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Supervisor of Outpatient Case Management is responsible to directly support the Clinical Manager in overall management and oversight of Regal Outpatient Care Management Programs. The role will develop, implement and provide program oversight of Department projects and comply the program contractual agreements. Supervisor develop strategies to implement and evaluate program effectiveness. Ensure that the Department is in compliance to Case Management Model of Care and Quality Regulatory Requirements. Provide supervision, coaching, monitors staff productivity and timely care coordination of enrollees designated at high risk for progression of disease, clinical decline, and in need of urgent or emergent care.
Will support the Clinical Manager of the daily operations of the Program and Department and for operational partnership with concurrent review team managing inpatient and SNF admissions, home health care services, home visit program staff, hospice agencies, and preauthorization department. Cooperation and problem solving with Network Management, Finance, and Claims is also expected.
Responsible for processes to oversee ambulatory case management including standardized documentation and auditing, programs that maximize quality, programs to ensure appropriate resource utilization within members benefit plan and established contracts.
Supervisor is responsible to work in collaboration with other Medical Management Departments to ensure optimal clinical outcomes, appropriate resource utilization, quality patient care, and high enrollee satisfaction.
Essential Duties and Responsibilities include the following:
The pay range for this position at commencement of employment is expected to be between $105k and $110k/year; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.
The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.
Details of participation in these benefit plans will be provided if an employee receives an offer of employment.
If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.
As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.
Full Time Position Benefits:
The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.
Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.
Health and Wellness:
Savings and Retirement:
Other Benefits:
Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.
Requirements:Full Time
$119k-155k (estimate)
01/28/2024
05/22/2024
fccbwd.org
San Bernardino, CA
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