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Manager of Case Management (RN)
Ref No.: 18-00326
Location: Los Angeles, California
Manager of Case Management (RN)
Job Summary:
  • Responsible for operational management of the Case Management Department; including staffing, budgets and plans.
  • Responsible for providing leadership and management of clinical case management, clinical social work, utilization management, and discharge planning.
  • Assist the with systems, processes, and outcomes of clinical care teams and programs designed to address clinical, psychosocial, and financial needs of patients and families.
  • Personnel management of a multidisciplinary team, regulatory compliance, collaboration across the organization, safety and risk management, performance improvement, staff education, and policy implementation.
  • Implement and revise the Utilization Management Plan and promoting cooperation with utilization review standards by the medical staff
  • Maintain and facilitate communication between the case management department and the physician advisor on a regular basis regarding utilization review and/or quality issues
  • Maintain communication between the case management department and the physicians as well as other members of the healthcare team
  • Analysis of reports: LOS, avoidable days, disputes, InterQual and associated metrics
  • Responsible for implementation and compliance with all policies and regulations relating to the functioning of the case management department
  • Current California RN license
  • BSN Required
  • 3-5 years of recent Case Management experience required
  • Recent clinical experience in hospital or similar acute setting required
  • Generous Six-Figure Salary (range $130 - $145k based on experience)
  • Outstanding Benefits
  • Relocation assistance available
  • Inquire for more specific details

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