Overview To Speak to a Recruiter within 24 hours, text SFMC CM Manager to: (650) 505-5373 St. Francis Medical Centeris one of the leading comprehensive healthcare institutions serving Southeast Los Angeles. St. Francis is dedicated to providing vital healthcare services for the 700,000 adults and 300,000 children who count on the hospital for high quality and compassionate medical care. St. Francis is recognized for its full range of diagnostic and treatment services in specialties including Cardiovascular, Surgical, Orthopedics, Maternal-Child Health, Behavioral Health and Emergency and Trauma Care.  In addition, the hospital offers a broad array of education and outreach programs that advance community health. St. Francis Medical Center is a Certified Primary Stroke Center, Approved STEMI Receiving Center for Los Angeles County and designated Baby-Friendly healthcare facility by Baby-Friendly USA. Please visitwww.stfrancismedicalcenter.comfor more information. Join an award-winning team of dedicated professionals committed to our core values of quality , compassion and community! Why Prime Healthcare? (https://stfrancismedicalcenter.com/why-healthcare-prime/) St. Francis Medical Center, a member of Prime Healthcare, offers incredibleopportunities to expand your horizonsand be part of a community dedicated to making a difference. St. Francis Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to: + Paid time off + 401K retirement plan + Outstanding Medical + Dental + Vision coverage + Tuition reimbursement + Many more voluntary benefit options! (https://www.primehealthcare.com/careers/benefits/) Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time. We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The working Manager of Case Management is responsible for the development of staff and systems to effectively operate a comprehensive Case Management Program. Provides leadership and supervision to case managers, case management coordinators/discharge planners, utilization review coordinators and utilization review technicians. Assesses needs and plans, communicates and designs services that are appropriate to the hospital mission and patient/family needs. Integrates and coordinates services using continuous quality improvement tools . Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness. Qualifications EDUCATION, EXPERIENCE, TRAINING Required qualifications: + Licensed clinician in the state of California. + Grandfathered prior to April 1, 2015. Minimum 5 years’ post graduate of an accredited school of nursing with minimum Bachelors Science in Nursing (BSN) and Licensed Registered Nurse (RN) credential OR Grandfathered prior to April 1, 2015. Minimum 5 years’ post graduate of an accredited school, with an Associate’s Degree in Nursing (ADN) and Licensed Vocational Nurse (LVN) credential. + Minimum 5 years’ experience in a Case Management position. Experience in discharge planning / utilization management / case management functions, in both managed care and non-managed care environments. + Must have analytical ability for problem identification and assessment and evaluation of data/statistics obtained from an on-going review process. + Experience and knowledge in basic to intermediate computer skills. Preferred qualifications: + Current BCLS (AHA) certificate preferred. + One (1) year of acute care supervisory experience preferred. + Knowledge of Milliman Criteria and InterQual Criteria preferred. St. Francis Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. Benefits may vary based on employment status, i.e. full-time, part-time, per diem or temporary. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $103,916.80 to $139,838.40 on an annualized basis. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/191636/nursing-manager---case-management-department-%285-yrs-of-experience-required%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. Francis Medical Center LocationUS-CA-Lynwood ID2025-191636 CategoryManager Position TypeFull Time ShiftDays Job TypeExempt