Manager, Inpatient Case Management – Northridge

Job Description

Reporting to the Senior Director of Case Management, this position is directly responsible for managing the daily operations of inpatient case management across Regal North.  The Manager, Inpatient Case Management is responsible for oversight of inpatient review, concurrent review and discharge planning of inpatient cases for all members assigned to this region.  

Responsible for the development of concurrent review and discharge planning training and quality review programs that maximize quality while utilizing appropriate resources within the members’ benefit plans and established contracts.

The Manager will also be responsible for cooperation and problem solving with network management, finance, and claims department. The manager is expected to work in collaboration with other medical management departments to ensure optimal clinical outcomes, appropriate resource utilization, quality patient care, and high enrollee satisfaction.

Qualifications

Education and / or Experience:

• Requires California RN license, BSN preferred.
• Previous management experience necessary.
• High level knowledge of Concurrent Review/Case Management processes and principles
• Prior experience in MSO environment preferred.
• Ability to work with all levels of management.
• Must have excellent communications skills both verbally and written.
• Must have excellent organizational skills.
• Prior experience with project development and implementation preferred.
• Must have demonstrated knowledge of MS Office environment, and EZ Cap

About the Hospital

As one of the largest physician-led networks in Southern California, we have thousands of physicians and hundreds of hospitals committed to providing quality healthcare to all of the communities we serve.

Every day, our employees are inspired to make a difference in the lives of others as well as transform their own experiences to achieve a higher sense of fulfillment. Our employees become a part of an extraordinary team of people dedicated to health, wellness, and happiness for themselves and others. There is no greater reward than contributing to a positive work environment where compassion, understanding, care and attention are encouraged and valued.