Manager, Care Management

Nestled on the Central California Coast, Adventist Health Sierra Vista has been providing care to our community since 1959. Our 162-bed acute care facility includes a Level III Neonatal Intensive Care Unit and county designated trauma center. San Luis Obispo offers the excitement of a lively community while being a fifteen-minute drive from the serenity of Avila Beach, known for their natural hot springs, and Pismo Beach, known for their sand dunes and eucalyptus trees. Featuring a charming downtown, comfortable coastal weather, idyllic views, and an active lifestyle San Luis Obispo offers much to be had.

Job Summary:

Oversees and manages care management department operations to ensure optimal efficiency and effectiveness. Reviews performance data and reporting to monitor and measure productivity. Monitors performance and provides mentorship and leadership to team. Recognizes trends in barriers to coordinated care and strategizes and executes remediation plans. Monitors and disseminates regulatory changes impacting the revenue cycle.

Job Requirements:

Education and Work Experience:

• Bachelor’s Degree or equivalent combination of education/related experience: Required
• Master's Degree: Preferred
• Five years' case management, hospital discharge planning and utilization review or social work experience: Preferred
• One years' leadership experience: Preferred

Licenses/Certifications:

• Registered Nurse (RN) licensure in the state of practice: Preferred
• Licensed Master Social Worker (LMSW) - State Board: Preferred
• Licensed Clinical Social Worker: Preferred

Facility Specific License/Certifications:

• Basic Life Support (BLS OR HS-BLS OR RQI BLS) certification: Required

Department Specific License/Certifications:

• Registered Nurse (RN) license in state of practice: Required

Essential Functions:

• Reviews performance data and reporting to monitor and measure productivity and department effectiveness. Implements length of stay, readmissions, and other key strategies.
• Monitors team performance in meeting patients’ needs of socio-economic intervention in collaboration with the care management team.
• Monitors the delivery of coordinated care and the implementation of comprehensive individual plans. Models content expertise to patients, families, and peers.
• Provides mentorship and leadership to all peers and members of the care coordination team.
• Recognizes trends in barriers to coordinated care and strategizes and executes remediation plans. Monitors and disseminates regulatory changes impacting the revenue cycle.
• Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.