Care Management Director

8 hours ago


Garden Valley, United States MRINetwork Jobs Full time
Job Title: Director of Care Management

Reid & Associates is conducting a confidential search for a Director of Care Management to lead the day-to-day operations of inpatient Case/Care Management across multiple facilities in Northern California.

Role Overview: This role oversees system-wide Case Management, Care Coordination, and Discharge Planning, ensuring efficient patient flow from admission to discharge.

Key Responsibilities:

  • Optimize Care Management processes and metrics, including LOS, readmissions, and utilization.
  • Ensure compliance with regulatory bodies, including CMS, CA DCHS, and Joint Commission.
  • Manage inpatient Care Management policies and collaborate with Physician Advisors on audits and reviews.
  • Provide leadership in recruiting, training, and coaching Care Management staff.
  • Coordinate with Revenue Cycle, Utilization Review Committee, and quality leadership to enhance patient care and satisfaction.

Qualifications:

  • Master's degree in Nursing, Social Work, or related field.
  • 7–10 years of case management or quality experience, including progressive management in a large healthcare organization.
  • Active CA RN or Clinical Social Worker license, BLS certification required.

For more information and to express interest in this confidential opportunity, please contact Reid & Associates directly. Full details will be shared with qualified candidates during initial discussions.



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