Manager Case Management

HCA Healthcare; Nashville (TN); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

PTO and personal leave

401K match

Job summary

HCA Healthcare is looking for a Manager to lead the Ethics Line investigations, overseeing intake, planning, and execution of internal investigations. You will supervise case coordinators, coordinate with diverse teams (HR, Legal, Information Security), and ensure accurate documentation and timely resolution.

The role involves preparing executive summaries, maintaining data integrity in the case system, and presenting findings to leadership.

Qualifications

• Bachelor’s degree required.
• Master’s degree preferred.
• 5+ years of experience in law, regulatory compliance, or internal investigations in matrix organization.

Responsibilities

• Manages internal investigations of ethics or compliance concerns reported or referred to the HCA Healthcare Ethics Line.
• Provides direct supervision of case coordinator or other support staff.
• Reviews initial intake report of concerns and determines information needs to develop an investigative plan.
• Conducts initial interview of the individual reporting a concern to determine scope.
• Prepares investigation plans and assigns cases to appropriate investigators; monitors timely completion and quality of outcomes.
• Documents investigation activity and outcomes in the case management system; drafts reports, summaries and closing memoranda.

Education

Bachelor’s degree

Master’s degree

Job description

Introduction

Do you want to join an organization that invests in you as a Case Manager? At HCA, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Benefits

At HCA, we want to ensure your needs are met. We offer eligible colleagues an attractive benefit package that includes medical, wellbeing, dental and vision benefits along with some unique benefits including:

• Medical, Dental, Vision, Life Insurance and Flexible Spending
• Paid Time Off (PTO) and Personal Leave
• 401K (100% annual match - 3% to 9% of pay based on years of service)
• Academic Assistance and Reimbursements for Tuition and Student Loans
• Employee Discounts including Tickets, Retail, Mental Health Apps, Education Apps, Identity Theft Protection etc.
• Home, Auto, and Pet Insurance
• Employee Stock Purchase Program (ESPP)
• Short Term & Long Term Disability coverage
• Adoption Assistance
• Legal Benefits and lots more!

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Case Manager like you to be a part of our team.

Job Summary and Qualifications

The Manager within the Ethics Line team manages internal investigations of ethics or compliance related concerns reported or referred the HCA Healthcare Ethics and Compliance department. The Manager has responsibility for the life cycle of the investigation from intake through resolution. The Manager completes detailed reviews of cases upon completion of the investigation to ensure consistent, thorough and detailed investigation outcomes.

What you will do in this role:

• Manages the internal investigation of ethics or compliance related concerns reported or referred to the HCA Healthcare Ethics Line.
• Provides direct supervision of case coordinator or other support staff.
• Reviews initial intake report of concerns for sufficiency of information and determines appropriate methods for obtaining additional information, if needed, to develop an investigative plan or resolve the concerns.
• Conducts initial interview of the individual reporting a concern to determine the nature and scope of the investigation.
• Assigns cases to appropriate investigators or investigation group(s), including but not limited to Ethics and Compliance Officers, Human Resources, Legal, Information Protection & Security, Clinical Services Group, etc. and collaborate with assigned investigator(s) as needed to determine the next steps in the investigation and timeline for resolution.
• Prepares investigation instructions and plans and provides additional investigation guidance or direction to assigned investigator(s), as needed.
• Ensures investigations are completed timely and thoroughly and cures deficiencies, as needed.
• Documents investigation activity, outcomes and resolutions accurately and professionally in the case management system, including but not limited to correspondence and communications with individuals involved and any reports, records, documentation or other information received related to the investigation.
• Completes detailed reviews of cases upon completion of investigation, validating consistent, thorough, and detailed investigation outcomes.
• Summarizes case allegations, investigation outcomes and resolutions in a clear and concise.
• Prepares investigation reports, executive case summaries, closing memoranda, statistical reporting and analysis and other administrative documents related to the investigation and case management.
• Monitors the case management system to ensure investigations are completed timely and documented accurately, maintain the integrity of the data and identify risks or adverse trends.
• Recognizes, resolves and/or escalates deficiencies in the investigation, outcome, corrective action or any significant trends to the Assistant Vice President or Vice President timely.
• Conducts presentations, education and training for internal investigators and assists in development of policies and procedures for the Ethics Line operations, as needed.

What qualifications you will need:

• Bachelor’s degree required
• Master’s degree preferred
• 5+ years of experience in law, regulatory compliance, or internal investigations in matrix organization

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.