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.
Supervises Case Management, Utilization Review, and Discharge planning activities. Facilitates processes associated with identifying appropriate alternative placements for patients. Facilitates the streamlining of the healthcare 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 patients 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. Oversees 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 escalate as necessary. Demonstrates knowledge and commitment to the organizations 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 healthcare team to ensure attention to bio-psychosocial needs of the patients. Helps lead the companys 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
Minimum Education: Graduate of an accredited RN Nursing Program. Preferred Education: Bachelors 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: Current California RN license. Current BCLS card. Current Los Angeles County Fire Card required (within 30 days of employment). Assault Response Competency (ARC) required (within 30 days of hire).
Full-Time, Exempt