Position: Manager Case Management RN
About: Manager of Care Management role at Martin Luther King, Jr. Community Hospital supervising and directing the Care Management team, overseeing patient assessments, discharge planning, post-acute provider relations, and compliance policies to enhance community health and reduce readmissions.
Requirements: A. Education: Bachelor’s degree in nursing required; Master’s degree in related area preferred. B. Qualifications/Experience: 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 training 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. C. 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.