RN Manager, Care Management
On-siteLos Angeles, California, United States
Job Summary
Supervise and direct 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, including Skilled Nursing Facilities and Home Health, to reduce readmissions and improve community health. Oversee electronic referral systems, Cerner EMR documentation, and care transitions from hospital to post-acute providers in collaboration with ED, Social Work, and Population Health teams. Establish and monitor management metrics for quality, outcomes, and financial performance, while designing staff training programs and ensuring compliance with ACMA and CMSA standards.
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 within 2 years of hire
- 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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