Supervisor Case Management - Per Diem in Culver City at Southern California Hospitals

Date Posted: 11/25/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    3828 Delmas Terrace
    Culver City
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    11/25/2019
  • Job ID:
    13722

Job Description



Supervisor Case Management

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

The Supervisor of Case Management is accountable for assisting the Director of Case Management with 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 Director of Case Management, Physician Advisors and Medical Directors assigned to the Facility(s) to ensure appropriate patient care & throughput.  Under the direction of the Director of Case Management is responsible for employee coaching, training, counseling/discipline, completion of monthly Performance Indicators (PIs) and performance assessment as needed. Completes reports and analyzes data as assigned.



Job Responsibilities/Duties

  • Assists Director of Case Management to implement strategic plans, unit/department goals and objectives.  Complies with all policies/procedures, applicable laws and regulatory agency requirements, and organization work standards. 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.
  • 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, workflow, 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 appropriate feedback to the Director of Case Management regarding leadership follow-up items.  Effectively communicates with all staff. 
  • Assists Director of Case Management in special project work as needed, which is inclusive of but not limited to: denials management, retroactive reviews, quality assurance of reviews, performance improvement indicator audits, etc.
  • Assists to compile subject matter under the direction of the Director of Case Management for the Utilization Management Committee.  Ensures that avoidable and variance days are collected appropriately by case management staff.  Verifies that the Director of Case Management’s action plan is put in place, and goals are set, communicated, and met. 


Qualifications

Minimum Education: Bachelors or Master of Science in Nursing and/or Social Services and/or Health Care Administration preferred.

Minimum Experience: A minimum of two (2) years’ experience as a case manager in the STAC (short term acute care) hospital setting required. Excellent verbal and written communication skills. Computer literate. Knowledge of all Federal, State and Local regulatory standards. Professional demeanor with Healthcare team. Strong Organizational and Time Management skills with ability to effectively prioritize tasks. Demonstrated Leadership Skills. Operational knowledge of non-physician reviewer guidelines (InterQual & / Milliman Guidelines).

Req. Certification/Licensure: Current Licensure as a Registered Nurse and/or a Licensed Clinical Social Worker in the State of California required. Nationally recognized case management certification such as Certified Case Manager (CCM), AHCA, and/or Accredited Case Manager (ACM) , obtained through ACMA (American Case Mgmt Association) preferred.



Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals, benefit eligible positions will receive:

  • Company 401K
  • Medical, dental, vision insurance
  • Paid time-off
  • Life insurance


How to Apply

To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www1.eeoc.gov/employers/poster.cfm

Keywords: Case management, Utilization Review, CM, Mgmt, Sup, Acute Care



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