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Manager, Case Management
2 months ago
Job Description: Case Management Nursing Manager
The Case Management Nursing Manager is responsible for overseeing the Case Management Department, ensuring compliance with established policies and procedures. The role involves monitoring case assignments, ensuring the timely completion of Individualized Care Plans (ICPs), and coordinating Interdisciplinary Care Team (ICT) meetings for the Medicare Medi-Medi population. This position also includes completing and submitting department reports, participating in audits, recruiting and training new personnel, and handling various administrative duties.
Key Responsibilities:
Daily:
- Manage daily staff assignments.
- RN sign-off on completed care plans.
- Assign care plans to CM Coordinators for distribution.
Biweekly:
- Process payroll.
Monthly:
- Prepare and submit Health Plan Monthly Reports.
- Attend Health Plan Monthly Meetings.
- Conduct team meetings and internal audits.
Quarterly:
- Prepare Health Plan Quarterly Reports.
Annual:
- Complete staff performance reviews.
As Needed:
- Participate in Health Plan Webinars and Audits.
- Maintain and develop departmental policies and procedures.
- Contribute to strategic development.
- Provide coverage for ICPs and ICTs when nurses are unavailable.
Qualifications:
- Current California Registered Nurse license.
- Minimum of 5 years of Case Management experience, with Managed Care experience preferred.
- At least 2 years of management experience.
- Experience in Medicare member case management is a plus.
Required Skills:
- Excellent attendance and dependability.
- Strong organizational skills with attention to detail.
- Professional business acumen.
- Adaptability and flexibility.
- Effective communication skills, both oral and written.
- Strong interpersonal and participatory skills.
- Ownership and dependability in task completion.
- Sound judgment and decision-making abilities.
- Commitment to customer satisfaction and exceeding expectations.
Schedule: 8:00 AM - 5:00 PM, Monday to Friday
Location: Chatsworth, CA
