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Day - 08 Hour (United States of America)This is a Stanford Health Care Tri-Valley job.
A Brief Overview
The Case Management Supervisor provides day-to-day operational oversight for case management activities, including discharge planning, utilization review, and care coordination. This role ensures regulatory compliance, supports efficient workflows, and mentors staff to achieve departmental goals. The Supervisor partners with interdisciplinary teams to promote quality outcomes, patient satisfaction, and resource optimization.
Locations
Stanford Health Care Tri-Valley
What you will do
- Staff Supervision and Development: Hire, train, and supervise case management staff; monitor daily operations; develop performance plans; conduct evaluations and corrective actions; provide coaching and professional development.
- Operational Oversight: Ensure timely completion of utilization reviews and discharge planning; maintain compliance with CMS, Joint Commission, state regulations, and payer requirements; support readiness for audits and quality reviews.
- Workflow and Quality Improvement: Identify process improvement opportunities; monitor productivity metrics; assist in achieving departmental targets; participate in development and testing of authorization rules and case management protocols.
- Collaboration: Partner with Customer Service, Claims, Finance, and other departments to maintain effective workflows; coordinate timely response to member appeals and grievances.
- Patient and Family Experience: Integrate C-I-CARE principles into all interactions; ensure patients and families receive clear guidance and support throughout transitions of care.
Education Qualifications
- Bachelor's Degree in nursing Required
Experience Qualifications
- 3+ years to 5 years in case management or utilization management Required
- 1+ year to 2 years in a supervisory or lead role Required
Required Knowledge, Skills and Abilities
- Strong knowledge of managed care, discharge planning, and regulatory compliance.
- Excellent communication and interpersonal skills.
- Ability to prioritize tasks and manage multiple workflows effectively.
Licenses and Certifications
- RN - Registered Nurse - State Licensure And/Or Compact State Licensure preferred .
- Accredited Case Manager - ACM preferred .
- CCM - Certified Case Manager preferred .
These principles apply to ALL employees:
SHC Commitment to Providing an Exceptional Patient & Family Experience
Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.
You will do this by executing against our three experience pillars, from the patient and family’s perspective:
- Know Me: Anticipate my needs and status to deliver effective care
- Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
- Coordinate for Me: Own the complexity of my care through coordination
Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.
Base Pay Scale: Generally starting at $53.57 - $72.11 per hourThe salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
Learn more about this Employer on their Career Site
