Nurse Manager Case Management

Nurse Manager Case Management Overview

• The Nurse Manager Case Management will oversee and coordinate case management operations within a healthcare organization, ensuring optimal patient care and resource utilization.
• This role involves collaboration with multidisciplinary teams, including nurses, social workers, and physicians, to facilitate effective care transitions and patient advocacy.
• The position emphasizes achieving optimal health outcomes, resource utilization, and access to services for patients across various care settings.
• You will lead and mentor a team of case managers, fostering a culture of excellence and continuous improvement in patient care coordination.
• The role includes developing and implementing strategies to address social determinants of health and other barriers to care.
• This is an on-site, full-time position with an opportunity to make a significant impact on community health outcomes.
• You will work closely with post-acute care providers to ensure seamless transitions and comprehensive care planning for patients.
• The Nurse Manager Case Management will be instrumental in aligning case management practices with organizational goals and regulatory requirements.

Nurse Manager Case Management Key Responsibilities & Duties

• Lead and manage a team of case managers, ensuring high-quality care coordination and adherence to best practices.
• Develop and implement care management strategies to address patient needs and improve health outcomes.
• Collaborate with interdisciplinary teams to facilitate effective communication and care transitions across the continuum of care.
• Monitor and evaluate care plans to ensure alignment with patient goals and organizational standards.
• Address social determinants of health and other barriers impacting patient care and recovery.
• Ensure compliance with regulatory requirements and organizational policies related to case management practices.
• Provide education and support to staff on case management processes and best practices.
• Analyze data and metrics to identify trends and opportunities for improvement in care coordination and resource utilization.

Nurse Manager Case Management Job Requirements

• Bachelor’s Degree in Nursing (BSN) required; Master’s Degree in Healthcare or related field preferred.
• Active California Registered Nurse License upon hire is mandatory.
• Minimum of 5 years of experience in a healthcare role, with 3 years in case management within an acute care setting.
• At least 1 year of healthcare leadership experience is required.
• Certified Case Manager (CCM) or Accredited Case Manager (ACM) certification preferred.
• Strong knowledge of care coordination processes, social determinants of health, and resource management.
• Excellent communication, leadership, and organizational skills to manage a multidisciplinary team effectively.
• Ability to analyze data and implement strategies to improve patient outcomes and operational efficiency.