Manager, Case Management Full Time Exempt

Hollywood Presbyterian; Los Angeles (CA); On-site; USD 136,000 - 188,000; Full time

Job summary

CHA Hollywood Presbyterian Medical Center in Los Angeles is seeking a Manager, Case Management to lead case management, utilization review and discharge planning for patient-centered care. This exempt, full-time role requires strong communication, leadership, and collaboration with hospital teams to improve safety and satisfaction nationwide.

The position emphasizes throughput, performance improvement, and coordination with vendors and payers to ensure timely care and optimal resource use.

Qualifications

• Graduate of an accredited RN Nursing Program.
• 5+ years of Case Management experience in an Acute Care Hospital.
• Bachelor’s Degree in Nursing or related field preferred.
• Ability to communicate effectively verbally and in writing.

Responsibilities

• Supervises case management, utilization review and discharge planning activities.
• Facilitates processes to identify appropriate alternative placements.
• Leads efforts to streamline health care delivery for timely and efficient care.
• Oversees throughput and ensure timely discharge and escalation when needed.
• Collaborates with hospitalists, social work, and payers to optimize care.

Skills

Communication (verbal & written)

Case Management

Leadership

Union environment experience

Education

RN Nursing Program graduate

Bachelor's Degree in Nursing or related field

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Manager, Case Management Full Time Exempt

Full Time 80 Hrs Los Angeles, CA, US

Salary Range: $136,100.00 To $187,880.00 Annually

JOB SUMMARY

CHA Hollywood Presbyterian Medical Center (HPMC) is an acute care facility that has been caring for the Hollywood community and surrounding areas since 1924. The hospital is committed to serving local multicultural communities with quality medical and nursing care. With more than 500 physicians representing virtually every specialty, HPMC strives to distinguish itself as a leading healthcare provider, recognized for providing quality, innovative care in a compassionate manner.

HPMC is part of a global healthcare enterprise which owns and operates general hospitals throughout Korea, numerous research centers in the U.S. and Korea including a medical university, and CHAUM (a premier anti-aging life center).

MAJOR RESPONSIBILITIES/ESSENTIAL FUNCTIONS

Position Summary:

To lead the company to consistently deliver patient centered care that results in the best patient experience in the nation and number one in the nation in safety and satisfaction through the utilization of a collaborative approach to affect a multi-disciplinary tactic to patient care while promoting quality, cost effective outcomes.

Duties:

• Supervises Case Management, Utilization Review and Discharge planning activities.
• Facilitates processes associated with identifying appropriate alternative placements for patients.
• Facilitates the streamlining of the health care delivery process to focus on the best treatment for the patient, thus minimizing or eliminating unnecessary steps and promoting the timely provision of care and utilization of resources.
• Oversees case management process as it relates to the patient’s current treatment plan in order to identify barriers to moving the patient through the continuum of care.
• Acts as primary liaison for coordinating internal DRG review, contracted third party payers, contracts hospice with the assistance of social work and managed care utilization issues.
• Oversee Throughput activities and ensure timely discharge of patients and/or proper escalation processes.
• Attend Meetings as necessary and respond to emails timely.
• Monitor productivity and quality of performance for staff report
• Perform annual evaluations and provide face to face feedback to the team.
• Interact in Polite and Professional Manner with all Customers.
• Work on Strategy and Compliance with Vendors and other outside Partners to prevent conflicts of interest and adequate support for things such as recoup care, hospice, placement, home health, snf, etc.
• Work closely with hospitalist group and physician to ensure the length of stay and other quality metrics are met and elevate as necessary.
• Demonstrates knowledge and commitment to the organization hospital-wide Performance Improvement Program in order to ensure continuous quality improvement of all processes.
• Oversees the programs that provide education and consultation to members of the Medical Center health care team to ensure attention to bio psychosocial needs of the patients.
• Helps lead the company’s effort to earn and retain JC certification and other relevant government programs.
• Be present where needed, ready to work and on time for all work hours, and to recognize when situations require more effort and effective leadership to satisfy the responsibilities of the position in a timely manner

JOB QUALIFICATIONS

• Graduate of an accredited RN Nursing Program.

Preferred Education

• Bachelor’s Degree in Nursing or related field preferred.

Minimum Work Experience and Qualifications

• Ability to communicate effectively verbally and in writing.
• Must be able to work in a union environment.
• Case Management experience in Acute Care Hospital 5 years or more required.

Preferred Work Experience and Qualifications

• Three years progressive management experience in the field of expertise.
• Case Management certification

Required Licensure, Certification, Registration or Designation

• California Registered Nurse (RN) License.
• Basic Life Support (BLS) from the American Heart Association (AHA).
• Los Angeles County Fire & Safety Card (required within 30 days of hire).
• Assault Response Competency (ARC) (required within 30 days of hire).