Case Management Supervisor

1 month ago

California, United States Cedars-Sinai Full time

Job Description

Are you ready to bring your expert clinical skills to a world-class facility recognized as one of the top ten in the United States? Do you have a passion for the highest quality and patient happiness? Then please respond to this dynamic opportunity available with one of the best places to work in Southern California We would be happy to hear from you.

As a Case Management Supervisor, you will work in collaboration with the department leadership to provide hands-on advice to help implement Case Management department strategies and provide oversight of daily department operation. This position uses case management knowledge and skills to ensure the right care, at the right time and the right place, for every patient. You will use your excellent analytical, organizational, oral and written and interpersonal communications skills, ability to manage multiple tasks and priorities to independently resolve complex issues and keep management appropriately informed.

Summary of Essential Duties:

Facilitates the daily operations of the department and acts as a liaison with interdepartmental communication

Responsible for staff scheduling; monitoring of time and attendance compliance; arrange and adjust contingency schedules for vacations, unscheduled days off, staffing crises

Handle administrative duties, including disciplinary process and performance improvement plans; resolve or facilitate resolution of problematic and/or complex issues by calling out to appropriate management/leadership person

Demonstrate knowledge of and ensure knowledge of staff regarding medical necessity, regulatory requirements and standards, i.e. Joint Commission, Title 9, CMS/Medicare guidelines, EMTALA, HIPAA, etc.

Serves as a Subject Matter Expert (SME) for department workflow issues, complex cases and handles advanced clinical issues from the staff

Audits for documentation, compliance with department metrics, regulatory compliance and application usage; and managing projects as assigned

Provides coaching and counseling to improve productivity of staff members

Recruit, staff orientation, training and precepting; training of new applications or updates; creates educational material for staff members to improve skills, aid in professional growth and development and to ensure staff's expertise

Participates in process reviews and the development of new and/or revised work processes, policies and procedures

Communicates and supports change within the department. Creates and supports an environment that fosters teamwork, cooperation, respect, and diversity

Experience using Milliman or Interqual preferred

Qualifications

Education:

BSN required

License/Certifications:

Current, unrestricted California RN License required

Certified Case Manager or Case Management Certification (ACMA or CCM) required

BLS from the American Heart Association or American Red Cross required

Experience:

A minimum of 4 years of acute care case management experience required

Previous supervisor or leadership experience preferred

Proficiency in MS Office required

Experience using Milliman or Interqual preferred

At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu). For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through March each year) as a condition of employment, and annually thereafter as a condition of continued employment.

Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.

Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.

Req ID : 4059

Working Title : Case Management Supervisor - 8 Hour Days

Department : Case Management

Business Entity : Cedars-Sinai Medical Center

Job Category : Patient Services

Job Specialty : Case Management

Overtime Status : EXEMPT

Primary Shift : Day

Shift Duration : 8 hour

Base Pay : $ $89.82

Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.


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