Talent.com
Manager Case Management RN

Manager Case Management RN

Martin Luther King, Jr. Community HospitalGardena, CA, US
2 days ago
Job type
  • Full-time
Job description

If you are interested apply online and send your resume to Norozco@mlkch.org

POSITION SUMMARY

The Manager of Care Management will supervise and direct all levels of Care Management team that includes RN Care Managers, Lead Care Management RN, Care Management Coordinators, Discharge Planners (DCP), Care Coordinators, Care Management Educator. This position may also be asked to supervise and cover supervision for other management in the CM Department. These services include assessment of patients for level of care, appropriateness for admission or observation, HLOC transfers, discharge assistance, and follow up care as appropriate in collaboration with the ED care management team and Social Work Department. Care Management policies for this work initiated, reviewed and implemented by the Manager as needed.

This Manager role will also provide clinical supervision for scheduling, Kronos payroll, coaching / corrective action, and educational needs to ensure that the care management policies and processes are carried out for the organization. This role will oversee the electronic referral system, currently Ensocare, documentation of care management through Cerner Healthcare EMR including working with Clinical informatics (CIT), to develop or improve care management documentation, as well as handoff processes.

This position is responsible for overseeing post-acute providers, facilities and other types of community service providers as directed by the Director of Care Management. The Manager will assist with overseeing compliance policies and plan related to vendor networks to maintain a working relationship between MLK and individual network providers. Manager will identify opportunities to improve post discharge services to reduce readmissions and improve community health in collaboration.

Works collaboratively with other colleagues within the Population Health Program to support the entire Care Management Department. This role is expected to share in Care Management Leadership Call on a rotation basis as assigned by the Director for Care Management

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Manages and supervises the IP Care Management RNs, Care Management Coordinators, Care Coordinators,

Discharge Planners, Care Management Educator to support the MLKCH Care Management services includes but not limited to assessments, transfers to higher levels of care, inpatient discharge needs, and follow up care by DCP team according to Care Management Department policies and procedures.

  • Works in collaboration with the Director of Social Work Services and Street Medicine to support the Care Management Program as well as in support of the Population Health Program at MLKCH.
  • Oversight of MLKCH compliance policies related to discharge planning and use of letters of agreement (LOA) with current / planned scope of post-acute partner networks including :
  • MLK-LA Skilled Nursing Facilities (SNF)

  • MLK-LA Home Health Professional Network (planning)
  • MLK-LA Palliative and Hospice Network (planning)
  • Have oversight of assessing need for additional provider networks in collaboration with management given new clinical / social needs and ongoing revisions to the Population Health Strategy.
  • Identify and vet potential post-acute service providers
  • Participates in hospital committees and unit specific multidisciplinary conferences as well as staff meetings for the Care Management Department
  • Models leadership and promotes professionalism to assist staff in developing priority setting, team work, and flexibility in support of the Care Management team and in community health activities.
  • Holds clinical and non-clinical staff accountable for the performing initial assessments, identifying and documenting a discharge plan, and collaborating with the work team to ensure a safe patient discharge under the scope and standards for ACMA & CMSA standards.
  • Responsible for the hiring process and identifying and recommending staffing needs with skill mix as appropriate to meet needs of the population.
  • Manages payroll in Kronos; monitors overtime as well as attendance related to HR policy for time & attendance.
  • Oversee a mix of clinical, operational and business projects including but not limited to ones used reduce readmissions, improve transportation services such as ambulance services, and other clinical services
  • Work closely with and in partnership with ED Care Coordinators, ED Care Managers, Social Work, Transitional Care Navigator staff, and clinical staff to ensure that patients care transitions from MLK entities to post-acute network providers are seamless.
  • Establish and monitor management metrics : quality, outcomes, productivity of staff work, financial, case volume / mix and provides scheduled reporting to the Director of Care Management.
  • Design and coordinate formal and informal training for staff and providers regarding post-acute services care management services, and oversees the clinical education program executed by the Care Management Educator.
  • Systematically and continuously evaluate and address internal and external customer concerns / grievances
  • Collaborates and coordinates services and joint meetings with Los Angeles County Department of Health Services Outpatient Clinic staff
  • Collaborates and coordinates functional programs with MLKCH outpatient clinics to ensure smooth transitions to community healthcare for MLKCH patients.
  • Collaborates with other Care Management Leadership to ensure adequate staffing and scheduling to support the functions of the transitional care team.
  • POSITION REQUIREMENTS

    A. Education

  • Bachelor degree in nursing required. Master degree in related area preferred
  • B. Qualifications / Experience

