Manager, Care Management (Full Time, Day Shift)

Adventist HealthGlendale, CA
$120,077 - $180,115Onsite

About The Position

Oversees and manages care management department operations to ensure optimal efficiency and effectiveness. Reviews performance data and reporting to monitor and measure productivity. Monitors performance and provides mentorship and leadership to team. Recognizes trends in barriers to coordinated care and strategizes and executes remediation plans. Monitors and disseminates regulatory changes impacting the revenue cycle.

Requirements

  • Bachelor’s Degree or equivalent combination of education/related experience: Required

Nice To Haves

  • Master's Degree: Preferred
  • Five years' case management, hospital discharge planning and utilization review or social work experience: Preferred
  • One year's leadership experience: Preferred
  • Registered Nurse (RN) licensure in the state of practice: Preferred
  • Licensed Master Social Worker (LMSW) - State Board: Preferred
  • Licensed Clinical Social Worker: Preferred

Responsibilities

  • Reviews performance data and reporting to monitor and measure productivity and department effectiveness.
  • Implements length of stay, readmissions, and other key strategies.
  • Monitors team performance in meeting patients’ needs of socio-economic intervention in collaboration with the care management team.
  • Monitors the delivery of coordinated care and the implementation of comprehensive individual plans.
  • Models content expertise to patients, families, and peers.
  • Provides mentorship and leadership to all peers and members of the care coordination team.
  • Recognizes trends in barriers to coordinated care and strategizes and executes remediation plans.
  • Monitors and disseminates regulatory changes impacting the revenue cycle.
  • Performs other job-related duties as assigned.
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