Care Management Team Lead

9 hours ago


Oakland, California, United States Alameda Health System Full time
Care Management Team Lead

**Job Overview:**
The Alameda Health System is seeking a highly skilled Care Management Team Lead to oversee the day-to-day operations of facility wide utilization, discharge planning and care coordination. As a key member of our team, you will be responsible for implementing and ensuring that care management policies, practices and procedures are in accordance with regulatory agencies and hospital policies.

**Responsibilities:**
* Assist Director in establishing, implementing, and ensuring compliance with care management policies and procedures.
* Conduct periodic staff meetings to inform staff of changes in policies and procedures.
* Develop and provide statistical information and reports to appropriate committees.
* Direct and coordinate data gathering and record keeping legally required by Federal and State agencies and hospital policies.
* Coordinate action plans to respond to areas felt to be in need of improvement related to patient flow and care coordination across the continuum.
* Manage process of pre-admission review of questionable admissions as referred by Admitting, Emergency Room and medical staff.
* Oversees submission of audits, including but not limited to MediCal, Medicare and internal compliance studies.
* Performs daily clinical rounds and monthly audit of charts on care management activities.
* Prepares cost analysis reports and other data needed for departmental budget preparation.
* Provides in-house educational programs as needed for staff and physicians.
* Responsible for recruitment, orientation, evaluation, counseling and disciplinary action of care management clinical and administrative staff.
* Reviews cases regularly with staff; acts as clinical consultant regarding care management issues.

**Requirements:**
* Five years of clinical nursing or social work experience in a directly related setting (acute care, skilled nursing, etc.).
* Three years of case management experience.
* Two years of experience in a supervisory or lead role.
* Active licensure as a Registered Nurse in the State of California or licensed in Clinical Social Work in California.
* Basic Life Support Certification issued by the American Heart Association.

**Estimated Salary Range:** $120,000 - $150,000 per year, depending on experience.

**Benefits:**
* 100% employer health plan for employees and their eligible dependents.
* Unique benefit offerings that are partially or 100% employer paid.
* Rich and varied retirement plans and the ability to participate in multiple plans.
* Generous paid time off plans.

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