System Director of Case Management

• Salary Range : $ USD to $ USD

Showing 1 location

Gardena
Memorial Hospital of Gardena
1145 W. Redondo Beach Boulevard
Gardena, CA 90247, USA

Gardena
Memorial Hospital of Gardena
1145 W. Redondo Beach Boulevard
Gardena, CA 90247, USA

Huntington Park
Community Hospital of Huntington Park
2623 Slauson Avenue
Huntington Park, CA 90255, USA

Huntington Park
Community Hospital of Huntington Park
2623 Slauson Avenue
Huntington Park, CA 90255, USA

East LA
East Los Angeles Doctors Hospital
4060 Whittier Boulevard
Los Angeles, CA 90023, USA

East LA
East Los Angeles Doctors Hospital
4060 Whittier Boulevard
Los Angeles, CA 90023, USA

• The System Director of Case Management is responsible for the overall development of the case management program.
• This position oversees the delivery of case management services within the Los Angeles service area, ensuring that patients receive coordinated, high-quality care that meets clinical, operational, and regulatory standards.
• This role supervises a team of case management directors, managers, and supervisors in the four hospitals.
• This position has oversight of all case management staff, development and implementation of case management policies and procedures, and coordination of care with other healthcare providers and community resources.
• The System Director is also responsible for ensuring that all case management metrics, KPI’s, initiatives, are on track and meeting goals and objectives.
• Maintains compliance with all applicable regulations.
• Actively and consistently contributes to department operations and communications, behaves in a manner consistent with the mission, vision, and values of Pipeline Health, upholding standards of AIDET (Acknowledge, Introduce, Duration, Explanation, Thank you) in patient communication.

Essential Functions:

• Oversee and direct the operations of the hospital case management departments at Pipeline Health.
• Evaluate and develop a case management program at Pipeline utilizing a system approach
• Oversee leadership staff in the case management department,including hiring,training,performance management,and disciplinary action, ensuring optimal provision of services through sound personnel management.
• Assure alignment with case management overall strategic goals and objectives
• Ensure compliance with federal, state and local regulations pertaining to case management
• Drive LOS initiatives with hospital case management leadership, physician advisor and nursing leadership
• Lead denial management strategies with Revenue Cycle Team
• Assist the case management leaders with training and development of all case management staff including nurses new to the profession
• Continued assessment with case management leadership of staffing needs, ensuring stabilization of the hospital departments
• Development and implement case management policies and procedures,ensuring that they are aligned with best practices and applicable regulations.
• Provides comprehensive reporting to corporate and hospital executives and other stakeholders to include KPI’s, avoidable delays, LOS and other metrics as determined
• Build trust and confidence with physicians and hospital executives ensuring solid collaborative relationships.
• With the hospital case management leadership maintain case management department performance improvement and quality plans
• Maintain current competencies and updated knowledge in the specific area of practice.
• Effectively manage financial resources within the areas of responsibility, including labor management, productivity, observation management, avoidable days and overall LOS.
• Collaborate with UM physician chairs to develop and participate in scheduled UM Committees
• Build relationships with community partners
• Act as a clinical resource for the Hub when needed
• Participate in all…