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Market Nurse Director Case Management

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Job Description - Market Nurse Director Case Management

We are seeking an experienced and motivated **Director of Care Management** to join our healthcare team in Fresno, CA. This is a strategic leadership role that oversees care coordination, discharge planning, and utilization management to ensure high-quality, patient-centered care across the continuum. The Director of Care Management will work collaboratively with clinical teams, physicians, and support staff to enhance patient outcomes, optimize resources, and promote efficiency.

**Key Responsibilities:**

- Develop, implement, and oversee care management processes to support quality improvement and effective patient care coordination.

- Lead a team of case managers and social workers, providing guidance, mentorship, and professional development.

- Ensure compliance with all healthcare regulations, accreditation standards, and organizational policies.

- Collaborate with clinical staff, physicians, and administrative teams to streamline transitions of care, discharge planning, and patient advocacy.

- Analyze data to monitor performance metrics, identify trends, and drive continuous improvements in care management services.

- Manage budget and resources for the care management department, ensuring operational efficiency.

- Foster strong communication and partnerships within and outside the organization to support patient needs and organizational goals.

**Qualifications:**

- Must be a licensed **Registered Nurse (RN)** in California.

- Bachelors degree in Nursing required; Masters degree in Nursing, Healthcare Administration, or a related field preferred.

- Minimum of 5 years of experience in care management or case management, with at least 2 years in a leadership role.

- Strong knowledge of healthcare regulations, discharge planning, and utilization review.

- Excellent interpersonal, communication, and organizational skills.

**Benefits:**

- Competitive compensation package with a salary of up to $190,000.

- Comprehensive health benefits, retirement plan, and opportunities for professional development.

This role is an exciting opportunity for an experienced RN leader to make a substantial impact on patient care and care coordination. Join us in Fresno to lead our care management team and enhance patient outcomes across the healthcare continuum!

Job Type: Full-time

Pay: $185,000.00 - $200,000.00 per year

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance
Original job Market Nurse Director Case Management posted on GrabJobs ©. To flag any issues with this job please use the Report Job button on GrabJobs.
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