Manager, Case Management

Job ID
2020-96739
Employment Type
Full Time
Department
Care Coordination
Hours / Pay Period
80
Facility
Dignity Health Management Services Organization
Shift
Day
Standard Hours
Mon-Fri (8-5 PM)
Work Schedule
8 Hour
Location
CA-Bakersfield

Overview

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.

Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.

Responsibilities

Manages the activities of supervisory associates and their subordinate work group(s) and/or individual contributors for assigned area of responsibility. Works with the Supervisor(s) and Care Managers to assess, plan, implement, coordinate, monitor, and evaluate services and outcomes to maximize the health of the Member.

 

 

#MISSIONCRITICAL

#DHLeader

Qualifications

  • Current California RN license required.
  • Previous managerial experience in a hospital, clinic or other related healthcare setting.
  • 5 or more years of clinical experience required. 
  • Two yrs experience working with a medical group or IPA performing utilization review with managed care plans strongly preferred. 
  • Bachelor’s degree in Healthcare, Nursing or other related field preferred.
  • Knowledge of practices and regulations regarding patient care. 
  • Familiarity with regulatory requirements for managed care and HMOs.   
  • Ability to provide effective leadership to the case management team members. 
  • Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served.
  • Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status.  
  • Ability to demonstrate respect for the feelings and needs of patients, family members, team members, visitors, and others and sensitivity to their cultural, language, financial, physical, and social differences
  • Excellent communication skills; able to read, write, and speak articulately, using established channels of communication and reporting relationships within the organization. Ability to communicate effectively with all levels of internal/external staff, management, members, physicians/physician office staff, families of members, vendors, etc.   
  • Strong problem-solving abilities.  Ability to identify issues and problems within operations, program systems, administrative activities, and other relevant areas.
  • Must be able to work collaboratively with multiple internal departments as well as external organizations.
  • Ability to continually re-prioritize to meet the needs of internal and external customers throughout the workday.

 

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