement of objectives
• Excellent critical thinking, problem-solving, and analytic skills
• Demonstrated ability to lead change and effectively manage conflict
• Demonstrated ability to create high-performing, interdisciplinary team
• Advanced communication, interpersonal skills, and conflict resolution skills to deal effectively with patients, families, advocates, staff at all levels of the organization, and senior management
• Ability to maintain a work pace appropriate to the workload
• Ability to establish and maintain effective working relationships across the Health System
• Must be able to provide proof of work authorization

Nice To Haves

• Knowledge of quality improvement methodologies
• Knowledge of patient safety strategies
• Knowledge of University and medical center organizations, policies, procedures and forms
• CDI knowledge and experience
• CCM, ACM or Case Management credentialing

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 11-50 employees