AMI Network Inc
Director of Clinical Case Management (RN)
AMI Network Inc, Irvine, California, United States, 92713
Director of Clinical Case Management (RN)
Full-time We are partnered with one of the largest non-profit healthcare delivery systems in Orange County searching for a Director to oversee complex case management and ambulatory clinical operations for their ACO / Medicare population. The ideal candidate will be a Registered Nurse with a strong managed care background and an in-depth understanding of ACO and Medicare guidelines. This company really takes care of both it's patients and it's employees. They constantly give back to the community, and they offer a generous amount of PTO, 401k matching, and great Medical/Dental/Vision plans to every full-time employee. Salary: $150,000 - $160,000 a year Schedule: Mon-Fri 8am-5pm (on-site) Job Duties: Oversees the clinical operations of the care management team, including hiring and developing Clinical Management, Nurse Case Managers, and Social Workers Ensures cost effective and quality transition of care through the utilization of appropriate resources. Designs and Implements performance improvement initiatives within scope. Coordinates activity with post-acute and ambulatory care transition teams to create a patient-centric process, in alignment with system hospitals. Develops strong relationships with physicians, physician leaders and other providers regarding the flow of patient care within the system. Collaborates assesses and makes recommendations to leadership to identify opportunities for improvement in patient care management and optimal process and resource utilization. Works with key stakeholders to determine metrics for success. Provides information and analysis of performance measurement - identifies better practices to scale within the system. Develops and deploys team-based care paths that extend and complement the network physician providers. Requirements: 3+ years' experience in a nursing leadership position 3+ years of related managed care experience (Case Manager, Care Manager, Case Management, Care Management, Utilization Review, Utilization Management, Care Coordination, etc.) 1+ year working with a Medicare or ACO population Licensed Registered Nurse (RN) in CA Bachelors Degree or higher education is preferred but not required Salary range is an estimate. Job Type: Full-time Experience: ACO: 1 year Case Management: 1 year Education: Bachelor's License: RN 3+ years' experience in a nursing leadership position 3+ years of related managed care experience (Case Manager, Care Manager, Case Management, Care Management, Utilization Review, Utilization Management, Care Coordination, etc.) 1+ year working with a Medicare or ACO population Licensed Registered Nurse (RN) in CA Bachelors Degree or higher education is preferred but not required All your information will be kept confidential according to EEO guidelines.
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Full-time We are partnered with one of the largest non-profit healthcare delivery systems in Orange County searching for a Director to oversee complex case management and ambulatory clinical operations for their ACO / Medicare population. The ideal candidate will be a Registered Nurse with a strong managed care background and an in-depth understanding of ACO and Medicare guidelines. This company really takes care of both it's patients and it's employees. They constantly give back to the community, and they offer a generous amount of PTO, 401k matching, and great Medical/Dental/Vision plans to every full-time employee. Salary: $150,000 - $160,000 a year Schedule: Mon-Fri 8am-5pm (on-site) Job Duties: Oversees the clinical operations of the care management team, including hiring and developing Clinical Management, Nurse Case Managers, and Social Workers Ensures cost effective and quality transition of care through the utilization of appropriate resources. Designs and Implements performance improvement initiatives within scope. Coordinates activity with post-acute and ambulatory care transition teams to create a patient-centric process, in alignment with system hospitals. Develops strong relationships with physicians, physician leaders and other providers regarding the flow of patient care within the system. Collaborates assesses and makes recommendations to leadership to identify opportunities for improvement in patient care management and optimal process and resource utilization. Works with key stakeholders to determine metrics for success. Provides information and analysis of performance measurement - identifies better practices to scale within the system. Develops and deploys team-based care paths that extend and complement the network physician providers. Requirements: 3+ years' experience in a nursing leadership position 3+ years of related managed care experience (Case Manager, Care Manager, Case Management, Care Management, Utilization Review, Utilization Management, Care Coordination, etc.) 1+ year working with a Medicare or ACO population Licensed Registered Nurse (RN) in CA Bachelors Degree or higher education is preferred but not required Salary range is an estimate. Job Type: Full-time Experience: ACO: 1 year Case Management: 1 year Education: Bachelor's License: RN 3+ years' experience in a nursing leadership position 3+ years of related managed care experience (Case Manager, Care Manager, Case Management, Care Management, Utilization Review, Utilization Management, Care Coordination, etc.) 1+ year working with a Medicare or ACO population Licensed Registered Nurse (RN) in CA Bachelors Degree or higher education is preferred but not required All your information will be kept confidential according to EEO guidelines.
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