Resource Manager - Case Management (Open & Promotional)

  • County of San Mateo, CA
  • Redwood City, California
  • Aug 03, 2020
Full Time Administrative Analysis and Research
  • Salary: $150,196.80 - $187,761.60 Annually USD

Job Description

Description
Note: This recruitment schedule was amended on June 20, 2019 to extend the Final Filing Date. This recruitment has been changed to "Continuous."

At San Mateo County Health, we lead by example. From our most seasoned professionals to our newest team members, everyone has the opportunity to step forward to offer their insight, opinions, and ideas. As part San Mateo Health our integrated health system with a 100 bed acute care hospital, skilled nursing beds, and 10 ambulatory clinics, you will have the chance to explore new avenues for growth while you meet the healthcare needs of our community and the diverse patient population served by a safety-net health system. If you're ready to discover the leader in you, we invite you to discover San Mateo Medical Center, located just25 minutes South of San Francisco, 25 minutes North of San Jose and 25 minutes from beautiful Half Moon Bay!

Reporting to San Mateo Medical Center (SMMC) executive management,the Resource Manager isresponsible for the overall operations of the case management and social work departments for all SMMC services including acute care, psychiatry, ambulatory services and long term care services. The division of Resource Management is committed to SMMC's goal of providing every patient with "the right care at the right time in the right place."

In addition, as the Resource Manager, youwill oversee a transformation and reorganization of case management resources and social work services with a focus on coordination of resources across the continuum of care, including services provided by the Health System and outside care settings, to ensure seamless, efficient, high quality care for each patient in the appropriate setting. You will be accountable for the development, planning, coordination and administration of case management activities, utilization review and discharge planning and will supervise licensed case managers, discharge planners and social workers across all settings. You will be involved in the development of a care management model in the ambulatory setting.

As Resource Manager, youwill focus on workflow enhancement, work process efficiency, team productivity and engagement, financial performance and quality improvement.You will be accountable for the regular review of medical records and troubleshoot and respond to appropriateness and necessity of administration, continued hospital stay, readmissions, and effective transitions across the continuum. In this position, you will maintain interaction with customers and staff with the values of respect, dignity, integrity, innovation and excellence in support of the overall goals of Resource Management and San Mateo Medical Center and Clinics..

Our ideal candidate will possess the following:
  • Bachelor of Science in Nursing (BSN).
  • Master of Science in Nursing (MSN) ispreferred.
  • A minimum of 5 years of increasingly responsible clinical and administrative experience, including a minimum of 5 years of case management/utilization management experience.
  • Ability to assess information, apply critical thinking, determine action plans, and communication information to interdisciplinary teams.
  • Ability to prioritize workload and adjust staffing depending on census and patient need.
  • Knowledge of Joint Commission and CMS standards as well as federal, state and local laws pertaining to case management.
  • Excellent communication skills, both written and verbal.
  • Computer proficiency.
  • Care planning expertise with either Interqual or Milliman guidelines.
  • Experience in an integrated health care delivery system is preferred.

NOTE: The eligible listgenerated from this recruitment may be used to fill future extra-help, term, unclassified,and regular classifiedvacancies.
Examples Of Duties
You will have direct and indirect supervision over clinical, professional, technical and clerical staff, including consultants and contract service providers.

As the ResourceManager - Case Management, your opportunities are many! Including:
  • Lead and supervise the Case Management and Social Work teams.
  • Establish social work and case management protocols and processes in all care settings.
  • Perform nursing care following prescribed rules, policies, protocols and procedures.
  • Identify areas of opportunity, assist in data gathering, propose cost-effective solutions and participate in the evaluation of quality assurance issues.
  • Participate in quality improvement efforts to increase compliance with the core measures and under best practice guidelines.
  • Assist staff in working with patients and their families to provide in-hospital and after-hospital follow-up through teaching and referral.
  • Develop effective working relationships with SMMC and Health Systemstaff, patients, and leadership and staff of referring institutions.
  • Orient and teach new staff members of the nursing team and students.
  • Participate in non-clinical assignments which may include maintaining records, preparing reports and serving on special committees.
  • Maintain a variety of records and prepare reports.
  • Perform related duties as assigned.

Qualifications
Knowledge of:
  • Nurse Practice Act.
  • Principles and practices of nursing and clinical systems, including safety, infection control practices, and current trends in research, treatment, prevention, education and related services.
  • Principles and practices of public administration and program management, including planning, implementation, evaluation and reporting.
  • Laws, codes and regulations governing nursing care and knowledge of County, state and federal legislative developments applicable to contemporary nursing and patient care issues.
  • Community resources and public/private services and funding sources, as applicable.

Skill/Ability to:
  • Identify and analyze complex nursing and patient care issues and problems.
  • Plan, organize, and coordinate programs and services on a comprehensive, County-wide level that meet community needs for quality patient care and that conform with all prescribed standards.
  • Integrate a variety of activities and services to achieve program goals, objectives, and priorities.
  • Apply principles and techniques of community organization, as appropriate.
  • Speak effectively to diverse audiences, including clinical, professional, civic and citizen groups.
  • Maintain cooperative working relationships with medical care providers, program managers and staff, other agencies and the community; enlist and mobilize community support for programs.
  • Prepare complex and detailed written reports, program policies, procedures and contracts.
  • Train staff and coordinate activities of contractors, volunteer groups and staff.

Education and Experience:
Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying. A typical way to qualify is:

Three years of increasingly responsible nursing experience in an accredited hospital or clinic, including at least two years of significant administrative responsibility for one or more of the following: program and budget development, funding, utilization, coordination of community resources or program evaluation.

Licensure/Certification:
  • Current California license as a Registered Nurse (R.N.).

Application/Examination
Anyone may apply. Current San Mateo County and San Mateo County Superior Court employees with at least six months (1040 hours) of continuous service in a classified regular, probationary, SEIU or AFSCME represented extra-help/term position prior to the final filing date will receive five points added to their final passing score on this examination.

Responses to the supplemental questions must be submitted in addition to our regular employment application form. A resume will not be accepted as a substitute for the required employment application and supplemental questionnaire.

The examination will consist of an interview (weight: 100%). Depending on the number of applicants an application appraisal of education and experience may be used in place of other examinations or a screening committee may select those applicants whose education and/or experience appear to best meet the needs of the position based solely on the information provided in the application materials. Because of this screening process, all applicants meeting the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination . All examinations will be given in San Mateo County, California, and applicants must participate at their own expense.

IMPORTANT: Applications for this position will only be accepted online. If you are currently on the County's website, you may click the "Apply" button above or below. If you are not on the County's website, please go to https://jobs.smcgov.org/ to apply. Online applications must be received by the Human Resources Department before midnight on the final filing date.

This is a continuous recruitment which may close at any time. The final filing date will be posted 5 days in advance in the San Mateo County Human Resources Department.

Apply immediately. This recruitment is open on a continuous basis and selections may be made at any time within the process.

TENTATIVE RECRUITMENT SCHEDULE
Deadline to Apply: Continuous

At the County of San Mateo, we take pride in the way our employees bring together their diverse backgrounds, experiences, and perspectives to serve our community's needs. The County is an Equal Employment Opportunity Employer.

Analyst: Carolyn Burns(053019) (Clinical Services Manager II Nursing - D154)

Job Address

Redwood City, California United States View Map