Director, Care Management - Full Time, Day Shift

Adventist Health; Marysville (CA); On-site; USD 145,954 - 218,931; Full time

Job summary

Adventist Health in Marysville, CA is seeking a Director of Care Management to lead the care management department and oversee the annual budget. You will manage reporting, regulatory updates, and stakeholder relationships to ensure compliant and efficient operations.

The role requires RN/MD/LCSW licensure with significant leadership and hospital discharge planning experience, and offers a comprehensive benefits package within a faith‑based health system.

Qualifications

• Bachelor’s Degree or equivalent combination of education/related experience: Required
• Master's Degree: Preferred
• Seven years' hospital discharge planning, utilization review, case management and social work experience: Preferred
• Five years' leadership experience: Preferred

Responsibilities

• Develops the care management team and motivates them to accomplish department goals and objectives.
• Develops, manages, and oversees the annual care management budget. Prepares and evaluates monthly, quarterly, and annual reports of the department's functions.
• Provides information regarding changes in Medicare regulations and documentation issues to physicians and others as needed. Analyzes and monitors utilization metrics and communicates findings as appropriate.
• Oversees accountability for on-site monitoring reviews by outside review organizations and third-party payers.
• Maintains relationships and contractual oversight with key stakeholders, onsite and enterprise-wide, including education and monitoring of utilization patterns.
• Performs other job-related duties as assigned.

Skills

Leadership

Budget management

Regulatory knowledge

Education

Bachelor’s Degree or equivalent

Master's Degree

Seven years' hospital discharge planning, utilization review, case management and social work experience

Five years' leadership experience

Job description

Job Description

Centered in the heart of Yuba‑Sutter County, Adventist Health and Rideout has been one of the area's leading healthcare providers since 1907. We are comprised of a 221‑bed hospital, 21 physician clinics, home care services, comprehensive cancer care and a vast scope of award‑winning services located throughout Marysville and the surrounding areas. The allure of Marysville's community is complimented by its proximity to major metropolitan cities in the Bay Area and Sacramento, as well as just a quick drive to Lake Tahoe.

Job Summary

Direct function and personnel of the care management department. Develops, manages, and oversees the annual care management budget. Prepares and evaluates monthly, quarterly, and annual reports of the department's functions. Monitors and reports on changes in Medicare regulations and documentation issues to physicians and others as needed. Maintains relationships and contractual oversight with key stakeholders, local, state, and federal agencies.

Education and Work Experience

• Bachelor’s Degree or equivalent combination of education/related experience: Required
• Master's Degree: Preferred
• Seven years' hospital discharge planning, utilization review, case management and social work experience: Preferred
• Five years' leadership experience: Preferred

Licenses / Certifications

• Registered Nurse (RN), Medical Degree (MD) or (DO) and currently licensed to practice, without restriction, in the State of California or Licensed Clinical Social Worker (LCSW): Required
• Licensed Master Social Worker (LMSW) - State Board: Preferred
• Registered Nurse (RN) or Medical license MD (MD) or Medical license DO (DO) or Licensed Clinical Social Worker (LCSW): Required

Essential Functions

• Develops the care management team and motivates them to accomplish department goals and objectives.
• Develops, manages, and oversees the annual care management budget. Prepares and evaluates monthly, quarterly, and annual reports of the department's functions.
• Provides information regarding changes in Medicare regulations and documentation issues to physicians and others as needed. Analyzes and monitors utilization metrics and communicates findings as appropriate.
• Oversees accountability for on-site monitoring reviews by outside review organizations and third-party payers.
• Maintains relationships and contractual oversight with key stakeholders, onsite and enterprise-wide, including education and monitoring of utilization patterns. Maintains working relationships with local, state, and federal agencies.
• Performs other job-related duties as assigned.

Organizational Requirements

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

About Us

Adventist Health is a faith‑based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

Job Information

Job Identification : 68890

Job Category : Director

Posting Date : 2026-07-16T20:26:29+00:00

Job Shift : Day Shift

Locations : Marysville, CA, United States

Assignment Category : Full-time regular

Pay Range : The estimated base pay for this position is $145,954 to $218,931. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions.

Hiring Department : RevCycle - Care Management

Shift Length : 8 Hours