Manager Care Management RN

RN job

Manager Care Management RN

Shift

Full Time

Pay range

$125,179.12 - $194,027.64

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The Manager of Care Management will supervise and direct all levels of Care Management team that includes RN Care Managers, Lead Care Management RN, Care Management Coordinators, Discharge Planners (DCP), Care Coordinators, and Care Management Educator. This position may also be asked to supervise and cover supervision for other management in the CM Department.

These services include assessment of patients for level of care, appropriateness for admission or observation, HLOC transfers, discharge assistance, and follow up care as appropriate in collaboration with the ED care management team and Social Work Department. Care Management policies for this work initiated, reviewed and implemented by the Manager as needed.

Qualifications

• Education
• Bachelor degree in nursing required.
• Qualifications/Experience
• RN Candidates must have five (5) years acute care hospital, health plan, and/or ancillary services required.
• Prior Supervisory or Management Experience in a clinical role required.
• RN license required CCM or ACM certification required within 2 years of hire. Basic Life Support (BLS) certification
• Workplace violence prevention annually.
• Direct patient care or care coordination, utilization, case/disease management experience a plus
• Experience with Medicaid/ Medi-Cal patients and government programs preferred
• Experience in clinical health informatics is preferred.
• Special Skills/Knowledge
• Significant knowledge regarding health care provider organizations – acute and post-acute care facilities and providers
• Working knowledge of health plans and typical UM and medical management functions
• Able to navigate communication and decision-making across disciplines and provider types
• Clinical knowledge and the ability to assess situations in collaboration with multiple disciplines in order to arrive at a decision often in pressurized situations

About The Hospital

MLK Community Healthcare (MLKCH) is a private, nonprofit, state-of-the-art, safety-net hospital with the mission of bringing the highest quality healthcare to the historically underserved communities of South Los Angeles. Since we opened our doors in 2015, we have made a meaningful impact on the lives and health of our neighbors. Come work with us.