Case Management Supervisor (CASE MGT HC SUPV 2)

The supervisor must provide administrative assistance to the department Manager in the provision of complex interactions interdepartmentally and externally that are encountered by the clinical case management staff. This position requires a high level of management skills, clinical judgment, problem solving skills, creativity, organizational and priority setting abilities with excellent communication skills. Critical aspects of the role involve the assessment of departmental needs for effective resource utilization and personnel management. The incumbent must also employ extensive clinical knowledge and expertise to determine if case management and/or utilization management services provided to the patients by the department are timely, appropriate, and effective. The incumbent must provide both direct and indirect support to meet the goals of coordinated clinical case management by actively directing and involving members of the multi-disciplinary team, outside providers, community resources and third-party payors. The incumbent is responsible to administratively support the manager in assuring the department has adequate, well-trained, professional, and effective staffing as well as in the management of the department budget. The Clinical Case Manager Supervisor participates in multiple committees, both internally and externally, representing Clinical Case Management (CCM) Department and the University.

Apply By Date: December 19th, 2025 at midnight. Interviews may be held at any time

Qualifications

Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position

• Valid California Registered Nurse License without restriction
• Bachelor's degree in Nursing (BSN)
• 5 years clinical experience in an acute care hospital with 2 years in Discharge Planning and/or Utilization Management.
• 2 years experience in a leadership or supervisory role in a healthcare organization or system.
• Complete working knowledge of, and skill to apply practices, principles, and techniques of patient care, authorization needs, as pertaining to areas of responsibilities.
• Knowledge of Medicare, MediCal, Insurances, and HMO legislation, third party payor contracts, Title XXII, JCAHO, and CMS criteria. Demonstrated knowledge of how these programs/regulations effect the functions and role of the department; ability to incorporate them into departmental systems/processes.
• Knowledge of the Nurse Practice Act and/or National Association of Social Workers Standards for Social Work Practice and the responsibilities related to coordination of discharge planning services across the continuum.
• Knowledge of Case Management Society of America's Standards of Professional Case Management Practice and/or American Case Management Association's Standards of Practice and Scope of Services.
• Knowledge of evidence-based screening tool to assess for medical necessity in the acute setting.
• Knowledge and comprehension of federal, state, and licensure regulations, including Title XXII, JCAHO, and EMTALA guidelines. Demonstrated knowledge of how these regulations affect the functions and role of the department; ability to incorporate them into departmental systems/processes.
• Broad based clinical skills, enabling a broad area of assessment, planning, and intervention as it relates to overall responsibilities.
• Ability to read and comprehend English text and medical terminology; knowledge of medical and nursing treatment plans, levels of care and Health System resources to effectively perform departmental responsibilities and act as a resource to physicians and staff; skill in assessing the appropriateness of medical admissions and continued stay.
• Skill to perform in-depth analysis of medical records and other documents to determine accurate information in a concise, informative manner, and to identify/analyze problems or issues related to areas of responsibility.
• Ability to organize and direct varied health care team professionals in a manner that establishes a good rapport and professional working relationship.
• Leadership skills to work as part of a team, collaborate with colleagues, and direct others to accomplish tasks in a positive manner, which are conducive to positive operations within the department, maintain a positive rapport with peers and staff, and motivate cooperation of staff while working toward institutional and departmental goals.
• Ability to work efficiently and independently in a calm manner, under pressure with a positive customer-service oriented manner during periods of peak workload, with frequent interruptions, under tight deadlines, and when interacting with challenging customers who may be frustrated and/or angry.
• Ability to organize work to accommodate patient needs, health system goals and objectives, as well as special projects, deadlines, and priorities.
• Decision-making skills to independently exercise delegated authority to take action, and to recognize when it is appropriate to seek assistance from others when limits of delegated authority have been reached.
• Verbal communication skills to effectively communicate in person and by telephone with administrative, medical, clinical, technical, and clerical staff to clearly and concisely receive, elicit, and convey information of a medical, financial, or administrative nature within and outside the university.
• Public speaking skills to effectively address large groups through committee or community group speaking engagements to explain and respond to department functions.
• Written communication skills to clearly and concisely compose letters, reports, policies, and procedures which could include medical, financial, and administrative information.

Preferred Qualifications

• Knowledge of University Personnel Policies and Procedures.
• Thorough understanding of UCDH operations, hospital and clinic operations, and the current access issues experienced in the healthcare environment.

Key Responsibilities

• 25% - Supervision
• 25% - Oversight and monitoring of the department's case management services.
• 15% - Utilization Management Activities
• 10% - Leadership and Professional Development
• 10% - Evaluation of Authorization and Reimbursement for Hospital and Physician Services
• 5% - Reports and Documentation
• 5% - Department Operations
• 5% - Committee Involvement

Department Overview

The purpose of the Clinical Case Management Department is to support the interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors.

