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Case Coordination Center Supervisor (Non-Rn)

Company

Kaiser Permanente
Address , Downey, Ca
Employment type FULL_TIME
Salary $110,800 - $143,330 a year
Expires 2023-06-12
Posted at 1 year ago
Job Description
Will primarily supervise the delivery of services and member care within one department of the Case Coordination Center; includes supervising a team of non-nursing and other technical personnel as well as clerical staff. Is responsible for assisting the manager in planning, development, implementation, delivery, evaluation and improvement of member and customer service that continues to add value and integrates appropriate standards of practice, service priorities and performance/outcome measures, and is consistent with strategic, business and organizational goals. Reviews and evaluates the work of the staff and prepares periodic performance reports. Establishes and/or ensures compliance with standards, policies and procedures and ensures that all personnel are trained on same.

Essential Responsibilities:
  • Works in collaboration with the CCC QA director to identify, trend, and provide feedback regarding quality issues.
  • Supervises staff including directing, motivating, guiding, providing resources, investigation and initiating corrective action as needed, to ensure harmony, team spirit and quality delivery of services.
  • Monitors the quality of service and utilization standards, assuming specific responsibility at the department level.
  • Ensures that all program activities are in compliance with the KP benefits and with the various regulatory agencies having influence over management of medical care and reimbursement and with government legislative directives.
  • Works in collaboration with other CCC department managers and supervisors to share successful practices and provide additional cross over supervisory responsibilities as needed.
  • Supervises operations including practice standards, staffing, payroll, budgets, fiscal management, and quality improvement.
  • Works in collaboration with Kaiser facility directors, administrators and physician advisors regarding appropriate utilization of resources and coordination of services to maintain high quality and efficiency.
  • Works in collaboration with the physician advisor to ensure smooth departmental functioning and adherence to clinical and quality standards.
  • Acts as a liaison between the department and its customers (medical centers, outside facilities, members) to promptly resolve issues and to control unnecessary costs.
  • Oversees, educates and directs staff in all aspects of the department's function to provide quality, member-focused services that meet clinical standards and regulatory guidelines.
  • Analyzes statistical reports to identify the effectiveness of the department's program, analyzes trends, monitors the utilization of resources and acts on the information appropriately.
  • Supervises day-to-day activities, coordinates departmental services and monitors appropriate outcomes.

Basic Qualifications:

Experience
  • Knowledge of health care trends, provider types and reimbursement issues.
  • Excellent verbal and written communication skills including team building and collaboration abilities.
  • EPRP/OURS requires knowledge and understanding of utilization management principles.
  • Thorough understanding of Kaiser systems including KFH, SCPMG and Health Plan including Medical Center Operations, regional policies and the Kaiser HMO philosophy.
  • Must be able to work in a Labor/Management Partnership environment. Preferred Qualifications:
  • N/A. Additional Requirements:
  • Thorough knowledge of CMS requirements, Title XXII regulations and other regulatory agency requirements relevant to given department.
  • High School Diploma or General Education Development (GED) required. License, Certification, Registration
  • Understanding of the HMO environment and knowledge of the integrated delivery model of care.
  • Minimum three (3) years of management / supervisory experience. Education
  • Excellent problem solving skills and ability to manage diverse interests with minimal supervision.
  • Bachelor's degree in a health care related field or four (4) years of experience in a directly related field requried.
  • Autonomous individual with little need for direct supervision.

PrimaryLocation : California,Downey,Downey Boeing - Independence Park
HoursPerWeek : 40
Shift : Day
Workdays : Mon, Tue, Wed, Thu, Fri
WorkingHoursStart : 08:01 AM
WorkingHoursEnd : 05:01 PM
Job Schedule : Full-time
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : NUE-SCAL-01|NUE|Non Union Employee
Job Level : Team Leader/Supervisor
Job Category : QA, UR & Case Management
Department : Independence Park - Case Management - 0806
Travel : No
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.