Supervisor - Scmg Integrated Care Mgmnt - Hybrid (san Diego Co Only) - Ft - Days
Sharp
San Diego, CA, US
Hourly: $72.29 - $104.47; range midpoint: $93.28; ...
Supervise ambulatory case management staff
Ensure ncqa dmhc cms regulatory compliance
Develop operational plans and policies
This role involves supervising the effective implementation of Ambulatory Case Management programs and ensuring alignment with regulatory bodies like NCQA and DMHC
Job Summary
This role involves supervising the effective implementation of Ambulatory Case Management programs and ensuring alignment with regulatory bodies like NCQA and DMHC.
The supervisor is responsible for operational planning, data analysis, and streamlining programs to improve patient care outcomes in a managed healthcare setting.
Candidates must possess a Bachelor's degree in nursing or a related field along with specific experience in acute care and medical management.
Matching Summary
This role involves supervising the effective implementation of Ambulatory Case Management programs and ensuring alignment with regulatory bodies like NCQA and DMHC.
Salary
Hourly: $72.29 - $104.47; Range midpoint: $93.28; Pay dependent on experience and skills
Skills & Requirements
Must-have
Supervise Ambulatory Case Management staff
Ensure NCQA DMHC CMS regulatory compliance
Develop operational plans and policies
Analyze data for program improvement
Coordinate with Medical Directors
Nice-to-have
Strong leadership in managed care setting
Experience with Epic or OnBase systems
Utilization or Quality Management certification
Ability to facilitate provider education
Strategic planning and vision implementation
Key Requirements
Bachelor's Degree in nursing or health care
3 Years experience in acute patient care (ICU/Med-Surg)