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Unicity Care Management is seeking an experienced, compassionate RN Care Manager to support older adults and their families as they navigate complex health, safety, and aging‑related decisions at home and in senior communities. The Care Manager (RN) will manage a small private‑pa ...
Union $75,000 - $115,000 (USD) per year Full time1 day ago
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Unicity Care Management is seeking an experienced, compassionate RN Care Manager to support older adults and their families as they navigate complex health, safety, and aging‑related decisions at home and in senior communities. The Care Manager (RN) will manage a small private‑pa ...
Paramus $75,000 - $115,000 (USD) per year Full time4 days ago
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Description · This is a remote field-based role requiring travel within Iowa. · Job Summary · Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Striv ...
IA, United States $65,000 - $120,000 (USD) per year2 days ago
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Description · JOB DESCRIPTION Job Summary · Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outco ...
Las Vegas, NV, United States $65,000 - $120,000 (USD) per year2 days ago
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Description · JOB DESCRIPTION Job Summary · Family Care with My Choice Wisconsin · Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensur ...
Wauwatosa, WI, United States $65,000 - $120,000 (USD) per year20 hours ago
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Description · JOB DESCRIPTION Job Summary · Family Care with My Choice Wisconsin · Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensur ...
Wauwatosa, WI, United States $65,000 - $120,000 (USD) per year20 hours ago
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Description · Required licensure: LISW, LPCC, LPC, or LMFT · Job Summary · Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member ...
Columbus, OH, United States $65,000 - $120,000 (USD) per year20 hours ago
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Description · JOB DESCRIPTION · Opportunity for either an experienced Care Manager who is Bachelors or Masters trained in a social services field OR an Iowa licensed RN to join the LTSS team with our Iowa Health Plan. Responsibilities include conducting face-to-face and telephon ...
IA, United States $65,000 - $120,000 (USD) per year2 days ago
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Description · JOB DESCRIPTION · Candidate must reside in Illinois. · Job Summary · Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensur ...
Oak Brook, IL, United States $65,000 - $120,000 (USD) per year1 week ago
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Description · JOB DESCRIPTION Job Summary · Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outco ...
KY, United States $65,000 - $120,000 (USD) per year1 week ago
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Description · JOB DESCRIPTION Job Summary · Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcom ...
Las Vegas, NV, United States $65,000 - $120,000 (USD) per year20 hours ago
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Description · JOB DESCRIPTION · For this position we are seeking a Licensed Social Worker who lives in Kentucky and must be licensed for the state of Kentucky. Case Manager will work with KY Medicaid population providing telephonic case management support. Prefer social worker w ...
KY, United States $65,000 - $120,000 (USD) per year1 week ago
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Description · JOB DESCRIPTION Job Summary · Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcom ...
San Diego, CA, United States $65,000 - $120,000 (USD) per year2 days ago
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Description · JOB DESCRIPTION Job SummaryProvides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes ...
KY, United States $65,000 - $120,000 (USD) per year20 hours ago
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Description · JOB DESCRIPTION Job SummaryProvides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes ...
Seattle, WA, United States $65,000 - $120,000 (USD) per year4 days ago
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Description · Job Summary · Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contribut ...
IA, United States $65,000 - $120,000 (USD) per year2 days ago
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Description · Licensed Social Worker Case Manager residing in the state of UT, will work in remote setting supporting our Medicaid SMI (Severe Mental Illness) & Substance Abuse Population in the state of Utah. You will participate in interdisciplinary care team meetings for our ...
Salt Lake City, UT, United States $65,000 - $120,000 (USD) per year1 week ago
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Description · JOB DESCRIPTION · Job Summary · Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired out ...
OH, United States $65,000 - $120,000 (USD) per year6 days ago
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Description · JOB DESCRIPTION · Job Summary · Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired out ...
OH, United States $65,000 - $120,000 (USD) per year5 days ago
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Description · JOB DESCRIPTION · Job Summary · Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired out ...
FL, United States $65,000 - $120,000 (USD) per year20 hours ago
Manager Care Management - Long Beach - Martin Luther King, Jr. Community Hospital
Description
If you are interested apply online and send your resume to .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, and 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, and Care Management Educator to support the MLKCH Care Managementservices 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 ofMLKCH compliance policies related to discharge planning and use of letters of agreement (LOA) withcurrent/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 providersParticipates 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/ grievancesCollaborates 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 or Master's Degree in Social Worker with LCSW required.
B.Qualifications/Experience
RN Candidates must have five (5) years acute care hospital, health plan, and/or ancillary services required.
Candidate's with LCSW, must have 7 years of experience in acute care hospital, health plan, and/or ancillary services required.
Prior Supervisory or Management Experience in a clinical role required.
RN license required or LCSW 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
Able to navigate communication and decision-making across disciplines and provider types
Clinical knowledge and the ability to assess situations in collaboration with multiple disciplines in order to arrive at a decision often in pressurized situations#LI-YD1
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