RN Job

Manager, Medical Management

Full time
Pay Range: $117,509.00 (Min.) - $152,762.00 (Mid.) - $188,015.00 (Max.)
Job ID: 11046
Los Angeles, 90017

The Manager of Medical Management is responsible for the overall day-to-day operations of the staff and activities requiring clinical licensure in the Utilization Management (UM) department. This position will work closely leaders to develop and organize the department’s work priorities and deliverables. This position will manage clinical personnel to orchestrate and oversee the completion of tasks requiring clinical determinations. This position will also be responsible for internal and external reporting, and managing the monthly data needed to ensure department metrics are met or exceeded, including but not limited to, productivity, and satisfaction of internal and external customers.

Qualifications
  • Bachelor's Degree in NursingIn lieu of degree, equivalent education and/or experience may be considered.
  • At least 6 years of clinical nursing experience with at least 4 years of leading staff or supervisory/management experience. 
  • Minimum 3 years relevant health plan experience. 
  • Equivalency:  Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement.
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.

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