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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care management, including utilization review, transitions of care, and compliance with regulatory requirements. Proven ability to lead multidisciplinary teams and optimize patient care and financial performance across various care settings.
Highest-signal resume keywords
Registered Nurse (RN) LicenseLicensed Clinical Social Worker (LCSW)Care Management CertificationCare Management ExperienceBachelor’s Degree in Nursing
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Utilization ManagementCare PlanningPatient-Centered CareRegulatory ComplianceAcute Care ManagementEmergency Department CareAmbulatory CareWorkforce DevelopmentFinancial Performance OptimizationTransitions of Care
Soft Skills
CollaborationLeadershipCommunicationTeam ManagementStrategic Thinking
Certifications & Qualifications
Care Management Certification
Industry Keywords
Healthcare OperationsPatient CareClinical LeadershipSocial WorkRevenue Cycle Management
About the role
Key responsibilities & impact- Leads and collaborates with care management operations across utilization review, acute and emergency department care, and ambulatory/community settings
- Oversees multiple disciplines at various care sites within a market or region
- Works collaboratively with medical staff, nursing, clinical, and revenue cycle leaders to optimize patient care and financial performance
- Manages departmental services, including social work and complex care planning, transitions of care, and utilization management
- Ensures compliance with state, national, and regulatory requirements while fostering workforce development
- Plays a crucial role in shaping enterprise-wide strategies to deliver safe, high-quality, patient-centered, and equitable care
- May require travel to various locations for operational oversight and leadership support
Requirements
What you’ll need- Current Registered Nurse (RN) license or Licensed Clinical Social Worker (LCSW)/Licensed Master Social Worker (LMSW) or applicable license in state of practice
- Bachelor’s degree in Nursing or Master’s degree in Social Work from accredited institution (degree verification required)
- Care Management certification within 24 months of hire or promotion into role
- Demonstrated care management experience
Benefits
Comp & perks- generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
