Manager Care Coordination Hospital

Bileddo Associates•San Francisco, CA

2d•Onsite

About The Position

The Manager of Care Coordination directs the day-to-day operations of the Care Coordination team and works with interdisciplinary and administrative teams to align departmental operations with affiliate and Operating Unit goals and targets. The manager collaborates with the Utilization Management Physician Advisor and Medical Director. Direct reports include RN Case Managers, Medical Social Workers, Administrative Assistants, Case Management Assistants, and other department support staff. The position involves frequent contact with nursing executives and directors, quality and ancillary services directors, claims and finance departments, medical directors, medical staff leaders, physicians, payers and review agencies, contracted providers, community resources, and patients and families. The role is based at a 130-bed hospital that serves as a regional trauma center and offers multiple centers of excellence. The facility is described as a sophisticated, LEED-certified, seismically safe hospital with gardens and natural light, fully accredited by The Joint Commission.

Requirements

Bachelor’s degree in Nursing or Health Administration.
Current California RN license for RN candidates, or LCSW for Social Worker candidates.
National certification in Case Management (ACM or ANA RN-BC Case Management) within 18 months of hire.
Experience leading innovative case management programs.
Strong problem-resolution abilities and customer-relations skills.
Experience in utilization management and discharge planning.
Leadership experience in acute case management.
Experience with clinical assessment for clients with complex medical, emotional, and social needs.
Experience coordinating Utilization Management committees and/or clinical review teams.
Experience coaching, counseling, and administering corrective action.

Nice To Haves

Master’s degree in Nursing, Case Management, or a related field.
Experience planning, leading, and organizing team resources.
Experience in patient care or health education in a variety of settings.

Responsibilities

Direct the day-to-day operations of the Care Coordination team.
Align Care Coordination operations with affiliate and Operating Unit goals and targets in collaboration with interdisciplinary and administrative teams.
Collaborate with the Utilization Management Physician Advisor and Medical Director.
Lead and oversee RN Case Managers, Medical Social Workers, Administrative Assistants, Case Management Assistants, and other department support staff.
Coordinate with nursing executives and directors, quality and ancillary services directors, claims and finance departments, medical directors, medical staff leaders, physicians, payers and review agencies, contracted providers, community resources, and patients and families.
Coordinate Utilization Management committees and/or clinical review teams.
Coach and counsel staff and administer corrective action.
Manage care coordination work involving utilization management, discharge planning, and clinical assessment of clients with complex medical, emotional, and social needs.