HCA is the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes 166 hospitals and 114 outpatient centers in 20 states and England. At its founding in 1968, Nashville based HCA was one of the nation's first hospital companies.
HCA Far West
As part of a strong network of hospitals throughout California and Nevada, HCA Far West is committed to supporting its healthcare professionals and ensuring their growth.
Our exclusive and specialty medical services in nine hospitals and six surgical centers throughout two states, provides a full spectrum of primary, acute, tertiary and chronic care for our patients. Our specialized care areas focus on advancing the science of medicine while providing high quality, life saving technology and patient focused care.
Los Robles Hospital and Medical Center
Los Robles Hospital & Medical Center is a licensed 404 bed acute care facility. Fully accredited by the Joint Commission, Los Robles Hospital has the only Level II Trauma Center in Eastern Ventura County and the only Emergency Room in both Los Angeles and Ventura counties coveted EDAP (Emergency Department Approved for Pediatrics) rating. In addition, it is the only hospital certified by both counties as a STEMI designated heart attack center for rapid heart attack response and is a certified Primary Stroke Center. With over 600 physicians on its medical staff, representing over 50 medical specialties, Los Robles is proud to be the community's most trusted resource for health and a regional destination for care.
Under general direction, the Director of Case Management will direct the case management program, including the functions of case management, utilization management, and discharge planning for the Hospital. The Director of Case Management is responsible for coordinating those systems necessary for safe and appropriate discharge as well as utilization management practices that meet all corporate, facility and regulatory guidelines. The director assesses and evaluates the care/services rendered, staffing levels, competency and educational needs of the case management staff and effectively coordinates and controls resources. The Director provides consultation and education to facility leadership, clinical and financial personnel, the Board of Trustees, and medical staff members related to case management including utilization management and discharge planning practices. The Director oversees the annual review of the Case Management/Utilization Management Plan of the hospital. The Director will identify and implement processes that support and promote efficient patient throughput across the HealthCare continuum resulting in optimal clinical outcomes, appropriate utilization of resources and appropriate & accurate reimbursement.
MINIMUM QUALIFICATIONS GUIDE
Education: Minimum ADN; BSN degree in nursing preferred.
Experience: Five (5) years of healthcare experience with two (2) years of Director or Supervisory /Management experience required. Healthcare regulatory and accreditation requirement experience required.
Skills: Excellent communication skills, positive attitude with excellent customer service skills. Advanced knowledge of levels of care criteria; strong leadership skills. Good financial management. Strong knowledge of regulatory standards for federal payors, JCAHO, and other insurance companies.
Licensure: Maintain professional licensure as appropriate to discipline.
Special Requirements: N/A
DESIRABLE QUALIFICATIONS GUIDE
Education: National Certification in Case Management or equivalent preferred
(CCM or ACM).
Experience: Five (5) years of experience in Case Management preferred.
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