Director, Case Management Fountain Valley/ Placentia Linda - Full Time - Days

Who We Are

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health includes its main campus, UCI Medical Center, a 459-bed acute care hospital in Orange, four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties, and ambulatory care centers across the region. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

To learn more about UCI Health, visit

Your Role on the Team

Position Summary: The Director, Case Management is responsible for the operational leadership and management of all case management functions at their assigned facility or facilities. The incumbent is accountable for the clinical quality, operational performance, regulatory compliance, and financial management of case management services within the assigned area. This role directs departmental activities to ensure case management services are delivered accurately, efficiently, and in alignment with health system standards, payer requirements, and organizational objectives, supporting safe and effective patient transitions across the continuum of care. The Director collaborates with clinical, nursing, physician, revenue cycle, post-acute, and administrative leadership on coworker development, technology and information systems planning, length of stay management, denial prevention, and performance improvement initiatives. This position provides direct oversight, serves as a role model and primary resource to coworkers and others, maintaining accountability for departmental performance and the financial integrity of case management operations. The Director exercises wide latitude of authority in managing facility-level case management operations with limited oversight.

What It Takes to be Successful

Required Qualifications:

• Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
• Must demonstrate extraordinary levels of customer service and transmit these behaviors to the entire care management team
• Minimum 5 years of progressive management responsibility
• Minimum of 1 year experience in a management leadership role
• Minimum of 5 years of case management and/or social work experience in a health care setting
• Master's degree in related field and Bachelor's degree in Nursing or Social Work
• Knowledge of CMS, Joint Commission, CADP, and other regulatory and compliance requirements
• In-depth knowledge of relevant regulatory requirements as well as related legislative, accreditation, licensing, and compliance environments
• In-depth hospital management skills with progressive expertise in case management, utilization review, discharge planning, home and/or managed care
• Graduate of an accredited school of Nursing or Social Work and currently licensed in California or eligible for licensure
• Experience and results in improving hospital throughput
• Excellent written and verbal English communication skills
• Excellent working knowledge of desktop productivity tools
• Excellent leadership and fiscal management skills and ability to create a goal-oriented climate of teamwork, collaboration, and consistent achievement of objectives
• Excellent critical thinking, problem-solving, and analytic skills
• Demonstrated ability to lead change and effectively manage conflict
• Demonstrated ability to create high-performing, interdisciplinary team
• Advanced communication, interpersonal skills, and conflict resolution skills to deal effectively with patients, families, advocates, staff at all levels of the organization, and senior management
• Ability to maintain a work pace appropriate to the workload
• Ability to establish and maintain effective working relationships across the Health System

Preferred Qualifications:

• Knowledge of quality improvement methodologies
• Knowledge of patient safety strategies
• Knowledge of University and medical center organizations, policies, procedures and forms
• CDI knowledge and experience
• CCM, ACM or Case Management credentialing

Total Rewards

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please review our compensation practices and benefits.

Conditions of Employment

The University of California, Irvine seeks to provide a safe and healthy environment. All applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan
• Employment Misconduct*
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment

*Misconduct Disclosure Requirement: as a condition of employment, the final candidate who accepts a conditional offer of employment may be required to disclose if they have had certain misconduct-related actions within the last seven years.

The following additional conditions may apply, some dependent on business unit or job specifics:

• California Child Abuse and Neglect Reporting Act
• E-Verify
• Pre-Placement Health Evaluation

Details of each policy may be reviewed at the employment conditions page.

Closing Statement:

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories. We are committed to a diverse workforce and inclusive environment. UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, contact EEC at

Consideration for Work Authorization Sponsorship

Must be able to provide proof of work authorization

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