Senior Manager, Medical Management & Care Coordination

Direct Staffing Inc; San Diego (CA); On-site; USD 80,000 - 110,000; Full time

Job summary

A leading healthcare organization in San Diego seeks a Manager of Medical Management to oversee Utilization Management and Case Management programs. The role focuses on leading a team while ensuring effective care management processes that comply with health plan regulations. Ideal candidates will have strong healthcare and management experience, adept at fostering teamwork and promoting optimal patient outcomes.

Qualifications

• Graduate of NLN accredited school of nursing or relevant degree.
• Minimum 3 years in Utilization/Quality/Case Management.
• 2 years managerial experience.

Responsibilities

• Provide leadership for Utilization and Case Management programs.
• Manage projects and solve problems related to care management.
• Develop and implement operational policies for UM/CM programs.

Skills

Excellent verbal and written communication

Leadership and mentoring

Analytical and problem-solving skills

Organizational skills

Education

Bachelors of Science in Nursing

Master’s degree in healthcare, business or leadership

Tools

Computer skills

Job description

A leading healthcare organization in San Diego seeks a Manager of Medical Management to oversee Utilization Management and Case Management programs. The role focuses on leading a team while ensuring effective care management processes that comply with health plan regulations. Ideal candidates will have strong healthcare and management experience, adept at fostering teamwork and promoting optimal patient outcomes.