RN Job

Manager, Enterprise and Network Oversight Clinical Operations

Full Time
Pay Range: $117,509.00 - $188,015.00 Annually
Job ID: 9496
Los Angeles, 90017

The Manager of Enterprise and Network Oversight Clinical Operations is an integral part of ensuring the success of the Enterprise Performance Optimization Program (Enterprise POP) and the Network Performance Optimization Program (Network POP). The Manager will support internal and external oversight and monitoring of delegated and non-delegated medical management and clinical operations' functions. This position is responsible for helping execute and monitor projects, strategic plans, and programs designed to achieve the Department's goals and L.A. 

Qualifications
  • Bachelor's Degree in Nursing
  • Master's Degree in Nursing or Related Field
  • Minimum of 6-8 years of experience in risk management and/or contract and/or regulatory and/or accreditation requirements analysis related to clinical operations functions, medical management (utilization management, care/case management) in managed care or other related health care industry.
  • At least 3-5 years of supervisory/management experience. 
  • Minimum of 5 years of experience in Healthcare Compliance, Risk Management, Legal, or related field, in a complex and high-demand business setting.
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.

View Job

 

Additional Jobs at L.A. Care Health Plan

Posted within the last 49 days (7 jobs)

Care Management Clinical Reviewer II

Full Time
Pay Range: $88,854.00 - $142,166.00 Annually
Job ID: 9411
Los Angeles, 90017

The Care Management Clinical Reviewer II is responsible for supporting the Care...

View Job

Manager, Care Management

Full Time
Pay Range: $117,509.00 - $188,015.0 Hourly
Job ID: 9549
Los Angeles, 90017

The Manager, Care Management is directly responsible for the oversight and...

View Job

Care Management Specialist II

Full Time
Pay Range: $88,854.00 - $142,166.00 Annually
Job ID: 9409
Los Angeles, 90017

The Care Management Specialist II utilizes clinical skills and training to...

View Job

Utilization Management Nurse Specialist LVN II

Full Time
Pay Range: $67,186.00 - $107,498.00 Annually
Job ID: 9183
Los Angeles, 90017

The Utilization Management Nurse Specialist LVN II for the Utilization Review...

View Job

Delegation Oversight Clinical Auditor RN II

Full Time
Pay Range: $88,854.00-$142,166.00 Annually
Job ID: 9387
Los Angeles, 90017

The Delegation Oversight Clinical Auditor RN II is responsible for ensuring...

View Job

Utilization Management Nurse Specialist LVN II

Full Time
Pay Range: $67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (Max.)
Job ID: 9109
Los Angeles, 90017

The Utilization Management Nurse Specialist LVN II for the Utilization Review...

View Job

Clinical Assurance Compliance Nurse Specialist RN II

Full Time
Pay Range: $88,854.00-$142,166.00 Annually
Job ID: 9257
Los Angeles, 90017

The Clinical Assurance Compliance Nurse Specialist RN II is responsible for the...

View Job

Hiring Now

Experience the Digital Flip Mag

Flip through the pages of the latest Working Nurse magazine on your device.