Care Management Lead

3 weeks ago


Oakland, California, United States Alameda Health System Full time

About the Role



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



Key Responsibilities:



  • Assists in establishing, implementing, and ensuring that care management policies, practices, and procedures are in accordance with the Joint Commission, Title 22, and other regulatory agencies and overall hospital policies.
  • Conducts and records periodic staff meetings to inform staff of changes in policies and procedures.
  • Develops and provides statistical UM information and reports to appropriate committees and identifies utilization issues affecting the quality of patient care.
  • Directs and coordinates data gathering and record keeping legally required by Federal and State agencies, the Joint Commission, and hospital policies.
  • Manages and assumes responsibility for day-to-day operations of utilization management, care coordination, and discharge planning activities.


Requirements



Preferred Licenses/Certifications: Certification in Case Management, CCMC or ACM.



Preferred Education: Master's in Nursing or Masters in Social Work or related field.



Required Experience: Five years of clinical nursing or social work experience in a directly related setting; three years of case management experience; two years of experience in a supervisory or lead role.



Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California or licensed in Clinical Social Work in California, Active BLS - Basic Life Support Certification issued by the American Heart Association.


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