Req ID: 146737 Location: Fountain Valley, California Division: Medical Center Department: Case Management Position Type: Full Time Salary Range Minimum: USD $149,700.00/Yr. Salary Range Maximum: USD $297,700.00/Yr.
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.
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.
Total Rewards
We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.
Conditions of Employment:
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:
Background Check and Live Scan
Employment Misconduct*
Legal Right to Work in the United States
Vaccination Policies
Smoking and Tobacco Policy
Drug Free Environment
*Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy.
We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.
UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.
Consideration for Work Authorization Sponsorship
Must be able to provide proof of work authorization
Since 1965, the University of California, Irvine has combined the strengths of a major research university with the bounty of an incomparable Southern California location. UCI's unyielding commitment to rigorous academics, cutting-edge research, and leadership and character development makes the campus a driving force for innovation and discovery that serves our local, national and global communities.