Director, Case Management Lakewood and Los Alamitos - Full Time - Days
4 days ago
Lakewood
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, ___, 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 ___, ___ and American College of Surgeons-verified ___, ___ and ___. 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 ___ 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 RequiredQualifications: • Mustpossesstheskill,knowledgeandabilityessentialto thesuccessfulperformanceofassignedduties, • Mustdemonstrateextraordinarylevelsof customerserviceandtransmitthesebehaviorsto theentirecaremanagement team, • Minimum5years' experience ofprogressivemanagementresponsibility, • Minimumof 1yearexperience inanmanagement leadershiprole, • Minimumof 5yearsof case management and/orsocialwork experience in a healthcaresetting, • Master'sdegreeinrelatedfield andBachelor'sdegreein NursingorSocial Work, • Knowledgeof CMS, Joint Commission, CADP, andotherregulatoryandcompliancerequirements, • Indepthknowledgeofrelevantregulatoryrequirementsaswellasrelatedlegislative,accreditation,licensing, andcomplianceenvironments, • Indepthhospitalmanagementskillswithprogressiveexpertisein case management,utilizationreview,dischargeplanning,homeand/ormanagedcare, • Graduateofanaccreditedschool of NursingorSocial Work andcurrentlylicensedin Californiaoreligibleforlicensure, • Experience andresultsinimprovinghospitalthroughput, • ExcellentwrittenandverbalEnglishcommunicationskills, • Excellentworkingknowledgeofdesktopcomputerproductivitytools, • Excellentleadership andfiscalmanagementskillsandabilitytocreateagoal-orientedclimateofteamwork,collaboration, andconsistentachievementofobjectives, • Excellentcriticalthinking,problem-solving, andanalyticskills, • Demonstratedabilitytoleadchangeandeffectivelymanageconflict, • Demonstratedabilitytocreatehigh-performing,interdisciplinaryteam, • Advancedcommunication,interpersonalskills, andconflictresolutionskillstodealeffectivelywithpatients,families,advocates, staffatalllevelsof theorganization, andseniormanagement, • Abilitytomaintaina workpaceappropriateto theworkload, • Knowledgeofqualityimprovementmethodologies, • Knowledgeofpatientsafetystrategies, • Knowledgeof University and medical centerorganizations,policies,proceduresandforms, • CDIknowledgeand experience, • CCM, ACMorCase Managementcredentialing 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 ___ and ___. 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 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 ___. 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 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