Experience:
No experience
Employment Type:
Full time
Posted:
9/11/2017
Job Category:
Nursing
Industry:
Health Care & Medicine
Manager - Revenue Cycle Care Coordination
(This job is no longer available)
UCLA Health | Los Angeles, CA
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Job Description

Job Duties
The Manager reports to the Director of Care Coordination and is responsible for providing leadership and management of clinical case management, clinical social work, utilization management, and discharge planning. The Manager assumes complete oversight of the daily operation of the assigned service line and represents the department and UCLA Health System to internal and external customers including patients and families, nursing, physicians and ancillary medical personnel, service line leadership, administration, other hospitals, health plans and other third-party payors. The Manager assists the Director with systems, processes, and outcomes of clinical care teams and programs designed to address clinical, psychosocial, and financial needs of patients and families. Scope of responsibility includes personnel management of a multidisciplinary team, regulatory compliance, collaboration across the organization, safety and risk management, performance improvement, staff education, and policy implementation. The Manager possesses outstanding communication skills, broad clinical expertise, superior organization to manage multiple tasks concurrently, and exemplary leadership and collaborative skills.

Job Qualifications
Working knowledge of the principles of management. Demonstrated knowledge and understanding of managed care and commercial insurance, Medi-Cal, Medicare, and CCS. Demonstrated leadership and organizational abilities with previous demonstration of consistency, independence, flexibility, initiative, and creativity. Working knowledge of utilization management principles and processes. Demonstrated resourcefulness, effective written and verbal communications, diplomacy, organizational, and analytic skills. Self-directed, assertive, and creative in problem solving, systems planning, and patient care management. Ability to work independently, handles a high degree of responsibility, and prioritizes multiple assignments. Skill in analyzing information, data, and problems. Working knowledge of laws, rules and regulations regarding utilization review of government programs such as Medicare, Medi-Cal, and CCS. General knowledge of rules and regulations governing third party reimbursement or the medical review agency. Ability to design and/or implement data collection tools. Understanding of health care, healthcare delivery systems and managed care. Strong analytical skills. License: Current California R.N. RN- BSN required with Masters degree strongly preferred.

About UCLA Health

For more than half a century, UCLA Health  has provided the best in healthcare and the latest in medical technology to thepeople of Los Angeles and throughout the world. Today we are one of the most comprehensive and advanced healthcare systems in existence. We are comprised of Ronald Reagan UCLA Medical Center, UCLA Medical Center, Santa Monica, Resnick Neuropsychiatric Hospital at UCLA, Mattel Children’s Hospital UCLA, and the UCLA Medical Group, with offices throughout the region.

Ronald Reagan UCLA Medical Center is consistently ranked by U.S.News & World Report as one of the top five hospitals in the nation and the best medical center in the western United States. The doctors, scientists and caregivers of UCLA are leaders in their fields. Every day, they perform pioneering work across an astounding range of disciplines, from organ transplantation and cardiac surgery to neurosurgery and cancer treatment. Year after year, our people have achieved medical breakthroughs and earned the highest industry honors. And we’re just getting started.

The dedicated professionals of UCLA Health are committed to healing humankind, one patient at a time, by improving health, alleviating suffering, and delivering acts of kindness on a daily basis.