Director, Case Management Fountain Valley/ Placentia Linda - Full Time - Da at University of California, Irvine

Fountain Valley, California, United States -

Full Time

Start Date

Immediate

Expiry Date

27 Jun, 26

Salary

0.0

Posted On

29 Mar, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Operational Leadership, Case Management, Clinical Quality, Regulatory Compliance, Financial Management, Discharge Planning, Denial Prevention, Performance Improvement, Teamwork, Conflict Resolution, Fiscal Management, Change Management, Critical Thinking, Problem-Solving, Interdisciplinary Team Leadership, Communication

Industry

Hospitals and Health Care

Description

Who We Are UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County. To learn more about UCI Health, visit www.ucihealth.org. Your Role on the Team Position Summary: The Director, Case Management is responsible for the operational leadership and management of all case management functions at their assigned facility or facilities. The incumbent is accountable for the clinical quality, operational performance, regulatory compliance, and financial management of case management services within the assigned area. This role directs departmental activities to ensure case management services are delivered accurately, efficiently, and in alignment with health system standards, payer requirements, and organizational objectives, supporting safe and effective patient transitions across the continuum of care. The Director collaborates with clinical, nursing, physician, revenue cycle, post-acute, and administrative leadership on coworker development, technology and information systems planning, length of stay management, denial prevention, and performance improvement initiatives. This position provides direct oversight, serves as a role model and primary resource to coworkers and others, maintaining accountability for departmental performance and the financial integrity of case management operations. The Director exercises wide latitude of authority in managing facility-level case management operations with limited oversight. What It Takes to be Successful Required Qualifications: 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 Minimum 5 years’ experience of progressive management responsibility Minimum of 1 year experience in an management leadership role Minimum of 5 years of case management and/or social work experience in a health care setting Master's degree in related field and Bachelor's degree in Nursing or Social Work Knowledge of CMS, Joint Commission, CADP, and other regulatory and compliance requirements In depth knowledge of relevant regulatory requirements as well as related legislative, accreditation, licensing, and compliance environments In depth hospital management skills with progressive expertise in case management, utilization review, discharge planning, home and/or managed care Graduate of an accredited school of Nursing or Social Work and currently licensed in California or eligible for licensure Experience and results in improving hospital throughput Excellent written and verbal English communication skills Excellent working knowledge of desktop computer productivity tools Excellent leadership and fiscal management skills and ability to create a goal-oriented climate of teamwork, collaboration, and consistent achievement of objectives Excellent critical thinking, problem-solving, and analytic skills Demonstrated ability to lead change and effectively manage conflict Demonstrated ability to create high-performing, interdisciplinary team Advanced communication, interpersonal skills, and conflict resolution skills to deal effectively with patients, families, advocates, staff at all levels of the organization, and senior management Ability to maintain a work pace appropriate to the workload Ability to establish and maintain effective working relationships across the Health System Preferred Qualifications: Knowledge of quality improvement methodologies Knowledge of patient safety strategies Knowledge of University and medical center organizations, policies, procedures and forms CDI knowledge and experience CCM, ACM or Case Management credentialing Total Rewards We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits. Conditions of Employment: The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment: Background Check and Live Scan Employment Misconduct* Legal Right to Work in the United States Vaccination Policies Smoking and Tobacco Policy Drug Free Environment *Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer. The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements. California Child Abuse and Neglect Reporting Act E-Verify Pre-Placement Health Evaluation Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php Closing Statement: The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy. We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming. UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m. Consideration for Work Authorization Sponsorship Must be able to provide proof of work authorization

Responsibilities

The Director, Case Management is responsible for the operational leadership and management of all case management functions at assigned facilities, ensuring clinical quality, operational performance, and regulatory compliance. This role directs departmental activities to support safe and effective patient transitions across the continuum of care while collaborating with various leadership teams on improvement initiatives.