Senior Manager, MN Care Management

Cedars-Sinai•Los Angeles, CA

About The Position

Are you ready to bring your clinical competencies to a world-class Medical Group known for the very highest clinical standards? Do you have a passion for the highest quality and patient satisfaction? Then please respond to this dynamic opportunity available with one of the best places to work in Southern California! We would be happy to hear from you. The Cedars-Sinai Medical Network is committed to helping primary care and specialist physicians deliver care to all their patients, who benefit from convenient access to Physicians and coordination of care between them. As a part of Cedars-Sinai, our physicians and staff are partners in quality health care from a medical center that is consistently recognized as one of the finest hospitals in the country. For the 8th consecutive year, we have been named one of the top 20 Physician Groups in Southern California by Integrated Healthcare Associates (IHA). The Senior Manager, Care Management is responsible for the overall management of Care Management services for Cedars-Sinai Medical Network. The Senior Manager researches, develops, recommends and implements policies and procedures, (with medical director and executive director/VP input) based on current standards of care and legislative/regulatory requirements. This position is responsible for developing and implementing programs to serve our Population Health patients in order to meet performance factors related to health plan specialty contracts. The Senior Manager has oversite of the utilization and referral functions. Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents. With a growing number of primary urgent and specialty care locations across Southern California, Cedars-Sinai’s medical network serves people near where they live. Delivering coordinated, compassionate healthcare you can join our network of clinicians and physicians to improve the healthcare people throughout Los Angeles and beyond.

Responsibilities

Manages department labor, non-wage and capital budgets and identifies/justifies any variances that may occur
Responsible for mentoring and training the management team who report directly to this role
Collaborates with Physician dyad partners, Quality Management, Contracting, Network Management, Care Transition Programs and other departments to create an integrated, patient-centered care management program
Responsible for supervision, evaluation, hiring, and counseling of all staff
Establishes priorities to deliver clinical information solutions that are practical and effective
Develops and monitors daily staff productivity standards and program evaluation outcome and in-process metrics; figures out priorities for process improvement, system optimization and training and recommends and implements tactics for performance improvements using PDCA methodology
Uses Cedars-Sinai Daily Engagement (LEAN methodology) to develop and monitor leader standard work, empower front line staff and drive process improvement. Teaches and trains staff members on CSDE guidelines and encourages practice of the standards.
Maintains excellent health plan relationships and ensures compliance with all health plan criteria
Prepares and delivers provider and practice staff training.
Contribute to the development and execution of service line strategies across the continuum of care.
Collaborate with finance to ensure optimal cost management, partner alignment, and success under value-based care models.
Identify and address service gaps or inefficiencies and recommend innovative solutions, including new partnerships, programs, or technologies.
Coordinates relationships with post-acute care providers—including skilled nursing facilities (SNFs), home health agencies, home infusion agencies, hospice, rehabilitation centers, long-term acute care hospitals (LTACHs), and other community-based partners—to ensure seamless transitions, high-quality outcomes, and alignment with organizational goals.
Supports case management in their coordination and management of transitions of care across the continuum—not only from acute care to post-acute settings but also from ambulatory clinics and the emergency department (ED).
Supervises provider performance, supports care management teams, and implements initiatives that reduce readmissions, improves patient satisfaction that optimizes both financial and clinical outcomes including supervising KPIs, length of stay, and post-acute utilization.
Collaborates closely with frontline teams to support broader efforts to streamline and standardize the transitional care management (TCM) process holding partners accountable for care quality, efficiency and adherence to payer-neutral strategies.
Facilitates regular meetings with providers to review data, share guidelines, and implement standardized protocols.
Recommends and implements corrective actions as needed, in collaboration with both clinical and administrative leadership.
Supports the build and implementation of annual monitoring plans and continuous improvement initiatives.