The Director is responsible for the overall management and development of network care management and social work functions for Cedars-Sinai Medical Group and Cedars-Sinai Health Associates. The incumbent will research, develop and recommend program and department strategies to serve our most needy patient population. Serves as a central resource to senior executive team concerning strategies which are patient centered, efficient, effective, and support financial budgets. Is responsible for making sure current policies and procedures are based upon current standards of care and legislative/regulatory requirements. This position will provide technical support and expertise to case management and social workers to aide in solving complex patient care management issues. The director of care management will also have oversight of our Cedars-Sinai Medical Provider Network for Workers' Compensation.
The Director is responsible for maintaining compliance with all MNS UM-related health plan accreditation and other regulatory requirements as outlined by NCQA, DMHC, HCFA and the Department of Insurance.
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 teaching 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.