Manager, Care Management FVR/PLA

University of California, Irvine•Fountain Valley, CA

About The Position

Position Summary: The Manager, Case Management is responsible for the operational leadership, administrative oversight, and day-to-day management of all case management functions within the assigned facility or facilities. The incumbent is accountable for all aspects of performance within the assigned program, ensuring the delivery of safe, high-quality, and efficient case management services in alignment with regulatory, accreditation, and organizational standards, including The Joint Commission, Centers for Medicare and Medicaid Services, and applicable state and federal requirements. This role maintains accountability for departmental operational processes, staffing, scheduling, budgetary performance, length of stay management, denial prevention, and financial accountability across all assigned case management functions. The Manager leads the development and implementation of departmental goals, policies, and performance improvement initiatives, and is responsible for the selection, onboarding, competency validation, performance evaluation, and professional development of all assigned case management coworkers, including case managers and social workers. This position collaborates with physicians, nursing leadership, clinical operations, payers, post-acute providers, and administrative leadership to support effective care transitions, appropriate resource utilization, and optimal patient outcomes. The Manager works under limited oversight and exercises independent judgment in determining departmental goals and measures to achieve operational and clinical objectives within the assigned case management program.

Requirements

Outstanding interpersonal skills; ability to interact effectively at all levels of the organization from senior management to bedside staff
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
Must demonstrate customer service skills appropriate to the job
Minimum of 5 years of case management experience in a health care setting
Knowledge of CMS, Joint Commission, CADP, and other regulatory and compliance requirements
Excellent written and verbal communication skills in English
Excellent working knowledge of desktop computer productivity tools
Excellent analytical skills
Demonstrated ability to lead change and effectively manage conflict
Ability to maintain a work pace appropriate to the workload
Ability to establish & maintain effective working relationships across the Health System

Nice To Haves

MS, MBA or Masters in Healthcare Management or related field
Knowledge of quality improvement methodologies
Knowledge of patient safety strategies
Knowledge of University and Medical Center organizations, policies, procedures and forms