Care Management Manager

Intermountain Health; Nevada; In loco; USD 62.000 - 96.000; Tempo pieno

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Benefits Eligible

Descrizione del lavoro

Intermountain Healthcare Inc. seeks a Manager of Care Management I to lead care management operations across utilization review, transitions of care, social work, and complex care planning in Nevada.

This role ensures alignment with broader system strategies and compliance while fostering workforce development. You will collaborate with medical staff and revenue cycle leaders to optimize patient care and financial performance, mentor staff, and drive enterprise-wide improvements; occasional

Competenze

• RN license in state of practice or LCSW/LMSW with relevant experience.
• BSN or MSW from an accredited institution (degree verification).
• Care Management Certification within 24 months of hire or promotion.
• Demonstrated care management experience.

Mansioni

• Provide patient experience advocacy and mentor staff in service excellence.
• Represent care management with executives and providers to improve transitions.
• Drive process improvement, monitor KPIs and lead quality assurance.
• Lead change management initiatives to support enterprise KPI outcomes.
• Implement best practices and optimize operational effectiveness.

Conoscenze

Care management experience

Leadership

Formazione

BSN or MSW

Descrizione del lavoro

Job Description:

The Manager of Care Management I leads and collaborates with care management operations across utilization review, acute and emergency department care, and ambulatory/community settings, ensuring alignment with broader system-level strategies. This role oversees multiple disciplines at various care sites within a market or region, working collaboratively with medical staff, nursing, clinical, and revenue cycle leaders to optimize patient care and financial performance. Responsible for managing departmental services, including social work and complex care planning, transitions of care, and utilization management. The position ensures compliance with state, national, and regulatory requirements while fostering workforce development. The manager plays a crucial role in shaping enterprise-wide strategies to deliver safe, high-quality, patient-centered, and equitable care. Additionally, this role may require travel to various locations for operational oversight and leadership support.

Scope

This position manages a department with operations primarily Monday through Friday (may include weekend support for escalations) in non-24-hour service areas, regardless of the size of the facility, or has a small number of direct reports in 24-hour departments of medium or large facilities due to specific reporting structure considerations. Oversee operations of staffing, escalations, barrier triage, and coordination with compliance and legal to support care delivery.

The Manager Care Management I reports to the Care Management Director.

Job Specifics

Benefits Eligible: Yes

FTE: Full time

Shift: Monday - Friday, 8:00am - 4:30pm

Location: Southwest Utah and North Las Vegas areas of the Desert region.

Essential Functions

• Patient Experience & Advocacy: Drives patient satisfaction programs and mentors staff in service excellence.
• System-Wide Collaboration: Represents care management with healthcare executives, post-acute providers, multidisciplinary teams, and outreach programs to improve care transitions and service integration.
• Process Improvement Leadership: Drives high-impact change initiatives, monitors key performance indicators, and leads quality assurance efforts.
• Change Management: Leads strategic initiatives to support enterprise KPI's and outcomes, manages transitions, and involves staff in decision-making.
• Continuous Improvement: Implements best practices, drives quality enhancements, and optimizes operational effectiveness.

Minimum Qualifications

• Current Registered Nurse (RN) license in state of practice OR Licensed Clinical Social Worker (LCSW)/Licensed Master of Social Work (LMSW) or applicable license in state of practice with relevant experience at this licensure.
• Bachelor of Science in Nursing (BSN) OR Master of Social Work (MSW) from an accredited institution (degree verification required).
• Care Management Certification within 24 months of hire or promotion.
• Demonstrated care management experience.

Preferred Qualifications

• Previous management experience in hospital care management, utilization review, ambulatory care management, ambulatory utilization review, or related area.

Physical Requirements

• Ongoing need to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.
• Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, medication preparation, etc.
• Expected to lift and utilize full range of movement to transfer patients. Will also bend to retrieve, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
• Need to walk and assist with transporting/ambulating patients and obtaining and distributing supplies and equipment. This includes pushing/pulling gurneys and portable equipment, including heavy items. Often required to navigate crowded and busy rooms (full of equipment, power cords on the floor, etc.)
• May be expected to stand in a stationary position for an extended period of time.
• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location

Nevada Central Office, St George Regional at Foremaster

Work City: Las Vegas

Work State: Nevada

Scheduled Weekly Hours: 40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$44.99 - $69.44

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