Case Management Director

3 weeks ago


Long Beach, California, United States MemorialCare Health System Full time
Job Summary

We are seeking a highly skilled and experienced Case Management Director to oversee the operations of our care coordination department. The successful candidate will be responsible for ensuring optimal efficiency and effectiveness in the department, reviewing performance data and reporting, and providing mentorship and leadership to the team.

Key Responsibilities
  • Plan, organize, and direct care coordination activities to ensure delivery of quality patient care in compliance with all regulations and hospital policies.
  • Monitor and disseminate regulatory changes impacting the revenue cycle, and strategize and execute remediation plans as needed.
  • Provide overall management of the department, including planning, organizing, staffing, and controlling care coordination activities.
  • Collaborate with leadership to manage the operational and capital budget for the department to meet financial goals.
  • Ensure cost-effective daily operations and allocation of resources, and maintain effective staffing plans to achieve staff productivity goals.
  • Monitor unit metrics to assure high levels of patient satisfaction and that core measures and regulatory measures are being met.
  • Support the strategic plan and the goals and direction of the performance improvement plan.
Requirements
  • Bachelor of Science in Nursing (BSN) required; Master of Science in Nursing (MSN) or master's degree in healthcare-related field preferred.
  • Minimum 5 years' experience in care management and utilization management preferred; minimum 3 years' experience leadership experience preferred.
  • Registered Nurse (RN) in the state of California required; Basic Life Support (BLS) required.
About MemorialCare Health System

MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare, and we are dedicated to helping our employees achieve their full potential in an environment of respect, innovation, and teamwork.



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