The Director, Care Management  will mainly be responsible for the operational component of the Care Management (CM) Department with the main goal of improving key L.A. Care members healthy and access appropriate services. The Director will also work with the CM Medical Directors and key staff in designing, enhancing and implementing programs, plan strategically and report on regulatory requirements.   

One of the key initiatives is to increase our community CM presence. The Director is also responsible for providing evidence of ongoing compliance with all regulatory and accreditation requirements (i.e. health risk assessments and interdisciplinary care plan and care team programs, population health management.

The Director is also responsible for outreaching and working with key stakeholders and provide subject matter expertise in support of the oversight, outreach and training of our Plan Partner Health Plans and Delegated Provider Groups.This position will direct all aspects of running an efficient  team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports.

Qualifications

Education Required:

• Bachelor's Degree in Nursing
• Master's Degree in Social Work for Licensed Clinical Social Workers

Education Preferred:

• Master's Degree in Nursing or Related Field

Experience Required:

• Minimum of 7 years of Care Management experience including progressively responsible leadership experience facilitating quality/process improvement, updating policies/procedures with the latest regulatory and accreditation standards.  
• At least 5 years of leading staff or supervisory/management experience 
• Minimum of 3 years of relevant Health Plan experience.

About the Hospital

As the nation's largest publicly-operated health plan, we have a great responsibility to the communities we serve, and our employees play an essential role in ensuring we meet those needs.

Why Join Us?
Opportunity. Amazing co-workers. A supportive management team. Great compensation and benefits. Camaraderie and a true sense of mission. If you want a career that truly contributes to the good of all, join us as we work towards a healthier L.A.