Ambulatory Case Management RN Supervisor at LSMA Management Inc

San Bernardino, California, United States -

Full Time

Start Date

Immediate

Expiry Date

10 Jun, 26

Salary

120000.0

Posted On

12 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Case Review Oversight, Workflow Coordination, Auditing, Training, Compliance, Leadership, Clinical Outcomes, Resource Utilization, Patient Satisfaction, Clinical Reviews, Managed Care Principles, Healthcare Delivery Systems, Typing, Microsoft Office Proficiency, Communication, Data Analysis

Industry

Health and Human Services

Description

Description JOB SUMMARY: The RN Supervisor, Ambulatory Case Management serves as the first-line resource and subject matter expert for care management staff. This role supports daily operations including case review oversight, workflow coordination, auditing, training, and ensuring compliance with department procedures and regulatory requirements. The RN Supervisor provides leadership to ensure the delivery of high-quality care management services that promote optimal clinical outcomes, appropriate resource utilization, and excellent patient satisfaction. In addition to supervisory responsibilities, the RN Supervisor carries a small caseload and conducts clinical reviews based on established criteria. Requirements MINIMUM & PREFERRED QUALIFICATIONS Education/Training Minimum: Graduate of an accredited Registered Nursing Program. Preferred: Bachelor’s degree in Nursing or related healthcare field. Experience Minimum: 2+ years of inpatient review experience within a managed care organization or healthcare facility. Preferred: Previous leadership or care management supervisory experience. Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position. Certification(s) Current State Registered Nursing License Current BLS Certificate Skills, Knowledge & Abilities · Strong knowledge of managed care principles and healthcare delivery systems. · Ability to type 40 words per minute with accuracy. · Proficient in Microsoft Office (Word, Excel, Outlook, Access, PowerPoint). · Excellent written and verbal communication skills. · Ability to analyze clinical data, apply criteria, and support program compliance. · Strong organizational skills and the ability to manage multiple priorities. · Demonstrated ability to lead, train, and support staff in a patient-centered environment. PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS The physical, mental, and environmental demands described here are representative of those required to successfully perform the essential functions of this job. The RN Supervisor, Ambulatory Case Management role requires the ability to perform work in a standard office and clinical-support environment. The position involves prolonged periods of sitting for documentation, telephone communication, and computer use, with occasional standing, walking, and driving between facilities. The role requires light physical effort, including lifting up to 20 pounds, occasional bending, stooping, squatting, reaching, and frequent stair climbing. The position also demands sustained attention to detail, the ability to manage multiple priorities, and effective communication with staff, providers, and patients. The work environment may involve interacting with clinical settings during facility visits and participating in emergency response situations as appropriate.

Responsibilities

The RN Supervisor acts as the primary resource and subject matter expert for care management staff, supporting daily operations through case review oversight, workflow coordination, auditing, training, and ensuring regulatory compliance. This role also involves carrying a small caseload and conducting clinical reviews based on established criteria to promote optimal clinical outcomes.