RN Manager, Care Management
On-siteLa Mirada, California, United States
Job Summary
Supervise and direct all levels of the Care Management team, including RN Care Managers, Coordinators, and Discharge Planners, while overseeing clinical supervision, scheduling, and Kronos payroll. Manage post-acute provider networks, vet new facilities, and ensure seamless patient transitions from MLK entities to community healthcare providers. Initiate, review, and implement Care Management policies to reduce readmissions and improve community health, while collaborating with Social Work, ED, and Population Health teams. Establish staff training programs, monitor metrics for quality and outcomes, and address customer grievances. Maintain compliance with ACMA & CMSA standards and participate in multidisciplinary conferences.
Required Qualifications
- Bachelor degree in nursing
- five (5) years acute care hospital, health plan, and/or ancillary services
- Prior Supervisory or Management Experience in a clinical role
- RN license
- CCM or ACM certification
- Basic Life Support (BLS) certification
- Workplace violence prevention annually
Desired Qualifications
- Direct patient care or care coordination, utilization, case/disease management experience
- Experience with Medicaid/ Medi-Cal patients and government programs
- Experience in clinical health informatics
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