This position requires the full understanding and active participation in fulfilling the mission of Saddleback Medical Center. It is expected that the employee demonstrate behavior consistent with our core values: Integrity, Accountability, Best Practices, Compassion and Synergy. The employee shall support Saddleback Medical Center’s strategic plan and participate in and advocate performance improvement/patient safety activities.
The RN, Lead Care Manager is responsible for supporting the clinical and operational functions of the Utilization Review Department (Care Management, Discharge Planning and Utilization Review) in compliance with regulatory requirements. The incumbent reports directly to the Executive Director of the department. The position required to maximize the quality and cost efficiency of health care services, while supporting positive patient care outcomes.
2-3 years Care Management experience (prefer hospital based)
Leadership experience in Care Management (1-2 years highly desirable)
Experience utilizing Milliman Care Guidelines preferred
Bachelor’s Degree in nursing with Care Management certification preferred