Chief of Utilization Management & Social Work

Hollywood Presbyterian; Los Angeles (CA); On-site; USD 200,000 - 235,000; Full time

Job summary

CHA Hollywood Presbyterian Medical Center (HPMC) seeks a Director of Utilization Review and Social Worker Services Exempt to run the Case Management Department. The role focuses on utilization management, transition management, and compliant revenue-cycle processes to support safe patient throughput.

The ideal candidate has RN or LCSW/LMSW licensure, 3+ years in acute hospital case management or leadership, and strong leadership, analytical, and communication skills.

Qualifications

• Bachelor or Master degree in healthcare field as specified in the job posting.
• Active RN or LCSW/LMSW license required by law or regulation.
• MSN, MBA, MSW or MHA are preferred qualifications.

Responsibilities

• Oversee hospital utilization management and case management operations.
• Lead the Utilization Management Plan and drive performance improvements.
• Ensure compliance with CMS regulations and HPMC policies.
• Educate physicians, patients, families and caregivers on utilization processes.
• Coordinate throughput and revenue-cycle activities for the department.

Skills

Verbal and written communication

Leadership

Critical thinking

Organizational skills

Team coordination

Computer literacy

Education

Bachelor or Master in healthcare

RN or LCSW/LMSW license

MSN/MBA/MSW/MHA preferred

Job description

CHA Hollywood Presbyterian Medical Center (HPMC) seeks a Director of Utilization Review and Social Worker Services Exempt to run the Case Management Department. The role focuses on utilization management, transition management, and compliant revenue-cycle processes to support safe patient throughput.

The ideal candidate has RN or LCSW/LMSW licensure, 3+ years in acute hospital case management or leadership, and strong leadership, analytical, and communication skills.