Assistant Director, Care Connections Hub

UC San Diego Health is a Magnet designated organization, which is a prestigious recognition that applies to only 10% of all U.S. hospitals. Magnet is the “gold standard” for nursing excellence and is based on strengths in five key areas, which include transformational leadership, structural empowerment, exemplary professional practice, new knowledge, innovation and improvements and empirical outcomes. UC San Diego Health has held its Magnet status since 2011. UC San Diego Population Health Services has four separate areas that employ Case Managers: Utilization Management (UM); UCSD at Home: Complex Case Management; Care Connections Hub: Transitional Care Management; and Disease Management/ Digital Health. The Case Manager coordinates with physicians, nurses, social workers and other healthcare providers to expedite medically appropriate cost-effective care for patients, along with resources to address psycho-social and physical resources as appropriate. The CM applies clinical expertise and assesses patient’s medical, social and physical needs to create shared patients’ goals and advocate for medically necessary care and resources. The Assistant Director, Care Connections Hub: Transitions of Care is an experienced RN who is responsible for developing standard work for RN and Social Work staff using evidenced based tools to provide telephonic outreach to patients who are discharging from a hospital or skilled nursing facility setting. The goal is to drive appropriate interventions and support patients post discharge to mitigate avoidable readmissions.