Manager, Care Management – CA RN Unrestricted License

This is a fully remote position, open to applicants in United States.

📋 Description

• Guide, mentor, and nurture a team of RN Case Managers, ensuring adherence to organizational policies and regulatory standards.

• Supervise daily outpatient case management operations, encompassing referrals, transitions of care, and care coordination.

• Maintain readiness for audits by coordinating chart reviews and overseeing case management processes.

• Educate and onboard new staff while providing continuous coaching and performance evaluations.

• Allocate and prioritize team tasks to guarantee efficiency and high-quality outcomes.

• Collaborate across departments with Medical Directors, Quality, and Compliance leadership.

• Handle escalated cases and perform case management duties as necessary.

• Ensure accurate and compliant documentation for all team activities.

• Analyze and present clinical and program data to leadership to foster continuous improvement.

• Assist in the creation and execution of protocols, workflows, and best practices.

• Oversee a team of RN Case Managers and coordinators.

• Drive hiring, onboarding, and training initiatives.

• Deliver performance management, coaching, and development.

⛳️ Requirements

• A minimum of 5 years of RN Case Management experience (or an equivalent mix of education and experience).

• At least 1 year of leadership or supervisory experience in a healthcare environment.

• An Associate’s or Bachelor’s degree in Nursing is required.

• An active, unrestricted Registered Nurse (RN) license is mandatory.

• CCM certification is preferred.

• Comprehensive knowledge of Medicare Managed Care Plans.

• Demonstrated leadership and team management capabilities.

• Proficient in managing projects and initiatives aimed at enhancing performance.

• Strong skills in organizing, prioritizing, and delegating tasks.

• Exceptional communication and collaboration skills within diverse teams.

• Strong analytical, problem-solving, and decision-making skills.

• Proficient in Microsoft Office (Word, Excel, Outlook).

🏝️ Benefits

• Health insurance.

• 401(k) matching.

• Flexible work arrangements.

• Professional development opportunities.