Department Specific Job Scope

The role integrates and coordinates utilization management, care facilitation and discharge planning functions, as appropriate. In addition, the position helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements, patient satisfaction). The position is accountable for staff and their patient caseload order to meet patient needs for safe discharge plan, manage the length of stay, and promote efficient utilization of resources. Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement.

POSITION INFORMATION

• Salary or Pay Range: $10,191.67 - $21,658.33
• Salary Frequency: Monthly
• Salary Grade: Grade 27
• UC Job Title: CASE MGT HC SUPV 2
• UC Job Code: 006479
• Number of Positions: 1
• Appointment Type: Staff: Career
• Percentage of Time: 100
• Shift (Work Schedule): Days
• Location: Medical Records Building (HSP012)
• Union Representation: 99 - Non-Represented (PPSM)
• Benefits Eligible: Yes
• This position is 100% on-site

Benefits

Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals. Learn more about the benefits below and eligibility rules by visiting either our handy Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees and our Benefits Page.

If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations and learn about collective bargaining at UC: https://ucnet.universityofcalifornia.edu/labor/bargaining-units/index.html

• High quality and low-cost medical plans to choose from to fit your family's needs
• UC pays for Dental and Vision insurance premiums for you and your family
• Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
• Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
• Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
• Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
• Access to free professional development courses and learning opportunities for personal and professional growth
• WorkLife and Wellness programs and resources
• On-site Employee Assistance Program including access to free mental health services
• Supplemental insurance offered including additional life, short/long term disability, pet insurance and legal coverage
• Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
• Retirement benefit options for eligible roles including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found here

Physical Demands

• Standing - Occasional Up to 3 Hours
• Walking - Occasional Up to 3 Hours
• Sitting - Frequent 3 to 6 Hours
• Lifting/Carrying 0-25 Lbs - Occasional Up to 3 Hours
• Lifting/Carrying 26-50 lbs - Never 0 Hours
• Lifting/Carrying over 50 lbs - Never 0 Hours
• Pushing/Pulling 0-25 Lbs - Occasional Up to 3 Hours
• Pushing/Pulling 26-50 lbs - Never 0 Hours
• Pushing/Pulling over 50 lbs - Never 0 Hours
• Bending/Stooping - Occasional Up to 3 Hours
• Squatting/Kneeling - Occasional Up to 3 Hours
• Twisting - Occasional Up to 3 Hours
• Climbing (e.g., stairs or ladders) - Occasional Up to 3 Hours
• Reaching overhead - Occasional Up to 3 Hours
• Keyboard use/repetitive motion - Frequent 3 to 6 Hours

Environmental Demands

• Chemicals, dust, gases, or fumes - Never 0 Hours
• Loud noise levels - Frequent 3 to 6 Hours
• Marked changes in humidity or temperature - Never 0 Hours
• Microwave/Radiation - Never 0 Hours
• Operating motor vehicles and/or equipment - Never 0 Hours
• Extreme Temperatures - Never 0 Hours
• Uneven Surfaces or Elevations - Never 0 Hours

Mental Demands

• Sustained attention and concentration - Frequent 3 to 6 Hours
• Complex problem solving/reasoning - Occasional Up to 3 Hours
• Ability to organize & prioritize - Frequent 3 to 6 Hours
• Communication skills - Frequent 3 to 6 Hours
• Numerical skills - Occasional Up to 3 Hours
• Constant Interaction - Frequent 3 to 6 Hours
• Customer/Patient Contact - Frequent 3 to 6 Hours
• Multiple Concurrent Tasks - Frequent 3 to 6 Hours

Work Environment

UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e-cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space.

Office workstation, walking to and from hospital to assess patients.

Special Requirements - Please contact your recruiter with questions regarding which activities apply by position

• This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation clearance and functional capacity assessment
• This position is designated as a mandated reporter under CANRA and UC policy, and employment is contingent on compliance with applicable policies, procedures and training requirements

Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

A Culture of Opportunity and Belonging

At UC Davis, we're committed to solving life's most urgent challenges and building a healthier, more resilient world. We believe in growing through every challenge, continually striving to improve, and welcoming new perspectives that strengthen our community. We recognize that a vibrant and innovative organization values both individual strengths and shared purpose. The best ideas often emerge when people with different experiences come together.

As you consider joining UC Davis, we invite you to explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education. We believe you belong here. The University of California, Davis is an Equal Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.

To view the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

Because we want you to feel seen and valued, our recruitment process at UC Davis supports openness and authenticity. Research shows that some individuals hesitate to apply unless they meet every qualification. You may be an excellent fit for this role-or the next one. We encourage you to apply even if your experience doesn't match every listed requirement. #YouBelongHere

To learn more about our background check program, please visit: https://hr.ucdavis.edu/departments/recruitment/ucd/selection/background-checks