ResponsibilitiesPlay a key role within a world-class, award-winning health system. Lead, inspire and motive a team of outstanding clinical professionals. Take your career in an exciting new direction. You can do all this and more at UCLA Health.
In this role, you will oversee clinical case management, clinical social work, utilization management, and discharge planning for the pediatrics service line. This involves working closely with patients and families, nurses, physicians, ancillary medical personnel, service line leadership, administration, hospitals, health plans, and other third-party payors. You will support systems, processes, outcomes of clinical care teams, and programs designed to address the clinical, psychosocial, and financial needs of patients and their families. Your role will include managing a multidisciplinary team, assuring regulatory compliance and handling safety and risk management issues.
QualificationsWe're seeking a self-directed, flexible and creative professional with current California LCSW and: Five years clinical experience as well as five years managerial experience. Previous pediatric services experience. Understanding of managed care and commercial insurance, Medi-Cal, Medicare, and CCS. Demonstrated leadership and organizational abilities. Working knowledge of utilization management principles and processes. Proven resourcefulness and exceptional communication, organizational, and analytical skills. Knowledge of third-party reimbursement or medical review agency. Ability to design and implement data collection tools. Working Knowledge/Experience with Department of Children and Family Services Oversight of Suspected Child Abuse and Neglect Team
UCLA Health is a world-renowned health system with four award-winning hospitals and dozens of primary care practices, specialty practices, urgent care centers and other ancillary locations throughout metro Los Angeles. Through the efforts of our outstanding people, we have become Los Angeles' trusted provider of exceptional, compassionate patient care. If you're looking to experience greater challenge and fulfillment in your career, you can at UCLA Health.
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Internal Number: 69059454
About UCLA HEALTH
At UCLA Health, you can help heal humankind, one patient at a time by improving health, alleviating suffering and delivering acts of kindness. As you do, you’ll achieve great things in your life and your career. We’re a world-class health organization with four hospitals consistently recognized among the nation’s very best as well as an internationally-renowned medical school, primary and specialty care clinics and much more. Within our dynamic, innovative and growing organization, you’ll find exceptional opportunities to make the most of your abilities in a supportive, empowering and inclusive environment. If you embrace our values of Integrity, Compassion, Respect, Teamwork, Excellence and Discovery we invite you to see all you can accomplish at UCLA Health.