Care Management Manager

43000 Intermountain Medical Holdings Nevada Inc; United States; On-site; USD 62,000 - 96,000; Full time

Benefits offered by this job

Benefits package

Job summary

Intermountain Health is seeking a Manager of Care Management I to lead care management operations across utilization review, acute and emergency department care, and ambulatory settings, ensuring alignment with system-level strategies.

This role oversees multiple disciplines at various care sites within a market or region, working with medical staff, nursing, clinical, and revenue cycle leaders to optimize patient care and financial performance.

Qualifications

• Current RN license or applicable social work license in state of practice.
• BSN or MSW from an accredited program.
• Care management certification within 24 months of hire or promotion.
• Demonstrated care management experience in hospital or health system settings.

Responsibilities

• Lead care management operations across utilization review and ED/inpatient care.
• Collaborate with medical staff, nursing, and revenue cycle leaders to optimize care and finances.
• Oversee social work and complex care planning, transitions of care, and utilization management.
• Ensure compliance with state and national regulations and workforce development.
• Drive enterprise-wide strategies to deliver safe, high-quality, equitable care.

Skills

Care management experience

Staff collaboration

Regulatory compliance knowledge

Education

RN license

BSN

MSW

Care Management Certification

Job description

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.

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.

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

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

Location: Nevada Central Office, St George Regional at Foremaster Work City: Las Vegas Work State: Nevada

Benefits

We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a 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.

Equal Opportunity Statement

Intermountain Health is an equal opportunity employer.

Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Legal and Compliance

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Accessibility & Accommodation

If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email [e-mail]. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Introduce yourself to our Talent Acquisition team and we will get in touch if there is a role that seems like a good match.

PEAK Program

Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more.

Contact and Company Information

All positions subject to close without notice. Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment. To find out more about us, head to our career site here.

Thanks for your interest in continuing your career with our team!