The Supervisor of Care Coordination is responsible for the oversight of day to day departmental operations including, but not limited to: clinical resource management, discharge planning activities, patient advocacy, clinical social work and best practice in medical necessity determination and concurrent review. This position will supervise the department in an efficient manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions ... more details
OverviewThe 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.
ResponsibilitiesPosition Summary:
The Supervisor of Care Coordination is responsible for the oversight of day to day departmental operations including, but not limited to: clinical resource management, discharge planning activities, patient advocacy, clinical social work and best practice in medical necessity determination and concurrent review.
This position will supervise the department in an efficient manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality patient care. The Supervisor may assign work tasks, realign tasks within the department and take action to resolve minor disputes and productivity issues.
This position may be assigned other duties within scope of practice, including, but not limited to : scheduling, conducting audits, performance improvement activities, assistance in staff evaluations or assuming a case load based on departmental needs. The positions focus will be on optimizing staff productivity, collaboration and compliance. The Supervisor provides of support and coaching to staff members as indicated.
This position will report to and collaborate with the Manager or Director regarding identified issues outside the Supervisors scope of authority.The Supervisor guides department activities according to the organizational objectives, hospital policies, standards of practice and Federal and State Regulations.
QualificationsMinimum Qualifications:
- Minimum of 3 years in a Care Coordination or Case Manager role.
- Clear and current CA Registered Nurse (RN)
- Associate Degree in Nursing (ADN)
- Comprehensive knowledge of care management and discharge planning, Medicare and Medicaid admission and review requirements, and general commercial admission and review requirements. Working knowledge of Interqual criteria Effective communication skills. Knowledge of Conditions of Participation and Joint Commission standards.
Preferred Qualifications:
- Bachelor's of Science Degree in Nursing (BSN) preferred
***This position can be remote.
