Case Management/UR Manager

Job Description

Job Description

Salary : $124,800-$149,760

Madera Community Hospital

Located in the heart of Central California, Madera Community Hospital is a General Acute Care, private, not-for-profit hospital dedicated to improving and maintaining the health and wellness of residents throughout the Central Valley.

We are committed to identifying and serving our community's needs with compassion, concern, care and safety for every patient.

Madera Community Hospital is a growing acute care facility seeking talented individuals with a drive to provide quality care and dedicated to making a difference in our community.

Position Summary :

Provides direction and oversight for Case Management Program, incorporating utilization management, quality management, discharge planning and pathways.

Assists in implementing, maintaining and education necessary for the continuous quality improvement program. Assures incorporation of quality information into the medical staff peer review and reappointment process.

Communicates and works with the medical staff, patient care, and other department staff in a collaborative manner.

Establishes and conducts a meaningful department performance improvement plan related to patient safety and quality care.

Plan includes identifying risks and hazards to Administration, implementing teambuilding and communications within the department and utilizing PDCA processes, monitoring and reporting outcomes to appropriate committees.

POSITION QUALIFICATIONS :

Education :

Bachelor’s degree in health related field preferred. Prefer Masters Degree in related health field.

Experience :

Prefer three years supervisory experience in quality management, utilization management, risk management, discharge planning or case management with relevant knowledge and experience.

Training :

• Minimum two years clinical experience with working knowledge of health care reimbursement issues.
• Effective oral and written communication skills.
• Computer skills and knowledge : Microsoft Windows, Word, Excel
• Electronic Medical Record skills.

License / Registration / Certification :

• Current California Board of Nursing Registered Nurse License
• Current American Heart Association BCLS Certificate.
• Current CA DMV License. Clean DMV record.
• Current California Auto insurance.
• Pay Ranges listed are an estimate and subject to change.

Madera Community Hospital provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.