MGR - CASE MGMT/INPATIENT/AMBULATORY CARE

Company: Universal Health Services, Inc.
Location: Riverside
Posted on: March 17, 2023

Job Description:

Responsibilities

Come and join the RMC Family! We have been in the community since 1935. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and talents are invaluable to us and our mission to serve others. Our facility can provide a place for you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare. Riverside Medical Clinic is the best place to work, practice medicine, and receive care. SUMMARY: Manager with a health care system development and integration for the organization will be responsible for improving membership retention, quality of care, health outcomes, and regulatory compliance as it relates to Quality Management and Case Management programs. Oversight and involvement of all Case Management components, including Inpatient Case Management, Chronic Care Case Management, and Transitional Case Management; as well as ACO, Population Health, and Skilled Nursing. Ensures staff participation in MDT, oversight of patient utilization, including bed days (acutely and post-acutely), aberrant days, transition to post-acute settings, rounding at acute and post-acute facilities where RMC patients are admitted. Oversight with Ambulatory services, as mentioned above, to assure continuity of care. Assists with implementing strategies for best practices. Preparation and participation in health plan audits entailing Case Management components. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. HOURS: Monday - Friday; 8:30am - 5:30pm
Qualifications

EDUCATION and/or EXPERIENCE: Associate's Degree from an accredited college or two years college preferred. Four years related experience required with three to five years of program development, and Quality required. Must possess knowledge of Grievance Appeals functions, Accreditation, and knowledge of regulatory standards issued by CMS and DMHC required. CERTIFICATES, LICENSES, AND REGISTRATIONS: Current, unrestricted California LVN License or RN preferred. Benefit Highlights:
* Challenging and rewarding work environment.
* Competitive compensation and paid time off.
* Excellent Medical, Dental, Vision and Life Insurance Plans.
* 401(K) with company match and discounted stock plan. EEO Statement:
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.

Notice:
At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

Keywords: Universal Health Services, Inc., Riverside , MGR - CASE MGMT/INPATIENT/AMBULATORY CARE, Other , Riverside, California