Manager, Case Manager Specialty Programs

Title: Manager, Case Manager Specialty Programs

Location: Fountain Valley

Department: Behavioral Health Program

Status: Full-time

Shift: Day

Pay Range* $120,452.80 - $180,668.80/annually

MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups - consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability.Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

Position Summary

Under minimal supervision and in a professional and friendly manner, this position has responsibility for the day to day clinical operations of Case Management, Specialty Programs within the Medical Management department. These programs include, but are not limited to Behavioral Health, Palliative Care, Advanced Care Planning and Hospice amongst others that staff reporting to this manager are supporting. Populations served within these specialty programs include Memorial Care Medical Foundation's HMO, ACO, Medicare FFS as specialty programs are developed.

Essential Functions and Responsibilities of the Job

1. Effectively manage the day to day operations of assigned area by applying advanced critical thinking, effective, professional verbal and written communication as well as employee engagement strategies for Case Management Specialty Programs including but not limited to:
2. Behavioral Health
3. Palliative Care, Advanced Care Planning, Hospice
4. Social Worker staff

1. Develop written and approved workflows, program descriptions and policies for the programs responsible for and within a timely manner.
2. Participate in all program related calls and committees internally and externally on a regular basis and communicate to Director via written and verbal outcomes, action items, barriers and metrics in a timely manner.
3. Ongoing offsite visits to programs and staff to ensure consistent communication and collaboration. Will also require in office visibility for meetings and leadership interaction.
4. Along with the department Director active involvement with department budgetary process within each fiscal year including planning and monthly oversight to potential and real variances. Timely communication to reporting manager and corrective action to ensure future budget alignment.
5. Support overall employee engagement strategies within teams and via Supervisors that align with the organizations positive impact on overall outcomes and achieve performance quartile as set forth via department and/or organization.
6. Selection, orientation, training, coaching, attendance, payroll and performance monitoring and coaching of staff managing.
7. Develop, maintain and revise Lean Management Tools including; Visual Management Systems, Huddles and PDSA activities with Supervisors and Staff on a regular basis and that align to unit and department strategic goals and initiatives.
8. Produce monthly, or as assigned, data information to Medical Management Leadership, including the following:
9. Create, review and submit per schedule, program aligned visibility boards (Executive and Department level) and other defined reports aligned to the programs managed.
10. Collaborate and communicate timely to Director questions and concerns to management regarding data reporting related to programs managing
11. Manage staffing within each program to ensure the following:

I. Behavioral Health (BH Programs)-

Collaborative Care-

o Caseloads for BH programs and staff should be based on and tracked based on defined metrics for each of the BH Specialists.

o Identify and report to manager monthly or as defined as well as when caseloads are impacted.

o Appropriate billing that align to program

II. Silver Cloud-

o Manage BH Specialist and/or coach workload and ensure reviews are completed on time.

o Report on number of clinics, staff, and providers educated on Silver Cloud

o Educate on and promote Silver Cloud with MCMG and GNP clinics, include ensuring they have patient education materials

o Measure users on a weekly or as-needed basis using Silver Cloud reporting:

o Active Users (total), Current Users, and Completed Users

o Users per program

o Report on significant change metrics for Anxiety and Depression users

III. Telehealth tools and applications -

o Promote and train existing staff within Behavioral Health to utilization and spread Telehealth capabilities to the programs managed.

IV. Palliative Care, Advanced Care Planning and Hospice-

o Oversite to all aligned, preferred and contracted Palliative and Hospice Programs.

o Memorial Care Home Based Palliative Care Program-

* Measure monthly referrals and enrollment to Home Based Program for all Business Segments and report to Leadership

o Partner and collaborate with Palliative Care Program to ensure consistent and quality workflows, reporting and outcomes

o Measure cost of care outcomes for patients enrolled within a Palliative Care program.

o Work with Palliative Care Medical Director and Medical Management Leadership ongoing to promote growth to Palliative Care Services.

o Report metrics and outcomes on regular basis in department and leadership.

o Collaborate as needed across all Medical Management teams should cross coverage and workflows exist.

V. Social Worker Services-

o Manage day to day operations of staff supporting all Social Work Services within and outside of specialty programs.

o Includes- Productivity measurement standards for activities supporting (General Social Work support to MCMG, GNP), ACTIVE Diabetes, and Palliative Care Programs.

o Create, review and complete all required reporting to activities supported.

*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare-that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there's more...Check out ourMemorialCare Benefitsfor more information about our Benefits and Rewards.