Bakersfield Heart Hospital is currently seeking a Case Management Manager to join their collaborative team.The Manager, Case Management is an actively working manager who is responsible for overseeing the implementation, monitoring and evaluation of the Case Management/Utilization Review Plan. Maintains continuity and coordination of all the various disciplines involved throughout the patient’s continuum of care. Provides education to staff/physicians/patients/families related to implementation of case management initiatives. Provides leadership for the Utilization Review Committee and processes, including active collaboration with the CM/UR Physician Advisor. Provides expertise in complex patient appeals and denials. Maintains and enhances relationships with referral and payor sources and assures quality care/outcomes while complying with various third party guidelines. Provides a positive role model of customer relations.
Graduate from an accredited school of registered nursing. Bachelor’s Degree in Nursing or related Health Care field is required.
Current California Registered Nursing License required. National Certification in Case Management preferred.
Five years experience in Case Management.
Three to five years of demonstrated progressive management experience with increasing scope of responsibility.
Demonstrated commitment to excellent customer service.
Demonstrated initiative, follow through and ability to work independently.
Demonstrated results oriented management.
Demonstrated effective project management skills.
Experience with MIDAS preferred.
Excellent written and verbal communication and presentation skills.
Must be able to deal with job-related stress, multiple projects and deadlines.
Advanced computer skills (spreadsheets, graphs, tables and reports).
Internal Number: 010319
About Bakersfield Heart Hospital
Award-winning heart care and so much more.
As Kern County’s Heart and Vascular leader, The Bakersfield Heart Hospital is relentlessly pursuing the latest and most-effective technologies and treatments for our patients. By specializing in the nation's number one killer, we give patients the benefits of advanced technology while providing services that focus on their individual needs. Bakersfield Heart Hospital is leading the way by concentrating on providing the best patient care, achieving better outcomes and making available advanced treatment options.
Each year, heart disease claims more lives than the next seven leading causes of death combined. We're the Bakersfield Heart Hospital, and the solution we bring is like no other. Comprehensive, cost-effective, physician-led, patient-focused. We dedicate resources to keeping the heart healthy and treating it when it's not. In addition to caring for your heart, we care for the rest of you too. From our full service emergency room to our total joint program ,we offer award-winning, complete medical care you can trust.