  • Five (5) years acute care hospital, health plan, and / or ancillary services required.
  • Prior Supervisory or Management Experience in a clinical role required.
  • RN license required; CCM or ACM certification required within 2 years of hire
  • Basic Life Support (BLS) certification
  • Workplace violence prevention annually.
  • Direct patient care or care coordination, utilization, case / disease management experience a plus
  • Experience with Medicaid / Medi-Cal patients and government programs preferred
  • Experience in clinical health informatics is preferred.
  • C. Special Skills / Knowledge

  • Significant knowledge regarding health care provider organizations - acute and post-acute care facilities and providers
  • Working knowledge of health plans and typical UM and medical management functions
  • MLKCH Video

    Create a job alert for this search

    Rn Case Management • Gardena, CA, US

    Related jobs
    • Promoted
    Travel Nurse RN - Case Manager - $2,149 to $2,383 per week in Saint Helena, CA

    Travel Nurse RN - Case Manager - $2,149 to $2,383 per week in Saint Helena, CA

    TravelNurseSourceLos Angeles, California, US
    Full-time
    TravelNurseSource is working with LRS Healthcare to find a qualified Case Manager RN in Saint Helena, California, 94574!. Ready to start your next travel adventure? LRS Healthcare offers a full bene...Show moreLast updated: 28 days ago
    • Promoted
    Case Manager, Case Management

    Case Manager, Case Management

    Huntington HospitalPasadena, CA, US
    Full-time
    When you join the Huntington Hospital team, you are aligning yourself with an organization whose values drive our philosophy of compassionate community care. Over the past 129 years, we’ve gro...Show moreLast updated: 29 days ago
    • Promoted
    Travel Nurse - RN - Case Manager - $2246.4 / Week

    Travel Nurse - RN - Case Manager - $2246.4 / Week

    Uniti MedSanta Ana, CA, US
    Full-time
    Uniti Med is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA.Shift : Inquire Start Date : 11 / 03 / 2025 Duration : 13 weeks Pay : $2246.Uniti Med...Show moreLast updated: 2 days ago
    • Promoted
    Travel RN Case Manager

    Travel RN Case Manager

    Prime StaffingLos Angeles, CA, US
    Permanent
    Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Mission Hills, California.Job Description & Requirements. Active State or Compact RN License.Strong assess...Show moreLast updated: 30+ days ago
    • Promoted
    Travel RN Case Manager - Utilization Management

    Travel RN Case Manager - Utilization Management

    Prime StaffingLos Angeles, CA, US
    Permanent
    Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Tarzana, California.Job Description & Requirements. Active State or Compact RN License.Strong assessment, ...Show moreLast updated: 1 day ago
    • Promoted
    Travel Nurse RN - Case Manager, Utilization Review

    Travel Nurse RN - Case Manager, Utilization Review

    GQR HealthcareOrange, CA, US
    Full-time
    GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California. Job Description & Requirements.GQR Uniti Med is representing a well-k...Show moreLast updated: 27 days ago
    • Promoted
    Travel Nurse - RN - Case Manager - $2668 / Week

    Travel Nurse - RN - Case Manager - $2668 / Week

    22nd Century Healthcare Inc.Tarzana, CA, US
    Full-time
    Case Manager Registered Nurse for an exciting Travel Nursing job in Tarzana, CA.Shift : 5x8 hr days Start Date : 10 / 27 / 2025 Duration : 13 weeks Pay : $2668 / Week. Perform concurrent and continued stay ...Show moreLast updated: 23 hours ago
    • Promoted
    Travel Nurse - RN - Case Manager - $2279.47 / Week - Hiring Now

    Travel Nurse - RN - Case Manager - $2279.47 / Week - Hiring Now

    Atlas MedStaffSanta Ana, CA, US
    Full-time
    Atlas MedStaff is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. Shift : 5x8 hr days Start Date : 11 / 03 / 2025 Duration : 13 weeks Pay : $2279....Show moreLast updated: 2 days ago
    • Promoted
    Travel RN Case Manager

    Travel RN Case Manager

    Assured NursingOrange, CA, US
    Full-time
    Assured Nursing is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Orange, California.Job Description & Requirements. Assured Nursing is currently seeking a.The ...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse RN - Case Manager - $2,382 to $2,751 per week in Novato, CA

    Travel Nurse RN - Case Manager - $2,382 to $2,751 per week in Novato, CA

    TravelNurseSourceLos Angeles, California, US
    Full-time
    TravelNurseSource is working with National Staffing Solutions to find a qualified Case Manager RN in Novato, California, 94945!. Details of the RN - Case Management (CCM) opening in Novato, CA : .Anti...Show moreLast updated: 10 days ago
    • Promoted
    Travel RN Case Manager - Utilization Management

