Director of Care Management

LSMA Management Inc • San Bernardino, CA

5d • $130,000 - $145,000 • Hybrid

About The Position

The Director of Care Management is responsible for overseeing the implementation, development, and management of all Care Management programs. This role ensures compliance with all regulatory requirements, establishes efficient processes for patient care management in appropriate programs, and provides leadership to the Care Management team. The Director works collaboratively with clinical and non-clinical staff, physicians, all levels of company leadership, patients, and community resources to deliver quality patient-centered care and achieve optimal outcomes.

Requirements

• Bachelor's degree in Nursing, Healthcare Administration, Public Health, Social Work, or a closely related healthcare field.
• At least five years of progressive experience in care management, population health, or clinical operations.
• At least three years in a leadership or management role.
• Strong leadership, organizational, and communication skills.
• Ability to collaborate with interdisciplinary teams and manage cross-functional relationships.
• Ability to communicate effectively with leadership, team members, and external contacts.
• Ability to work effectively with others, delegate responsibilities, and independently manage tasks while meeting established deadlines.
• Problem-solving and critical thinking skills.
• In-depth knowledge of industry best practices and regulatory compliance.
• Ability to remain sitting for extended periods in an office and/or remote environment.
• Frequent repetitive motions such as typing, clicking, and handling documents.
• Sustained attention to detail, strong focus, and the ability to maintain mental concentration over long durations.
• Capacity to manage stress associated with deadlines, high-volume workloads, and the fast-paced nature of health information operations.

Nice To Haves

• Master's degree (MSN, MHA, MPH, MBA, or MSW) or completion of Vocational Nursing or Registered Nursing program.
• At least ten years of managed care experience.
• Experience in delegated managed care organizations.
• Experience with NCQA accreditation.
• Experience managing Medicare Advantage, Medi-Cal, Dual Eligible, or Commercial populations.
• Current unrestricted California RN or LVN license.
• Certified Case Manager (CCM), ACM, or other nationally recognized Care Management certification.

Responsibilities

• Overseeing the implementation, development, and management of all Care Management programs.
• Ensuring compliance with all regulatory requirements.
• Establishing efficient processes for patient care management in appropriate programs.
• Providing leadership to the Care Management team.
• Collaborating with clinical and non-clinical staff, physicians, all levels of company leadership, patients, and community resources to deliver quality patient-centered care and achieve optimal outcomes.
• Fostering a positive work environment that promotes teamwork, professionalism, and continuous improvement to meet the organizational goals and expectations.
• Developing departmental budgets and strategic initiatives.

What This Job Offers

• Job Type: Full-time
• Career Level: Director