Healthcare Careers

Director of Case Management

California, California | Permanent

Bringing Solutions out into the Sunshine for our Members!

 

Director of Case Management

West Coast

 

Type of Work: Full time, Hybrid (remote/onsite) within the state of California

 

Join a California Healthcare organization looking for a Director of Case Management to oversee the Case Management and Patient Health Navigators.     Ensure that the level of quality, cost effective services are medically necessary, contractual benefits are in regulatory compliance for NCQA and within the health organization objectives.   The Director collaborates with interdepartmental units to establish and improve workflow and processes; identifies issues and opportunities; resolves issues or makes recommendations as required.  Develops and manages department budgets; implements appropriate interventions.  Uses strong oral and written communication skills and can communicate professionally, effectively and persuasively to diverse individuals and groups inside and outside the organization.  This position works closely with and reports to the Executive Director of Clinic Operations.

 

The Ideal candidate will be:

  • Bachelor’s degree in nursing, required
  • Master’s degree in nursing,
  • Unrestricted California Registered Nurse license, required
  • Valid California driver license and reliable transportation, required
  • Strong working knowledge of NCQA Standards required.
  • Certified Case Manager Certification, required
  • 5+ years clinical experience as a nurse in an acute care setting, required
  • 5+ years of recent experience working in case management, disease Management and/or Quality improvement in a managed care setting, required
  • 5+ years of progressive leadership experience in a healthcare setting, required.
  • Experience working with Medi-Cal and/or Medicare populations, strongly preferred

Key Leadership Characteristics:

  • Knowledgeable
  • Communication skills
  • Collaborative
  • Flexibility
  • Resourcefulness
  • Handle information with Discretion
  • Change Management skills
  • Team Builder/Uniter.

This west coast location offers many outdoors areas to explore and enjoy while being centrally located to re-known universities, a wide variety of sporting events, a variety of museums and some of the best dining in the United States.

 

We would look forward to an opportunity to speak to you. To apply or schedule a confidential phone conversation, please send your resume (MS WORD format preferred) to

alison@thi-search.com or call 720-735-9739

  • Max. file size: 300 MB.

Let us know how we can help you!

The HealthCare Initiative has been leading the way in health care recruitment since 1974.