Manager, Case Management at Hollywood Presbyterian

Los Angeles, California, United States -

Full Time

Start Date

Immediate

Expiry Date

27 Apr, 26

Salary

0.0

Posted On

27 Jan, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Case Management, Utilization Review, Discharge Planning, Patient Care, Communication, Leadership, Quality Improvement, Collaboration, Healthcare Delivery, Performance Monitoring, Education, Consultation, Compliance, Team Management, Problem Solving, Patient Advocacy

Industry

Hospitals and Health Care

Description

Position Summary: To lead the company to consistently deliver patient centered care that results in the best patient experience in the nation and number one in the nation in safety and satisfaction through the utilization of a collaborative approach to affect a multi-disciplinary tactic to patient care while promoting quality, cost effective outcomes. * Supervises Case Management, Utilization Review and Discharge planning activities. * Facilitates processes associated with identifying appropriate alternative placements for patients. * Facilitates the streamlining of the health care delivery process to focus on the best treatment for the patient, thus minimizing or eliminating unnecessary steps and promoting the timely provision of care and utilization of resources. * Oversees case management process as it relates to the patient’s current treatment plan in order to identify barriers to moving the patient through the continuum of care. * Acts as primary liaison for coordinating internal DRG review, contracted third party payers, contracts hospice with the assistance of social work and managed care utilization issues. * Oversee Throughput activities and ensure timely discharge of patients and/or proper escalation processes. * Attend Meetings as necessary and respond to emails timely * Monitor productivity and quality of performance for staff report * Perform annual evaluations and provide face to face feedback to the team * Interact in Polite and Professional Manner with all Customers * Work on Strategy and Compliance with Vendors and other outside Partners to prevent conflicts of interest and adequate support for things such as recoup care, hospice, placement, home health, snf, etc. * Work closely with hospitalist group and physician to ensure the length of stay and other quality metrics are met and escalate as necessary * Demonstrates knowledge and commitment to the organization hospital-wide Performance Improvement Program in order to ensure continuous quality improvement of all processes. * Oversees the programs that provide education and consultation to members of the Medical Center health care team to ensure attention to bio psychosocial needs of the patients. * Helps lead the company’s effort to earn and retain JC certification and other relevant government programs * Be present where needed, ready to work and on time for all work hours, and to recognize when situations require more effort and effective leadership to satisfy the responsibilities of the position in a timely manner JOB QUALIFICATIONS Minimum Education (Indicate minimum education or degree required.) * Graduate of an accredited RN Nursing Program. Preferred Education (Indicate preferred education or degree required.) * Bachelor’s Degree in Nursing or related field preferred. Minimum Work Experience and Qualifications (Indicate minimum years of job experience, skills or abilities required for the job.) * Ability to communicate effectively verbally and in writing. * Must be able to work in a union environment. * Case Management experience in Acute Care Hospital 5 years or more required. Preferred Work Experience and Qualifications (Indicate preferred years of job experience, skills or abilities required for the job.) * Three years progressive management experience in the field of expertise. * Case Management certification Required Licensure, Certification, Registration or Designation (List any licensure or certification required and specify name of agency.) * Current California RN license. * Current BCLS card. * Current Los Angeles County Fire Card required (within 30 days of employment). * Assault Response Competency (ARC) required (within 30 days of hire) Full-Time, Exempt

Responsibilities

The Manager of Case Management leads the team to ensure patient-centered care and oversees case management processes to facilitate patient treatment and discharge. They also act as a liaison for various healthcare stakeholders and ensure compliance with quality improvement programs.