Nurse Manager of Case Management Utilization Review

$92,705 - $120,984/Yr

Clinical Management Consultants - Beverly Hills, CA

Full-time - Manager

Beverly Hills, CA

Administrative and Support Services

About the position

The Nurse Manager of Care Management and Utilization Review is a leadership role responsible for overseeing the daily operations of the Care Coordination departments in a reputable Medical Center in Southern California. This position involves managing both inpatient and outpatient services, improving customer satisfaction, and achieving departmental goals while ensuring effective collaboration with physicians and other departments.

Responsibilities

• Direct daily operations of the Care Coordination departments for inpatient and outpatient services.
• Provide effective leadership and guidance to department staff and collaborate with physicians and other departments.
• Cultivate and maintain strong partnerships with post-acute care providers.
• Improve customer satisfaction and achieve departmental goals and financial performance.
• Manage resource and fiscal management, ensuring continuous productivity and process improvement.
• Oversee staffing, project planning, facilities planning, budget preparation, and regulatory compliance.
• Select and maintain equipment, order supplies, and negotiate contracts with vendors.
• Responsible for staff recruitment, retention, development, training, and discipline.

Requirements

• Registered Nurse (RN) license in California.
• Bachelor's degree in Nursing or related field; Master's degree preferred.
• Experience in case management and utilization review.
• Strong leadership and management skills.
• Excellent communication and interpersonal skills.

Nice-to-haves

• Experience in a hospital setting.
• Knowledge of regulatory compliance and healthcare policies.
• Familiarity with budget preparation and fiscal management.

Benefits

• Standard and optional benefits package allowing customization to meet individual needs.