Manager, Care Management FVR/PLA - FT -Days

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center , a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center , high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center , gold level 1 geriatric emergency department and regional burn center . UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

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Position Summary:

The Manager, Case Management is responsible for the operational leadership, administrative oversight, and day-to-day management of all case management functions within the assigned facility or facilities. The incumbent is accountable for all aspects of performance within the assigned program, ensuring the delivery of safe, high-quality, and efficient case management services in alignment with regulatory, accreditation, and organizational standards, including The Joint Commission, Centers for Medicare and Medicaid Services, and applicable state and federal requirements. This role maintains accountability for departmental operational processes, staffing, scheduling, budgetary performance, length of stay management, denial prevention, and financial accountability across all assigned case management functions. The Manager leads the development and implementation of departmental goals, policies, and performance improvement initiatives, and is responsible for the selection, onboarding, competency validation, performance evaluation, and professional development of all assigned case management coworkers, including case managers and social workers. This position collaborates with physicians, nursing leadership, clinical operations, payers, post-acute providers, and administrative leadership to support effective care transitions, appropriate resource utilization, and optimal patient outcomes. The Manager works under limited oversight and exercises independent judgment in determining departmental goals and measures to achieve operational and clinical objectives within the assigned case management program.

Required Qualifications:

• Outstanding interpersonal skills; ability to interact effectively at all levels of the organization from senior management to bedside staff
• Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
• Must demonstrate extraordinary levels of customer service and transmit these behaviors to the entire care management team
• Must demonstrate customer service skills appropriate to the job
• Minimum of 5 years of case management experience in a health care setting
• Knowledge of CMS, Joint Commission, CADP, and other regulatory and compliance requirements
• Excellent written and verbal communication skills in English
• Excellent working knowledge of desktop computer productivity tools
• Excellent analytical skills
• Demonstrated ability to lead change and effectively manage conflict
• Ability to maintain a work pace appropriate to the workload
• Ability to establish & maintain effective working relationships across the Health System

Preferred Qualifications:

• MS, MBA or Masters in Healthcare Management or related field
• Knowledge of quality improvement methodologies
• Knowledge of patient safety strategies
• Knowledge of University and Medical Center organizations, policies, procedures and forms

Licenses and Certifications:

• Certified Case Manager

Education

• Bachelor of Science, Nursing

Total Rewards

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits .

Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan
• Employment Misconduct*
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment

*Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act
• E-Verify
• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page:

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy .
We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.
UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at [email protected] or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.