Manager Care Management
Company: Martin Luther King, Jr. Community Hospital
Location: Huntington Park
Posted on: January 8, 2026
|
|
|
Job Description:
If you are interested apply online and send your resume to
yadeleon@mlkch.org. POSITION SUMMARY The Manager of Care Management
will supervise and direct all levels of Care Management team that
includes RN Care Managers, Lead Care Management RN, Care Management
Coordinators, Discharge Planners (DCP), Care Coordinators, and Care
Management Educator. This position may also be asked to supervise
and cover supervision for other management in the CM Department.
These services include assessment of patients for level of care,
appropriateness for admission or observation, HLOC transfers,
discharge assistance, and follow up care as appropriate in
collaboration with the ED care management team and Social Work
Department. Care Management policies for this work initiated,
reviewed and implemented by the Manager as needed. This Manager
role will also provide clinical supervision for scheduling, Kronos
payroll, coaching/corrective action, and educational needs to
ensure that the care management policies and processes are carried
out for the organization. This role will oversee the electronic
referral system, currently Ensocare, documentation of care
management through Cerner Healthcare EMR including working with
Clinical informatics (CIT), to develop or improve care management
documentation, as well as handoff processes. This position is
responsible for overseeing post-acute providers, facilities and
other types of community service providers as directed by the
Director of Care Management. The Manager will assist with
overseeing compliance policies and plan related to vendor networks
to maintain a working relationship between MLK and individual
network providers. Manager will identify opportunities to improve
post discharge services to reduce readmissions and improve
community health in collaboration. Works collaboratively with other
colleagues within the Population Health Program to support the
entire Care Management Department. This role is expected to share
in Care Management Leadership Call on a rotation basis as assigned
by the Director for Care Management ESSENTIAL DUTIES AND
RESPONSIBILITIES Manages and supervises the IP Care Management RNs,
Care Management Coordinators, Care Coordinators, Discharge
Planners, and Care Management Educator to support the MLKCH Care
Management services includes but not limited to assessments,
transfers to higher levels of care, inpatient discharge needs, and
follow up care by DCP team according to Care Management Department
policies and procedures. Works in collaboration with the Director
of Social Work Services and Street Medicine to support the Care
Management Program as well as in support of the Population Health
Program at MLKCH. Oversight of MLKCH compliance policies related to
discharge planning and use of letters of agreement (LOA) with
current/planned scope of post-acute partner networks including:
MLK-LA Skilled Nursing Facilities (SNF) MLK-LA Home Health
Professional Network (planning) MLK-LA Palliative and Hospice
Network (planning) Have oversight of assessing need for additional
provider networks in collaboration with management given new
clinical/social needs and ongoing revisions to the Population
Health Strategy. Identify and vet potential post-acute service
providers Participates in hospital committees and unit specific
multidisciplinary conferences as well as staff meetings for the
Care Management Department Models leadership and promotes
professionalism to assist staff in developing priority setting,
team work, and flexibility in support of the Care Management team
and in community health activities. Holds clinical and non-clinical
staff accountable for the performing initial assessments,
identifying and documenting a discharge plan, and collaborating
with the work team to ensure a safe patient discharge under the
scope and standards for ACMA & CMSA standards. Responsible for the
hiring process and identifying and recommending staffing needs with
skill mix as appropriate to meet needs of the population. Manages
payroll in Kronos; monitors overtime as well as attendance related
to HR policy for time & attendance. Oversee a mix of clinical,
operational and business projects including but not limited to ones
used reduce readmissions, improve transportation services such as
ambulance services, and other clinical services Work closely with
and in partnership with ED Care Coordinators, ED Care Managers,
Social Work, Transitional Care Navigator staff, and clinical staff
to ensure that patients care transitions from MLK entities to
post-acute network providers are seamless. Establish and monitor
management metrics: quality, outcomes, productivity of staff work,
financial, case volume/mix and provides scheduled reporting to the
Director of Care Management. Design and coordinate formal and
informal training for staff and providers regarding post-acute
services care management services, and oversees the clinical
education program executed by the Care Management Educator.
Systematically and continuously evaluate and address internal and
external customer concerns/ grievances Collaborates and coordinates
services and joint meetings with Los Angeles County Department of
Health Services Outpatient Clinic staff Collaborates and
coordinates functional programs with MLKCH outpatient clinics to
ensure smooth transitions to community healthcare for MLKCH
patients. Collaborates with other Care Management Leadership to
ensure adequate staffing and scheduling to support the functions of
the transitional care team. POSITION REQUIREMENTS A. Education
Bachelor degree in nursing required or Master's Degree in Social
Worker with LCSW required. B. Qualifications/Experience RN
Candidates must have five (5) years acute care hospital, health
plan, and/or ancillary services required. Candidate's with LCSW,
must have 7 years of experience in acute care hospital, health
plan, and/or ancillary services required. Prior Supervisory or
Management Experience in a clinical role required. RN license
required or LCSW required CCM or ACM certification required within
2 years of hire. Basic Life Support (BLS) certification Workplace
violence prevention annually. Direct patient care or care
coordination, utilization, case/disease management experience a
plus Experience with Medicaid/ Medi-Cal patients and government
programs preferred Experience in clinical health informatics is
preferred. C. Special Skills/Knowledge Significant knowledge
regarding health care provider organizations - acute and post-acute
care facilities and providers Working knowledge of health plans and
typical UM and medical management functions Able to navigate
communication and decision-making across disciplines and provider
types Clinical knowledge and the ability to assess situations in
collaboration with multiple disciplines in order to arrive at a
decision often in pressurized situations LI-YD1 MLKCH Video
Keywords: Martin Luther King, Jr. Community Hospital, Huntington Park , Manager Care Management, Healthcare , Huntington Park, California