Manager, Care Management & Social Services

CHOC • Orange, CA

1d

About The Position

The Manager of Care Management & Social Services is accountable for managing the personnel and financial resources including the day-to-day operations, staff performance, education, and budgetary monitoring. Ensures that quality care is provided according to policies and procedures, that patient flow/placement is efficient, and that daily staffing needs are met to assure the highest quality care, safety and satisfaction. Provides leadership for the clinical and administrative functions of the department. The position we are looking to fill will be managing our Inpatient RN Care Managers, as well as our Utilization Review team. The ideal candidate will have experience in both case management and utilization review, and have solid working knowledge of McG criteria and utilization review guidelines, CalOptima and CCS regulations, and the ability to work cohesively with a leadership team that oversees this multidisciplinary department. This position does require a California RN License in good standing to oversee the work of the team.

Requirements

• Minimum five (5) years of clinical experience with at least three (3) years in case management or social services.
• One (1) year of experience managing the function in the healthcare industry.
• Bachelor's Degree in Nursing (BSN)
• Ability to set goals and judge results in accordance with the highest standard; care with sensitivity and respect; advance care through development of new ideas and technology; promote teamwork to achieve CHOC's mission; and understand and exceed customer expectations.
• Written and verbal communication skills.
• Interpersonal skills.
• Strong analytical and organization skills; excellent critical thinking, judgment, and problem-solving skills to understand and anticipate the impact and opportunities across multiple critical projects.
• Proficient literacy in Windows applications, especially Excel and Word.
• Demonstrated strength in building and articulating a vision and setting goals.
• Ability to build and establish positive relationships with stakeholders and staff at all levels.
• Experience managing multiple projects while maintaining exceptional customer service standards.
• Experience presenting findings / recommendations to Executive level audiences.
• Intermediate or advanced computer, spreadsheet, & database skills.
• Strong verbal and written communication skills; interpersonal relationship and collaboration skills.
• Licensed Registered Nurse - CA (RN) or Licensed Clinical Social Worker - CA (LCSW)
• RQI Responder – American Heart Association.
• Pediatric Advanced Life Support (PALS).

Nice To Haves

• Seven (7) years of previous clinical and management experience in an acute medical facility.
• Previous clinical experience in pediatrics.
• Master's Degree in Nursing (MSN).
• Intermediate or advanced computer, spreadsheet, & database skills.

Responsibilities

• Managing personnel and financial resources
• Day-to-day operations
• Staff performance
• Education
• Budgetary monitoring
• Ensuring quality care is provided according to policies and procedures
• Ensuring efficient patient flow/placement
• Meeting daily staffing needs
• Providing leadership for the clinical and administrative functions of the department

What This Job Offers

• Job Type: Full-time
• Career Level: Manager