Director, Care Management jobs in United States
cer-icon
Apply on Employer Site
company-logo

UC San Diego Health · 2 days ago

Director, Care Management

UC San Diego Health is the region’s only academic health system and a nationally ranked leader in patient care, research, and education. The Director, Care Management is responsible for leading the care management department, ensuring effective operational workflows, and collaborating across the health system to improve patient care outcomes.

Health Care
check
H1B Sponsor Likelynote

Responsibilities

Participates in the strategic planning of care coordination programs, workflows, policies and procedures across the medical center and/or health system
Oversees and directs the development of systems to support integrated, effective and efficient work processes
Collaborates with Information Technology senior management to integrate care coordination and case management needs in organization-wide IT initiatives, including electronic medical records, revenue management, patient finance, and business intelligence
Oversees data analysis and the preparation of presentations, proposals and executive summaries. Utilizes data and metrics to prioritize quality initiatives and long and short term strategic planning
Collaborates with patient care directors, service line directors, physician and executive leadership across the medical center or health system, to improve coordination and facilitate optimal patient care throughput. Approves and oversees the implementation of quality improvement measures and plans
Advises and consults with physician and executive leadership on integrating case management into patient care delivery models
Provides strategic direction to assist in ensuring compliance with accreditation and licensure requirements with the clinical services environment, including JCAHO, CMS, and State of California
Responsible for employee performance reviews, recruitment, retention, terminations, and staff development and training programs. Instills strong management practices to create a culture of teamwork, collaboration, and timely achievement of objectives and goals
Reviews, approves, and oversees the implementation of best practice methods and policies which improve both patient quality of care and the financial outcomes for the medical center

Qualification

Care ManagementUtilization ReviewDischarge PlanningLeadership ExperienceCase Management CertificationHospital Management SkillsRegulatory KnowledgeFinancial ManagementData AnalyticsLean Six SigmaCommunication SkillsCritical ThinkingProblem-SolvingInterpersonal SkillsConflict ResolutionTeamwork

Required

Bachelor's degree in nursing
Registered Nurse (RN) issued by the state of California
Eight or more years of relevant experience, including five or more years of care management experience in an acute hospital setting
Five or more years of manager or higher level leadership experience
Certification in Case Management is required within 6 months of hire
Strong hospital management skills, with expertise in case management, utilization review, discharge planning, home care and/or managed care
Excellent leadership and fiscal management skills, with the ability to create a goal-oriented climate of teamwork, collaboration and consistent achievement of objectives
Strong knowledge of relevant regulatory requirements, as well as related legislative, accreditation, licensing, and compliance environments
Strong competency in financial aspects of healthcare management, blended with an understanding of the ethical, medical, and quality of care issues of case management
Advanced communication, interpersonal, and conflict-resolution skills for dealing with patients, families, advocates, other medical and administrative personnel, subordinate staff, and personnel from outside agencies
Excellent abilities in critical thinking and problem-solving. Able to assess and evaluate department operations, produce and interpret reports, develop new policies, procedures, strategies, and implementation plans to improve all aspects of case management department function

Preferred

Advanced degree in nursing, health administration or related field strongly preferred
Eight or more years of progressive leadership in Care Management is strongly preferred
Lean Six Sigma certification and experience leading Lean initiatives
Strong Data Analytics experience within a large, complex health system
Academic Medical Center experience

Company

UC San Diego Health

company-logo
UC San Diego Health is the only academic health system in the San Diego region.

H1B Sponsorship

UC San Diego Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (308)
2024 (261)
2023 (232)
2022 (223)
2021 (131)
2020 (105)

Funding

Current Stage
Late Stage
Total Funding
$0.2M
Key Investors
The Beryl InstituteThe Conrad Prebys Foundation
2025-10-31Grant
2023-06-26Grant· $0.2M

Leadership Team

leader-logo
Christian Dameff
Medical Director of Cybersecurity
linkedin
leader-logo
Sandip Patel
Professor
linkedin
Company data provided by crunchbase