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Your Role

The Care Management team is looking for a leader with Care Management experience who can help design and lead our Population Health Management (PHM) - Medi-Cal Care Management line of business. The Manager, Care Management will report to the Senior Manager of Care Management - PHM. In this role, you will act as the practice and operational leader for the care managers, overseeing case compliance, reporting, and outcomes. Our leadership model focuses on developing leaders at all levels and creating opportunities for growthpersonally, professionally, and financially. We seek leaders energized by creative and critical thinking, team building, achieving results ethically, and fostering continuous learning.

Your Knowledge and Experience

• Requires a bachelor's Degree or equivalent experience
• Requires a current CA RN License
• Certified Case Manager (CCM) Certification or in the process of completing certification when eligible based on CCM application requirements
• At least 7 years of relevant experience, including 3 years in management as a team leader, supervisor, or project/program manager
• Comprehensive knowledge of case management, discharge planning, utilization management, and community resources. Strong supervisory, communication, and negotiation skills.
• Proficiency in PC-based software including Word and Excel
• Case Management, Quality, or related certification relevant to the specific area to be managed
• Demonstrates professional judgment and critical thinking to ensure quality, cost-effective care based on medical necessity, service intensity, severity of illness, contracted benefits, and appropriate level of care
• Proven leadership, project management, and program evaluation skills with the ability to interact with all levels, including senior management, and influence decision-making. Strong supervisory, communication, and negotiation skills.