Join our SWHS team of Professionals!
SWHS consists of two acute-care hospitals: Inland Valley Medical Center and Rancho Springs Medical Center.
Inland Valley Medical Center is a 122 bed acute care hospital which features the regions only Level II Trauma Unit and is the county-designated Paramedical Base station and Southwest Riverside County's only Center of Excellence in Weight Loss Surgery.
Rancho Springs Medical Center is a 120 bed acute care hospital which includes the region's largest birthing center along with the area's only NICU in combination with Rady Children's Hospital and the region's first da Vinci Robotic Surgical Program.
The Director, Case Management is a Registered Nurse who supervises, facilitates and coordinates the Care Management system. This includes all the activities of the Care Managers and Social Workers. The position evaluates the patient care outcomes as well as the financial outcomes this system impacts. This position collaborates with all hospital departments within SWHS; medical staff, Home Health Care/Hospice agencies; durable medical equipment companies; nursing homes; and others to assure patient care coordination is efficient, of high quality and cost effective. The Director intervenes when patient care is at risk. This position assists in teaching others how to analyze patient care data and how to present it to reach the goals of the organization. The Director follows Service Excellence standards and assures that these standards are followed by the department's associates.
1.ESSENTIAL KNOWLEDGE / SKILLS
Demonstrates well developed problem solving, communication and interpersonal skills.
Effective written and verbal communication skills.
Ability to define problems, collect data, establish facts and draw conclusions.
Demonstrates knowledge of principles of utilization management and case management.
Computer skills in word processing.
Knowledge and skill in professional nursing theory and practice, including physiological principles involved in the care of patients, principles of teaching and learning, research quality assurance.
Knowledge of regulatory compliance standards (CMS, Title 22, TJC)
2.MINIMUM ESSENTIAL EXPERIENCE
Five (5) years managerial experience in Utilization Review and/or Case Management
Strong acute care clinical background.
3 years experience in a leadership role required.
3.MINIMUM ESSENTIAL EDUCATION
Completion of an accredited Registered Nurse Program
Bachelor degree in nursing, health care management or other related field
Master's Degree in healthcare related field preferred
4.REQUIRED LICENSURE / CERTIFICATIONS
Current California Registered Nurse License
CPUR, CPUM, CCM or other national certification in Utilization Review or Case Management.
Universal Health Services