    Travel RN Case Manager - Utilization Management

    LanceSoftLos Angeles, CA, US
    Permanent
    LanceSoft is seeking a travel nurse RN Case Management for a travel nursing job in Tarzana, California.Job Description & Requirements. Must have 2 years of RN Case Manager experience.Established...Show moreLast updated: 1 day ago
    • Promoted
    Travel Nurse - RN - Case Manager - $2279.47 / Week

    Travel Nurse - RN - Case Manager - $2279.47 / Week

    Atlas MedStaffSanta Ana, CA, US
    Full-time
    Atlas MedStaff is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. Shift : 5x8 hr days Start Date : 11 / 03 / 2025 Duration : 13 weeks Pay : $2279....Show moreLast updated: 2 days ago
    • Promoted
    Travel Nurse RN - Case Manager - $2,096 to $2,420 per week in Los Angeles, CA

    Travel Nurse RN - Case Manager - $2,096 to $2,420 per week in Los Angeles, CA

    TravelNurseSourceLos Angeles, CA, US
    Full-time
    TravelNurseSource is working with National Staffing Solutions to find a qualified Case Manager RN in Los Angeles, California, 91356!. Details of the RN - Case Management (CCM) opening in Los Angeles...Show moreLast updated: 2 days ago
    • Promoted
    Travel RN Case Manager - Utilization Management - $2,634 per week

    Travel RN Case Manager - Utilization Management - $2,634 per week

    Prime StaffingTarzana, CA, United States
    Full-time +1
    Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Tarzana, California.Job Description & Requirements. Active State or Compact RN License.Strong assessment, disc...Show moreLast updated: 1 day ago
    • Promoted
    Travel RN Case Manager - $2,688 per week

    Travel RN Case Manager - $2,688 per week

    Prime StaffingMission Hills, CA, United States
    Full-time +1
    Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Mission Hills, California.Job Description & Requirements. Active State or Compact RN License.Strong assessment...Show moreLast updated: 19 days ago
    • Promoted
    Travel Nurse - RN - Case Manager - $2668 / Week - Hiring Now

    Travel Nurse - RN - Case Manager - $2668 / Week - Hiring Now

    22nd Century Healthcare Inc.Tarzana, CA, US
    Full-time
    Case Manager Registered Nurse for an exciting Travel Nursing job in Tarzana, CA.Shift : 5x8 hr days Start Date : 10 / 27 / 2025 Duration : 13 weeks Pay : $2668 / Week. Perform concurrent and continued stay ...Show moreLast updated: 23 hours ago
    • Promoted
    Travel Nurse RN - Case Manager - $2,337 to $2,537 per week in Eureka, CA

    Travel Nurse RN - Case Manager - $2,337 to $2,537 per week in Eureka, CA

    TravelNurseSourceLos Angeles, California, US
    Full-time
    TravelNurseSource is working with Ventura MedStaff to find a qualified Case Manager RN in Eureka, California, 95501!.Are you ready to take your Travel career to the next level? See places you have...Show moreLast updated: 7 days ago
    • Promoted
    Travel Nurse Manager RN - Case Management - $2,480 per week

    Travel Nurse Manager RN - Case Management - $2,480 per week

    Health SavioursCulver City, CA, United States
    Full-time
    Health Saviours is seeking a travel nurse RN Case Management Manager for a travel nursing job in Culver City, California. Job Description & Requirements.RN / Manager of Case Management RN / LCSW of Ca...Show moreLast updated: 1 day ago
    • Promoted
    Travel Nurse RN - Case Manager - $2,138 to $2,470 per week in Los Angeles, CA

    Travel Nurse RN - Case Manager - $2,138 to $2,470 per week in Los Angeles, CA

    TravelNurseSourceLos Angeles, CA, US
    Full-time
    TravelNurseSource is working with National Staffing Solutions to find a qualified Case Manager RN in Los Angeles, California, 91346!. Details of the RN - Case Management (CCM) opening in Los Angeles...Show moreLast updated: 14 days ago
    • Promoted
    Travel Nurse RN - Case Manager - $2,217 to $2,459 per week in Saint Helena, CA

    Travel Nurse RN - Case Manager - $2,217 to $2,459 per week in Saint Helena, CA

    TravelNurseSourceLos Angeles, California, US
    Full-time
    TravelNurseSource is working with LRS Healthcare to find a qualified Case Manager RN in Saint Helena, California, 94574!. Ready to start your next travel adventure? LRS Healthcare offers a full bene...Show moreLast updated: 29 days ago