Position: Manager Case Management RN
About: The Manager of Care Management position at MLKCH involves supervising and directing the Care Management team, ensuring appropriate patient care levels, admissions, and follow-up. The role includes oversight of post-acute providers and compliance policies related to care management services.
Requirements: Education: Bachelor degree in nursing required; Master degree in related area preferred. 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 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.
