Care Management Manager, Full Time, Day Shift, Care Management

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Revenue Cycle
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Southern California Region
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42842 Requisition #

Adventist Health is more than an award-winning health system. We provide whole-person care to our communities and champion the greater good - from the operating room to the boardroom, we are driven by our unique passion to live God's love through health, wholeness and hope. From Oregon to Oahu, we have a calling to always do more. Now is your chance to apply your passion to our mission.


Since our founding in 1905 as the Glendale Sanitarium, countless patients have entrusted our physicians, nurses and associates with their healthcare needs. Today, we are the largest medical center serving the San Fernando Valley. As we continue to grow and evolve to better meet the needs of the communities we serve, we know that exceptional healthcare is more than medicine. It’s about how we choose to care for our patients and each other – taking time to listen, to understand, to answer questions, to hold a hand, even to pray. This is who we are, who we have always been – it is what we do best. 


In the 2019-20 Regional Rankings List by U.S. News & World Report, Adventist Health Glendale (AHGL) ranked #17 in California and #10 in the LA Metro Area. Adventist Health Glendale also received its 11th consecutive A grade from patient safety organization The Leapfrog Group, the only hospital in Glendale or Burbank to receive the top grade.

 

We're looking for someone to join our team as a Manager, Care Management who:

Oversees and manages care management department operations to ensure optimal efficiency and effectiveness. Reviews performance data and reporting to monitor and measure productivity. Monitors performance and provides mentorship and leadership to team. Recognizes trends in barriers to coordinated care and strategizes and executes remediation plans. Monitors and disseminates regulatory changes impacting the revenue cycle.

 

Essential Functions:

  • Reviews performance data and reporting to monitor and measure productivity and department effectiveness. Implements length of stay, readmissions, and other key strategies.
  • Monitors team performance in meeting patients' needs of socio-economic intervention in collaboration with the care management team.
  • Monitors the delivery of coordinated care and the implementation of comprehensive individual plans. Models content expertise to patients, families, and peers.
  • Provides mentorship and leadership to all peers and members of the care coordination team.
  • Recognizes trends in barriers to coordinated care and strategizes and executes remediation plans. Monitors and disseminates regulatory changes impacting the revenue cycle.
  • Performs other job-related duties as assigned.

 

You'll be successful with the following qualifications:

 

Education: 

  • Bachelor's Degree or equivalent combination of education/related experience: Required
  • Master's Degree: Preferred

 

Work Experience: 

  • Five years case management, hospital discharge planning and utilization review or social work experience: Preferred
  • One years leadership experience: Preferred

 

Required Licenses/Certifications: 

  • Registered Nurse (RN) licensure in the state of practice: Preferred
  • Licensed Master Social Worker (LMSW) - State Board: Preferred
  • Licensed Clinical Social Worker: Preferred

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