RN Case Management Manager

Overview

• Lead the Care Coordination department, ensuring efficient and cost-effective patient care management.
• Collaborate with various hospital departments to enhance patient care outcomes and financial performance.
• Supervise and coordinate activities of Case Managers and Social Workers within the organization.
• Evaluate operational functions, including staffing, scheduling, and performance management.
• Provide training on patient care data analysis and presentation for organizational goals.
• Ensure adherence to Service Excellence standards across the department.
• Contribute to the development of high-quality, efficient healthcare services.
• Support the organization’s mission to deliver exceptional patient care and coordination.

Key Responsibilities & Duties

• Supervise and manage the activities of Case Managers and Social Workers.
• Collaborate with medical staff and external agencies for seamless patient care coordination.
• Evaluate patient care and financial outcomes impacted by the Care Management system.
• Analyze patient care data and provide insights to achieve organizational goals.
• Ensure operational efficiency through effective staffing and scheduling practices.
• Maintain compliance with healthcare standards and regulations.
• Assist in the professional development of department associates.
• Promote a culture of excellence and continuous improvement within the department.

Job Requirements

• Bachelor of Science in Nursing (BSN) from an accredited institution.
• Minimum of 2 years management experience in Case Management or Utilization Review.
• Preferred 5 years of clinical experience in Case Management or Utilization Review.
• Current Registered Nurse license in the State of California.
• Basic Life Support (BLS) or CPR Certification through the American Heart Association.
• Certification in CPUR, CPUM, CCM, or other national certifications preferred.
• Strong leadership and organizational skills to manage departmental operations.
• Ability to analyze and present patient care data effectively.