Accountable for oversight of the daily delivery of an effective clinical resource management program by providing support and guidance to the management team and staff who provide case management, social work and utilization services for the Medical Center's Clinical Resource Management Department. Assures very good service to key customers of the department: patients and their families, physicians, nurse managers, business services and outside review groups. Supports performance improvement projects with a focus on improving outcomes as well as processes; is the organizations primary clinical lead when working with insurance for utilization and reimbursement. This position takes the lead in developing length of stay strategies and Medicare/MediCal compliance programs as demonstrated by evaluation of the effectiveness of the overall program.
Alta Bates Summit Medical Center is a multi-campus regional acute care medical center with over 1,000 beds, 5,000 employees, and over 1,000 active physicians. Alta Bates Summit is recipient of a HealthGrades ® 2007 Distinguished Hospital Award for Clinical Excellence, and ranked among the top 5% of hospitals in the nation. For the third time, the Office of Statewide Health Planning and Development recognized Alta Bates Summit as one of only three hospitals in the state to achieve better than expected outcomes in heart bypass surgery (2008).
Nationally recognized services include: Regional Stroke Center, Regional Rehabilitation Center, and Chemical Dependency, with Centers of Excellence in Women and Infants (including a Level III Newborn ICU), Cardiovascular, Orthopedics, Oncology, and Behavioral Health. Other services include a bone marrow transplant program, minimally invasive surgery, imaging, and emergency services.
Located in the heart of the San Francisco East Bay Area, Alta Bates Summit Medical Center is part of Sutter Health, one of the nation's leading not-for-profit networks of community health services.
