RN Care Management Director, Strategic Leader

Jobtome; Fortuna (CA); On-site; USD 126,000 - 198,000; Full time

Benefits offered by this job

Health benefits

401(k) plan

Job summary

Qualifications

• Bachelor of Nursing required with California RN licensure.
• Minimum 5 years in an acute care setting in care management; 3 years of leadership experience.
• Master's degree preferred.
• Strong leadership, communication, and strategic thinking abilities.
• Knowledge of payer requirements and regulatory standards.

Responsibilities

• Formulate and execute strategic and operational plans.
• Direct care management, utilization management, discharge planning, and psychosocial services.
• Cultivate relationships with physicians, nurses, and departments for seamless transitions.
• Track utilization trends and performance metrics; take corrective actions as needed.
• Ensure compliance with regulatory, accreditation, and payer requirements.
• Manage budgets and maintain productivity standards.
• Recruit, mentor, and develop staff; oversee education and evaluations.
• Liaise with community partners to uphold continuity of care.
• Lead quality improvement initiatives to enhance patient outcomes.
• Provide updates to leadership on care management performance.

Skills

Leadership

Strategic thinking

Team building

Communication

Negotiation

Relationship building

Regulatory knowledge

Problem solving

Education

Bachelor's in Nursing

Master's in Nursing or related field (Preferred)

Tools

Microsoft Office Suite

Case management software

Job description