What are the responsibilities and job description for the Manager, Care Management, Full-Time, Day Shift position at Adventist Health?
Centered in the heart of Boyle Heights, Adventist Health White Memorial is one of the area's leading healthcare providers since 1913. We are comprised of a 353-bed hospital, three medical office buildings, residency programs, comprehensive cancer care and a vast scope of services located in the Los Angeles area. In 2019, Adventist Health White Memorial was recognized with the Malcolm Baldrige National Quality Award, the nation's highest presidential honor for performance excellence. We are proud to promote wellness in the community at the local farmers market and through our community resource center with services for seniors and Spanish-speakers. Los Angeles is known for its art, rich culture, numerous sports teams and world-renowned dining. There is something for everyone in this culturally diverse city.
Job Summary:
Oversees and manages care management department operations to ensure optimal efficiency and effectiveness. Reviews performance data and reporting to monitor and measure productivity. Monitors performance and provides mentorship and leadership to team. Recognizes trends in barriers to coordinated care and strategizes and executes remediation plans. Monitors and disseminates regulatory changes impacting the revenue cycle.
Job Requirements:
Education and Work Experience:
- Bachelor’s Degree or equivalent combination of education/related experience: Required
- Master's Degree: Preferred
- Five years' case management, hospital discharge planning and utilization review or social work experience: Preferred
- One years' leadership experience: Preferred
Licenses/Certifications:
- Registered Nurse (RN) licensure in the state of practice: Preferred
- Licensed Master Social Worker (LMSW) - State Board: Preferred
- Licensed Clinical Social Worker: Preferred
Facility Specific License/Certifications:
- Hospital Fire and Life Safety (HLFS): Required
Essential Functions:
- Reviews performance data and reporting to monitor and measure productivity and department effectiveness. Implements length of stay, readmissions, and other key strategies.
- Monitors team performance in meeting patients’ needs of socio-economic intervention in collaboration with the care management team.
- Monitors the delivery of coordinated care and the implementation of comprehensive individual plans. Models content expertise to patients, families, and peers.
- Provides mentorship and leadership to all peers and members of the care coordination team.
- Recognizes trends in barriers to coordinated care and strategizes and executes remediation plans. Monitors and disseminates regulatory changes impacting the revenue cycle.
- Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.
