Manager of Care Management

Physicians Regional Healthcare System; Naples (FL); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Competitive compensation

Comprehensive health coverage

Future security 401(k) with employer-m

Generous PTO & EIB

Career growth opportunities

Recognition & reward programs

Exclusive employee discounts & perks

Job summary

Physicians Regional Healthcare System in Naples, FL seeks a Director of Care Management to lead planning, coordination, and oversight of care management services, including utilization review, discharge planning, and transitions of care. You will supervise staff, collaborate with physicians and payors, and drive outcomes aligned with patient needs and organizational goals.

The role requires strategic leadership, regulatory compliance, and strong communication to ensure efficient, cost-effective

Qualifications

• RN - valid state licensure (or equivalent) required.
• MSW/LMSW/LCSW licensure required or in process.

Responsibilities

• Oversee daily operations of the Care Management department in coordination with the Director.
• Oversee utilization review and discharge planning processes for appropriate admission and discharge.
• Direct and prioritize workloads based on patient length of stay, DRGs, charges, and reimbursement.
• Evaluate patient status via chart review and team interviews to support care planning.
• Collaborate with physicians, nurses, payors to streamline care and timelines.
• Monitor observation stays and ensure regulatory compliance and timely decisions.
• Prepare and deliver reports on utilization and performance to leadership.
• Perform other duties and maintain reliable attendance and adherence to policies.

Skills

Leadership

Staff management

Strategic planning

Budgeting

Regulatory compliance

Quality improvement

Cross-functional collaboration

Communication

Education

Associate Degree in Nursing

Master’s Degree in Social Work

Tools

Healthcare software systems

Google Suite

MS Office

Job description

Why You’ll Love Working Here

• Competitive Compensation – Salary and benefits package designed to reward your expertise, leadership, and contributions.
• Comprehensive Health Coverage – Medical, dental, vision, and life insurance options to support you and your family.
• Future Security – 401(k) retirement plan with employer matching to help you build long‑term financial stability.
• Generous Paid Time Off – Paid Time Off (PTO) and Extended Illness Bank (EIB) to support work‑life balance and personal well‑being.
• Career Growth Opportunities – Professional development, leadership training, and advancement opportunities across our organization.
• Recognition & Reward Programs – We celebrate employee achievements and contributions to our success.
• Exclusive Employee Discounts & Perks – Access to special savings and benefits designed for our team members.

Role: Director of Care Management

Location: Naples, FL

Schedule: Day Shift Hours

Job Summary

The Manager, Care Management, in coordination with the Director, is responsible for the planning, coordination, and oversight of care management services, including utilization review, discharge planning, and transitions of care. The role ensures care is appropriate, timely, cost‑effective, and aligned with patient needs and organizational goals. The Manager leads the daily operations of the Care Management department, supervises staff, and collaborates with physicians, nurses, payors, and other healthcare team members to facilitate care coordination, improve outcomes, and support effective resource utilization.

Essential Functions

• Manages the daily operations of the Care Management department, in collaboration with the Director, ensuring services are delivered efficiently, effectively, and in compliance with organizational standards.
• Oversees utilization review and discharge planning processes to ensure appropriateness of admission, continued stay, diagnostic services, and discharge readiness.
• Directs and prioritizes workload based on patient length of stay, diagnosis‑related groups (DRGs), charges, reimbursement, and other risk factors.
• Evaluates patients through chart review, interviews with providers and staff, and patient assessments to support care planning and transitions.
• Collaborates with physicians, nurses, ancillary services, and payors to streamline care, resolve barriers, and ensure timely discharge planning.
• Monitors observation stays and ensures compliance with regulatory requirements, timely admission, or discharge decisions.
• Prepares and delivers reports on utilization, care management performance, and variance from expected outcomes to facility and organizational leadership.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Leadership Responsibilities

• Supervision and Staff Management
  • Provides leadership, mentorship and professional development opportunities for departmental staff.
  • Schedules employees to ensure effective use of resources. Consults with Director on staffing issues.
  • Conducts performance evaluations, sets goals and provides feedback to staff on their performance and development.
• Strategic Planning and Financial Oversight
  • Develops and manages departmental budget ensuring cost effective operations while maintaining high quality service.
  • Monitors expenditures, ensuring cost‑effective delivery of services.
  • Evaluates and implements new technologies to enhance operational efficiency.
  • Develops and implements departmental policies and procedures and protocols to optimize quality and overall efficiencies.
• Quality Assurance and Regulatory Compliance
  • Ensures compliance with all relevant regulatory bodies. May oversee the accreditation process with relevant agencies ensuring that services meet or exceed industry standards.
  • Participates in audits, inspections and accreditation processes as applicable.
  • Follows established quality control practices to ensure accuracy, consistency and safety.
• Collaboration and Communication
  • Works closely with leadership teams to coordinate and improve service delivery.
  • Stays up-to-date with industry advancements, new technologies, and regulatory changes.
• Staff Responsibilities
  • May work in a staff role, when required. Ensures that duties and responsibilities are fulfilled while meeting all competencies established for that job.

Qualifications

• Associate Degree in Nursing required or
• Master's Degree in Social Work required
• 2-4 years of experience in closely related field required
• 2-4 years of previous leadership experience preferred

Knowledge, Skills and Abilities

• Strong leadership, organizational, and communication skills.
• Ability to collaborate with interdisciplinary teams and manage cross‑functional relationships.
• Foster a positive work environment that promotes teamwork, professionalism, and continuous improvement.
• Communicate effectively with leadership, team members, and stakeholders.
• Ability to work effectively with others, delegate responsibilities, and independently manage tasks while meeting established deadlines.
• Problem‑solving and critical thinking skills.
• In depth knowledge of industry best practices and regulatory compliance (if applicable).
• Strong organizational and time management skills.
• Proficiency with Google and Microsoft platforms, healthcare software systems, and data analysis tools.

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure required or
• LCSW- License Clinical Social Worker required or
• LMSW - Licensed Medical Social Worker - State Licensure required

Why Work atPhysicians Regional‑Collier?

AtPhysicians Regional‑Collier, we’re more than healthcare providers, we’re a team dedicated to compassionate care and community wellness. Join us for a supportive work environment, opportunities for professional growth, and the chance to make a real difference in the lives of our patients every day. Your skills, your passion, and your commitment matter here.

This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer.

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