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Chief Operating Officer, MSO
2 months ago
The Chief Operating Officer for the Management Services Organization (MSO) and Care Management reports to the President of PHP/HMS, and for care management dually to the President of PHP/HMS and the Chief Medical Officer for PIH Health. The COO has the authority, responsibility and accountability for the overall administration, direction and strategy of the MSO and Care Management departments across the PIH Health system. This includes oversight of all direct reports who lead the day-to-day activities and staffing for utilization management and review, care management, social work, discharge planning and access/bed control functions at each hospital campus and PHP. In addition, the COO has leadership and oversight over quality management, compliance, and claims management at the MSO. Collaborates with other members of the executive management team and physicians to fulfill the institution's mission through safe, high quality and cost-effective care. Participates in the strategic planning process and works closely with the President of the MSO in establishing and executing initiatives leading to growth, financial performance, and provider relations. Acts as the primary link between the clinical and financial components of the organization in support of the delivery of appropriate, timely and accurate care management, social work, and patient placement. Additionally, this position participates and lead the clinical development, implementation, and transformation of new patient care models across the care management division.
PIH Health is a nonprofit, regional healthcare network that serves approximately 3.7 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 35 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit or follow us on Facebook, Twitter, or Instagram.
Required Skills
Required Experience
Required:
· California Registered Nursing license, which is current, active and unrestricted
Bachelor of Science Degree in Nursing· Master of Science in Nursing, Public Health or Business Administration required
· Minimum of eight (8) years' experience in case management, social work, utilization review, and discharge planning in an acute care hospital, IPA, or MSO including five (5) years of progressively responsible supervisory and administrative experience.
Thorough working knowledge and understanding of Case Management and Quality Management procedures in a managed care setting including, but not limited to, HMO guidelines, criteria and division of financial responsibility; CMS guidelines; MCG guidelines, and Federal and State regulations. Facilitates conformance to DHCS, CMS, DMHC, NCQA and other regulatory requirements.Preferred:
· Case Manager Certification (CCM) or Accredited Case Manager (ACM)
Address
6557 Greenleaf Ave.
Salary
Shift
Days
FLSA Status
Professional-Exempt