The Senior Manager is responsible for the overall management of Care Management Services for Cedars-Sinai Medical Network. The incumbent will research, develop and recommend policies and procedures based on current standards of care and legislative/regulatory requirements. Develop and maintain the Care Coordination Programs for the network. Responsible for developing and implementing programs to serve our Population Health patients in order to meet performance factors related to health plan specialty contracts. Will have oversite of Patient and Provider Services and Social Work and Care Transition Programs. Continuously seek opportunities to improve efficiency, clinical and utilization outcomes, staff engagement, provider experience and patient experience.
BA or Masters in Health Care Administration, Management, Health Sciences or Data Analytics required.
Three to five (3-5) years of management experience in healthcare field, managed care experience (particularly in a Medical Group or IPA setting) strongly preferred.
Extensive technical and medical knowledge of disease categories and the services provided in ambulatory and institutional setting.
Thorough knowledge of utilization and Case Management, referral process and managed care operational and contractual concepts and issues.
Excellent analytical, interpersonal and organizational skills. Excellent oral and written skills.
Providing healthcare for more than 100 years, Cedars-Sinai has evolved into one of the most dynamic and highly renowned medical centers in the world. Along with caring for patients, Cedars-Sinai is a hub for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional talent to Cedars-Sinai, including world-renowned physician-scientists who seek a place where they can both conduct research and see patients--the ideal formula for discovery and its translation into cures. Our patients benefit from access to doctors at the top of their fields, and our researchers have an ideal community in which to study the impact of healthcare challenges, and reflect that knowledge in their research. The greater Los Angeles area in which Cedars-Sinai resides possesses unparalleled cultural and ethnic diversity which offers outstanding opportunities for translational and clinical research and a dynamic environment for medical education.Although community based, Cedars-Sinai is a major t...eaching hospital affiliated with the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Cedars-Sinai has highly competitive graduate medical education programs in more than 50 specialty and subspecialty areas, a graduate program in biomedical sciences and translational medicine, a clinical scholars program directed towards junior physicians with aspirations to become clinical scientists, and post graduate training opportunities.There are more than 250 full-time faculty members at Cedars-Sinai. The voluntary medical staff, comprised of more than 2,200 specialty board-certified or board-qualified physicians, represent all of the specialties and subspecialties and collaborate with full-time medical staff in the teaching responsibilities of the graduate medical education programs.