Manager Care Coordination

Founded in 1873 Dignity Health - Mercy Medical Center is a 186-bed acute care nonprofit hospital located in Merced California. Serving over 150000 patients annually the hospital offers a full complement of services including a Level II NICU heart care the Mercy Cancer Center and a family birth center. Additionally Merced Medical Center has been recognized as an LGBTQ Healthcare Equality High Performer by the Human Rights Campaign Foundation and is a Joint Commission-certified Primary Stroke Center.

One Community. One Mission. One California

As our Care Coordination Manager you will provide operational leadership for the Care Coordination department in line with the CommonSpirit Health Care Coordination model under the direction of the Director of Care Coordination.

Every day you will oversee clinical resource management progression of care discharge planning patient advocacy clinical social work and care coordination services. You will supervise staff manage workflow patient progression resource utilization regulatory compliance and quality outcomes and partner with physicians nursing Utilization Management and interdisciplinary teams to meet department priorities.

To be successful in this role you will bring care coordination leadership experience knowledge of regulatory requirements and strong collaboration skills.

• Provides operational leadership for the Care Coordination department through staff supervision team development coaching and performance management. Coordinates and implements Care Coordination programs initiatives and workflows to support patient progression resource utilization quality outcomes and organizational goals.
• Manages daily department operations including staffing assignments workload balancing scheduling productivity and resource allocation. Supervises front-line Care Coordination staff including case managers social workers and support personnel ensuring accountability for performance and service excellence.
• Ensures timely completion of patient assessments discharge planning utilization management collaboration documentation and care transition activities in accordance with organizational standards. Ensures compliance with federal state accreditation payer and organizational requirements related to Care Coordination and Discharge Planning.
• Monitors departmental performance metrics and operational data identifies trends implements corrective actions and escalates significant issues to the Director. Implements departmental policies procedures standardized workflows and process improvements to improve operational efficiency and patient outcomes.
• Leads and/or participates in daily multidisciplinary rounds progression of care activities and barrier escalation processes to facilitate timely patient progression and safe transitions of care. Partners with physicians nursing Utilization Management ancillary departments and post-acute providers to resolve operational issues and improve coordination across the continuum of care.
• Participates in multidisciplinary committees and performance improvement initiatives implementing action plans to improve quality patient experience and operational outcomes. Supports regulatory readiness and accreditation activities by maintaining departmental compliance and ensuring required documentation and processes are followed.

Required

• Bachelors Of Science Bachelors Degree in Nursing (e.g. BSN) upon hire or
• Masters Other Masters Degree in Social Work if not a Registered Nurse. upon hire or
• Minimum of 3 years of clinical care coordination experience (Utilization Management Denial Management Care Coordination) or 3 years of acute nursing team lead charge or supervisory experience with working knowledge of care coordination and discharge planning. upon hire and
• Operational experience implementation and staff development in healthcare environment upon hire and
• License required for Masters Social Worker.
• Registered Nurse: CA upon hire and
• Certified Case Manager within 12 - months or
• Accredited Case Manager within 12 - months

Preferred

• Masters Other Masters Degree in Nursing Healthcare Administration or related clinical field upon hire and
• Experience with performance improvement activities upon hire