Manager Case Management - Full Time, Days (Culver City)

Job DescriptionThe Manager of Case Management is accountable for overseeing all aspects of daily operations of the Case Management Department. Ensures standards of operations are in accordance with all state and federal healthcare regulatory guidelines. Works closely with Physician Advisors and Medical Directors assigned to the Facility(s). Attends the Utilization Management Committee. Under the direction of the Director of Case Management is responsible for employee coaching, training, hiring, counselingdiscipline, performance assessment and payroll processes. Completes reports and analyzes data as assigned.ResponsibilitiesAssists Director of Case Management to implement strategic plans, unitdepartment goals and objectives, business initiatives, and to monitor financial plans and budgets. Complies with all policiesprocedures, applicable laws and regulatory agency requirements, and organization work standards. Assumes responsibility for management decisions determined within the scope of this job description. Maintains records in compliance with legal and regulatory requirements. Demonstrates strategic and critical thinking; makes optimal use of resources; allocates and prioritizes work monitoring performance standards for continuous performance improvement.Assists to compile subject matter under the direction of the Director of Case Management for the Utilization Management Committee. Appropriately monitors and validates subject matter with the Director of Case Management prior to meeting. Ensures that avoidable and variance days are collected appropriately by case management staff. Verifies that the Directors of Case Management action plan is put in place, and goals are set, communicated, and met.Collaborates effectively with clinical and administrative leadership, physicians, nurses and a wide variety of other staff to ensure that service expectations and length of stay goals are met. Works with Director of Case Management to improve resource utilization, service delivery, work flow, etc. as necessary to meet established expectations. Ensures prompt and proper information exchanges and issue resolution. Appropriately informs Director of Case Management of issues needing immediate attention.Creates a safe work environment that fosters respect and positive morale. Effectively allocates and evaluates department work, and provides leadership and appropriate follow through to the Department. Effectively communicates with all staff. In cooperation with the Director of Case Management, interviews applicants and manages the hiring, firing, training, annual performance evaluations and competencies, and disciplinary process at assigned locations.QualificationsRequired Qualifications:Current Licensure as a Registered Nurse andor Licensed Clinical Social Worker in the State of CaliforniaTwo (2) years of leadership experience in Acute Care Case ManagementExcellent verbal and written communication skillsComputer literateKnowledge of all Federal, State and Local regulatory standardsProfessional demeanor with Healthcare teamStrong Organizational and Time Management skills with ability to effectively prioritize tasksDemonstrated Leadership SkillsPreferred Qualifications:Bachelors or Masters of Science in Nursing andor Social ServicesInterQual or MCG criteria knowledgeCertified Case Manager (CCM) or other Case ManagementNursing CertificationPay Rate: Min - $137,300 | Max - $188,775About UsSouthern California Hospital at Culver City has been taking care of generations of Culver City and west LA residents. We are a full-service, acute care hospital with a 247 emergency department and nationally recognized patient safety. Now at 420 beds, SCH-CC is a general acute care hospital that utilizes many of the latest medical treatments and technologies. The hospital offers a wide range of inpatient and outpatient acute care services, including an orthopedic center, cardiovascular services, acute rehabilitation, sub-acute care, psychiatric care and chemical dependency programs. Additionally, SCH-CC operates a 24-hour emergency services center, which serves as a paramedic receiving station and is staffed by board-certified emergency physicians and nurse specialists.

Created: 2025-02-13