Manager, Care Management FVR/PLA - FT -Days

Who We Are

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

To learn more about UCI Health, visit www.ucihealth.org.

Your Role on the Team

Position Summary:

The Manager, Case Management is responsible for the operational leadership, administrative oversight, and day-to-day management of all case management functions within the assigned facility or facilities. The incumbent is accountable for all aspects of performance within the assigned program, ensuring the delivery of safe, high-quality, and efficient case management services in alignment with regulatory, accreditation, and organizational standards, including The Joint Commission, Centers for Medicare and Medicaid Services, and applicable state and federal requirements. This role maintains accountability for departmental operational processes, staffing, scheduling, budgetary performance, length of stay management, denial prevention, and financial accountability across all assigned case management functions. The Manager leads the development and implementation of departmental goals, policies, and performance improvement initiatives, and is responsible for the selection, onboarding, competency validation, performance evaluation, and professional development of all assigned case management coworkers, including case managers and social workers. This position collaborates with physicians, nursing leadership, clinical operations, payers, post-acute providers, and administrative leadership to support effective care transitions, appropriate resource utilization, and optimal patient outcomes. The Manager works under limited oversight and exercises independent judgment in determining departmental goals and measures to achieve operational and clinical objectives within the assigned case management program.

What It Takes to be Successful

Required Qualifications:

• Outstanding interpersonal skills; ability to interact effectively at all levels of the organization from senior management to bedside staff
• Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
• Must demonstrate extraordinary levels of customer service and transmit these behaviors to the entire care management team
• Must demonstrate customer service skills appropriate to the job
• Minimum of 5 years of case management experience in a health care setting
• Bachelor's degree in Nursing or other relevant healthcare profession, or a combination of comparable clinical education and / or experience.
• Knowledge of CMS, Joint Commission, CADP, and other regulatory and compliance requirements
• Excellent written and verbal communication skills in English
• Excellent working knowledge of desktop computer productivity tools
• Excellent analytical skills
• Demonstrated ability to lead change and effectively manage conflict
• Ability to maintain a work pace appropriate to the workload
• Ability to establish & maintain effective working relationships across the Health System

Preferred Qualifications:

• MS, MBA or Masters in Healthcare Management or related field
• Knowledge of quality improvement methodologies
• Knowledge of patient safety strategies
• Knowledge of University and Medical Center organizations, policies, procedures and forms

Licenses and Certifications:

• Certified Case Manager

Education

• Bachelor's degree in Nursing or other relevant healthcare profession, or a combination of comparable clinical education and / or experience.