Pediatric Health Care Manager
1 week ago
Monarch HealthCare is a leading association of physicians and health care professionals in Orange County and Long Beach. Our expansive network provides unparalleled access to specialists, hospitals, skilled nursing facilities, urgent care centers, and more.
About MonarchWe are part of OptumCare, a care delivery organization dedicated to improving patient health and enhancing the effectiveness of healthcare systems.
The RoleThis Pediatric Health Care Manager position is an office-based opportunity located in Irvine, CA, requiring occasional travel (up to 30%) within the Orange County area.
Responsibilities:- Conduct concurrent reviews to ensure accurate level-of-care determinations.
- Craft comprehensive discharge plans that promote efficient transitions.
- Coordinate out-of-network services for discharged patients.
- Monitor and optimize in-network utilization of specialists, providers, facilities, and vendors.
- Present cases to medical directors, case managers, and post-acute services during daily readmission review rounds.
- Facilitate out-of-network transfers to in-network facilities.
- Collaborate with internal and hospital contract staff to streamline OON services.
You will work closely with Monarch Hospitalists to develop and implement inpatient processes, including identification of patients for specialty clinics, facilitation of timely communication between PCPs and Hospitalists, and direct Case Management activities when necessary.
What You'll Gain:- A rewarding career in a dynamic environment that values employee growth and development.
- The opportunity to make a meaningful impact on patient care and outcomes.
- A competitive salary, estimated at $140,000 annually, based on industry standards and regional factors.
- A one-time sign-on bonus of $5,000.
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