Care Management Operations Leader

Intermountain Healthcare Inc.; Las Vegas (NV); On-site; USD 62,000 - 96,000; Full time

Job summary

Intermountain Healthcare Inc. seeks a Manager of Care Management I to lead care management across utilization review, acute and ED care, and ambulatory settings, collaborating with medical, nursing, and revenue cycle leadership to optimize patient care and financial performance.

The role oversees social work, complex care planning, transitions of care, and utilization management, ensuring compliance with regulatory standards and driving workforce development.

Qualifications

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

Responsibilities

• Lead care management operations across utilization review, acute and ED care, and ambulatory settings.
• Collaborate with medical, nursing, clinical, and revenue cycle leaders to optimize care and finances.
• Oversee social work, complex care planning, transitions of care, and utilization management.
• Ensure compliance with state, national, and regulatory requirements; drive workforce development.
• Shape enterprise-wide strategies to deliver safe, high-quality, equitable care.

Skills

Care management experience

Leadership

Collaboration with clinical teams

Education

BSN

MSW

RN license or LCSW/LMSW license

Job description

Intermountain Healthcare Inc. seeks a Manager of Care Management I to lead care management across utilization review, acute and ED care, and ambulatory settings, collaborating with medical, nursing, and revenue cycle leadership to optimize patient care and financial performance.

The role oversees social work, complex care planning, transitions of care, and utilization management, ensuring compliance with regulatory standards and driving workforce development.