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Providence Manager, Care Management in Torrance, California


Providence is calling a Manager Case Management (Full-Time/Day shift) at Providence Little Company of Mary Medical Center Torrance in Torrance, CA. $20,000 Sign-On Bonus Eligible to External Candidates!

We are seeking a Manager Case Management who will provide departmental direction for the functions of case management, utilization management, discharge planning, and denial management for all PMI HMO inpatient acute and skilled level care. Responsibilities include all aspects and activities responsible for monitoring the delivery of care to patients, the development of strategies to reduce costs and ensure the appropriate utilization of facilities and services and to provide appropriate discharge planning for every patient to return to their optimum level of function. Oversees the collection, analysis, and reporting of financial and quality data related to utilization management, quality improvement, and performance improvement. Plans, organizes, analyzes, develops and implements Departmental programs, services and strategies to ensure favorable Hospital operating results.

Adhere to all Budgetary and Productivity goals/standards. Ensures the attainment of Department and Hospital goals, policies and procedures. The Manager promotes interdisciplinary collaboration, fosters teamwork, and champions service excellence. Supervises all Inpatient Acute and SNF onsite and telephonic case managers in PMI UM. The UM Inpatient Case Management Manager works in collaboration with Discharge Planner Manager in UM Department to facilitate excellent communication, collaboration and safe transitions in care, post-acute follow up calls and documentation of all communication and physicians orders for post-acute care needs.

In this position you will:

  • Plan, direct, and supervise all aspects of the program, including advocating for critical HR needs necessary to meet strategic goals. Assures that the hospital is in compliance with JCAHO/CMS standards and other regulatory policies related to case management, discharge planning, and utilization management.

  • Facilitate growth and development of the case management program consistent with the Providence Health Services philosophy and in response to the dynamic nature of the health care environment through benchmarking for best practices, networking, quality management, and other activities as needed.

  • Responsible for managing the day-to-day local-level operational budget and in conjunction with others for developing the operational and capital budgets. Has limited signature authority to authorize procurement of supplies. Responsible for identifying and achieving optimal targeted financial outcomes via the inpatient case management process.

  • Responsible for departmental personnel functions (ex: recruitment, onboarding and training, feedback and monitoring, corrective actions, etc.) in conjunction with supervisors and staff. Writes and conducts annual and interim performance appraisal reviews for the professional and any applicable nonprofessional staff direct reports.

  • Act as a liaison to facilitate communication and collaboration between all care partners (ex: physicians, hospitalists, nurse, community care managers, post-acute care facilities, and other community resources etc.).

  • Responsible for mentoring and leading a high-performance team of “systems thinkers” who incorporate leadership principles and vision in performing the functions of case management.

  • Demonstrate initiative in identifying and pursuing opportunities for self-improvement and enhancement of professional competency and serves as a resource to the care management/case management team for self-improvement and enhancement of professional competency.

  • Manage, promote, and maintain a competent, productive and quality staff. Focus of CME needs related to evidence-based practices in the area of discharge planning, case management, and utilization management. Uses data to drive decisions, plan, and implement performance improvement strategies for case management.

  • Responsible for overseeing the education of physicians, nurses, other associates, patients, and families related to the case management process.

  • Will practice as a case manager a minimum of 40% of the time with focus on relief and overflow work as necessary to support all direct reports case management load and census of PMI UM admits across the spectrum.

Required qualifications:

  • Bachelor's Degree in Nursing

  • Registered nurse with current license to practice professional nursing in the State of California.

  • 10 or more years multidisciplinary clinical experience including 4 years case management experience and 2 years management level experience.

  • Experience in utilization management, case management, discharge planning, disease management and other cost/quality management program.

  • Background in business planning and targeted clinical outcomes.

Preferred qualifications:

  • Master's Degree Or Masters program in progress.

  • Certificate in Case Manager (CCM) or Accredited Case Manager (ACM)

About the ministry you will serve:

Providence Little Company of Mary Medical Center Torrance is a 436-bed non-profit hospital that has served the greater South Bay communities of Los Angeles since 1960. We have a reputation for clinical excellence and sophisticated technology while providing care with a personal, healing touch. In addition to the finest general medical, surgical and critical care services, we offer a number of specialty programs including Cardiovascular Services, Women’s and Children’s Health, Oncology, and Emergency Care. We are proud to be named one of the Top 50 U.S. Hospitals for Heart Care by Thomson Reuters, the only community hospital in California to receive this honor. We were one of five hospitals in the United States recognized by American Hospital Association-McKesson for leadership and innovation in quality improvement. We received The Choice Award by AAHCP for Outstanding Customer Service Delivery, and were one of 24 hospitals and health systems in the nation to receive the Premier Award for Quality by the Premier healthcare alliance. As a member of Providence Health & Services, a Catholic-sponsored healthcare ministry, we believe strongly in respecting the dignity of each person, and give special concern to the most vulnerable members of our community.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

About the Team

The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond.

Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.

We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment.

We are committed to cultural diversity and equal employment for all individuals. It is our policy to recruit, hire, promote, compensate, transfer, train, retain, terminate, and make all other employment-related decisions without regard to race, color, religious creed (including religious dress and grooming practices), national origin (including certain language use restrictions), ancestry, disability (mental and physical including HIV and AIDS), medical condition (including cancer and genetic characteristics), genetic information, marital status, age, sex (which includes pregnancy, childbirth, breastfeeding and related medical conditions), gender, gender identity, gender expression, sexual orientation, genetic information, and military and veteran status or any other applicable legally protected status. We will also provide reasonable accommodation to known physical or mental limitations of an otherwise qualified caregiver or applicant for employment, unless the accommodation would impose undue hardship on the operation of our business.

We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. We expect that all workforce members in our community will act in ways which reflect a commitment to and accountability for, racial and social justice and equality in the workplace. As such, we will maintain a workplace free of discrimination and harassment based on any applicable legally protected status. We also expect that all workforce members will maintain a positive workplace free from any unacceptable conduct which creates an intimidating, hostile, or offensive work environment.

Requsition ID: 130977
Company: Providence Jobs
Job Category: Care Management
Job Function: Clinical Care
Job Schedule: Full time
Job Shift: Day
Career Track: Leadership
Department: 7014 LCMT CASE MGMT
Address: CA Torrance 4101 Torrance Blvd

Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.