Nurse Manager Case Management

Overview

• Lead and inspire a dedicated care management team in a dynamic healthcare setting, ensuring optimal patient care and seamless transitions.
• Collaborate with multidisciplinary teams to enhance discharge planning and post-acute care coordination.
• Develop and implement innovative strategies to improve care management outcomes and patient satisfaction.
• Ensure compliance with healthcare regulations and standards, maintaining excellence in care delivery.
• Monitor performance metrics and drive initiatives to enhance quality and efficiency.
• Provide leadership and mentorship to staff, fostering professional growth and teamwork.
• Support community health goals through alignment of care management strategies with population health objectives.
• Champion continuous improvement in care management practices and patient outcomes.

Key Responsibilities & Duties

• Supervise and guide the care management team, including nurses and coordinators, ensuring effective operations.
• Oversee discharge planning processes and collaborate with post-acute care providers for seamless transitions.
• Manage staffing, scheduling, and payroll to align with patient care needs and organizational goals.
• Develop and deliver training programs to enhance staff expertise in care management practices.
• Participate in committees and initiatives to advance care management strategies and community health objectives.
• Analyze and address customer feedback to ensure satisfaction with care management services.
• Collaborate with clinical informatics teams to improve documentation and care management processes.
• Identify opportunities to reduce readmissions and enhance post-discharge services.

Job Requirements

• Bachelor’s degree in nursing or Master’s degree in social work with LCSW certification required.
• Minimum of 5 years of acute care hospital or health plan experience for RN candidates.
• 7 years of relevant experience required for LCSW candidates in applicable settings.
• Supervisory or management experience in a clinical role is essential.
• RN license or LCSW certification is mandatory, with CCM or ACM certification within 2 years of hire.
• Basic Life Support (BLS) certification and annual workplace violence prevention training required.
• Knowledge of healthcare provider organizations, health plans, and medical management functions.
• Experience with Medicaid/Medi-Cal patients and government programs preferred.