Director of Case Management

About the Company

Kindred Hospital Los Angeles helps patients return to the lives they love. At our hospital, our physician-led care teams provide critically ill patients with the specialized acute care and rehabilitation they need, for the time they need it - empowering them to take the next step in their recovery journey. Located in Ladera Heights near Fox Hills Park, Blanco Park and Ladera Park, we are a short drive from restaurants and shops, as well as close to public transit.

About the Role

The Director directs Case Management and Utilization Management activities within a ScionHealth hospital. This role oversees the coordination of care for patients and families through effective management of clinical service delivery, ensuring quality outcomes and efficient resource utilization. The Director partners with external customers, referral sources, and payors to facilitate effective discharge planning while serving as a patient and family advocate. This position is accountable for the facility's denial management program and ensures case management services comply with regulatory requirements, including the Conditions of Participation. The Director collaborates closely with hospital executive leadership including the CEO/Administrator, COO, CFO, CCO, and Regional Office leadership.

Responsibilities

• Direct Case Management and Utilization Management activities.
• Oversee the coordination of care for patients and families.
• Ensure quality outcomes and efficient resource utilization.
• Partner with external customers, referral sources, and payors.
• Facilitate effective discharge planning.
• Serve as a patient and family advocate.
• Accountable for the facility's denial management program.
• Ensure compliance with regulatory requirements.
• Collaborate with hospital executive leadership.

Qualifications

• Bachelor's Degree in a clinical field. (Required)
• Bachelor's Degree in Nursing. (Preferred)
• Equivalent combination of education and experience. (May be considered)

Required Skills

• Registered Nurse (RN) – State Licensure and/or Compact State Licensure or Respiratory Therapist or Physical Therapist or Occupational Therapist or Social Worker (LSW or LCSW). (Required upon hire)
• Certified Case Manager (CCM), Accredited Case Manager (ACM), or Certified Rehabilitation Registered Nurse (CRRN). (Preferred upon hire)
• Three (3) or more years of experience in hospital case management. (Required)
• Prior experience in a leadership or interim director role. (Preferred)
• Experience demonstrating familiarity with managed care, reimbursement practices, and regulatory standards. (Required)

Pay

• Annual Salary: $114,004-$144,580
• $15,000 sign on bonus
• Eligibility to participate in short term incentive bonus plan based on individual and organizational performance

Benefits

ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness.