Manager of Professional Practice and Compliance

• Promotes individual professional growth and development
• Analyzes training needs based on system changes and recommends appropriate training solutions
• Identifies, plans, develops, implements, coordinates, and evaluates education programs
• Collaborates with other departments, managers, and physicians to continuously improve care coordination and integrates services
• Develops and implements policies that guide and support the provision of services
• Support the integration of the department's services with the hospital's primary functions
• Maintains an openness to change and fosters that attitude with peers, staff, physicians, and committee members
• Assists Directors in evaluation of processes and procedures that would ensure compliance with regulatory standards
• Prepares department for accreditation surveys, monitors, and assures compliance with hospital policy and regulatory standards
• Identifies learning needs and education gaps for the Social Work / Case Management department
• Takes accountability for projects and/or other assignments as assigned by the Department Directors

• Bachelor’s Degree in Nursing from an accredited college or university and/or Master's Degree in Nursing from an accredited college or university required OR Master's degree in Social Work (MSW) from an accredited college or university required
• Five (5) years of progressively responsible and directly related work experience required
• Knowledge of principles and best practices of case management, utilization review, social work, care coordination and discharge planning
• Knowledge of managed care and commercial insurance, MediCal, Medicare, and other third-party reimbursement
• Knowledge of principles and practices of organization, administration, fiscal and personnel management
• Ability to ensures staff are compliant with applicable standards and requirements of external professional, regulatory and accrediting agencies/bodies for social work, case management, discharge planning, and continuum of care through policy and procedure development, implementation, and monitoring
• Ability to develop and retain a multidisciplinary staff within the department
• Ability to drive a culture of proactive, integrated, high quality patient care, innovation, transformation, and change within the department
• Demonstrated ability to instruct adult education programs
• Excellent verbal and written communication skills
• Weekends and on-call coverage as determined by the Department Directors
• Strong interpersonal, negotiation, and leadership skills
• Advanced analytical, consulting, and project management skills
• Ability to implement departmental standards and processes via education
• CA-RN (Registered Nurse) required or LCSW - Lic Clinical Social Worker required

inpatient case management or hospital social work experience, preferably with leadership experience and a background in education