Manager, Care Coordination - Utilization Review/Utilization Management - Full-time (1.0 FTE), 8-hr. Days

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Day - 08 Hour (United States of America)

Why work at Stanford Medicine | Stanford Health Care (SHC)?
- Recognized as a top Academic Medical Center globally!
- Ranked No. 10 on the Best Hospitals Honor Roll by 2022-2023 U.S. News and World Report.
- Ranked the No. 3 hospital in California and No. 1 in San Jose metro area!

Stanford Clinicians are recognized as bold leaders, compassionate healers, educators, and mentors, providing the highest standards of excellence in care while generating long-term impressions that continue to set SHC apart as the best place to work and thrive. We offer a wide array of career advancement opportunities, and access to the latest technologies and healthcare innovations, and boast a workplace culture that encourages personal growth and work-life balance while honoring its commitment to delivering evidence-based and patient-centered care.

We are seeking a results-driven manager to further develop the framework for clinical, operational, and leadership practice. Here, your leadership, coaching, and mentoring would further develop our robust, Utilization Management team.

Are you driven by health care innovation, partnerships, and measurable results to improve the continuity of care and lessen readmissions? Then, join us and make SHC your career home.

Our core benefits include medical insurance, dental insurance, vision insurance, an employee assistance program, savings and spending accounts, disability, life and accident insurance, and COBRA. For medical insurance, you have the choice of three generous health plans through Stanford Health Care Alliance, Aetna, or Kaiser Permanente. Each plan includes 100% coverage for preventive care, telemedicine through Teledoc, prescription drug coverage, and behavioral health coverage. Additional incentives exist for healthy choices. And so much more – generous leave & time off, Wellness Program, special programs, educational assistance, and adoption assistance.

This is an onsite Stanford Health Care job.

A Brief Overview
This role independently supervises a multidisciplinary team including case managers, social workers, complex care managers and support liaisons. The position is responsible for providing exemplary oversight and maintaining relationships with service lines and departments related to the provision of care coordination services to Stanford Hospital and Clinics. This position provides clinical and administrative supervision for a multidisciplinary staff, hiring, employee evaluations, and program development for the Department of Social Work and Case Management. Additionally, this position serves as a resource for problem solving, budgeting, performance improvement, policy implementation and staff issues. Responsibility for the interpretation of data related to social work and case management and delivery of interventions is a key part of this role.

Locations
Stanford Health Care (Palo Alto, CA; onsite)

What you will do

• Continuously assesses and improves care coordination teams’ and the department's performance based on patient needs; directs and participates in improving performance and services which benefit staff, patients and other patients. Maintains appropriate quality improvement programs in response to staff and patient feedback, internal standards of care and external requirements. Evaluates and implements changes based on data related to productivity, quality and outcomes for departmental projects and programs.

• Collaborates with other departments, managers and physicians to continuously improve care coordination and integrates services within the department and the hospital.

• Develops and implements policies that guide and support the provision of services in line with the mission and goals of SHC; ensures that policies and procedures meet both internal and the external regulatory and statutory requirements. Ensures compliance with State Mandated Reporting Policies and Procedures.

• Support the integration of the department's services with the hospital's primary functions by supporting organizational mission, priorities and goals, and by delivering optimal quality health care services.

• Maintains an openness to change and fosters that attitude with peers, staff, physicians, and committee members. Maintains a focus on both the operational details and larger strategic vision in order to effectively move toward completion and positive outcomes.

• Determines n