RN Manager of Care Management

CHS Career Site; Naples (FL); Sur place; USD 90 000 - 125 000; Plein temps

Résumé du poste

Physicians Regional-Collier is seeking 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 and collaborate with physicians, nurses, payors, and other healthcare professionals to improve outcomes and optimize resource use.

The ideal candidate has RN or SW leadership experience, strong regulatory knowledge, and a proven track record in

Qualifications

• Associate Degree in Nursing or Master’s in Social Work required.
• 2–4 years of related field experience required.
• 2–4 years of leadership experience preferred.
• RN licensure or SW licensure required (as applicable).

Responsabilités

• Oversee daily operations of the Care Management department.
• Oversee utilization review and discharge planning processes.
• Collaborate with physicians, nurses, payors to optimize care.
• Monitor regulatory compliance and quality initiatives.
• Prepare reports on utilization and performance.
• Provide staff mentorship and performance evaluations.

Connaissances

Leadership

Communication

Collaboration

Teamwork

Problem-solving

Time management

Healthcare software

Data analysis

Google Suite

Microsoft Office

Formation

Associate Degree in Nursing

Master's Degree in Social Work

Outils

Healthcare software systems

Data analysis tools

Description du poste

Director of Care Management – Position Overview

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.

Position Overview:

Location: Naples, FL
Schedule: Day Shift

Team Size:

• Directly supervises a small team of fewer than 10 staff members.

Hospital Size:

• Smaller community hospital with approximately 130 beds.

Reporting & Support Structure:

• Reports through the Market Director of Care Management, with a strong partnership and collaborative relationship with the Hospital CFO.

Autonomy & Leadership Expectations:

• Provides autonomy in day-to-day operations and team management.
• Operational initiatives and process improvements are developed collaboratively and vetted through the Market Director of Care Management.
• Participates in evening and weekend on-call responsibilities as needed.
• May assist with Care Management assignments or workload coverage when necessary.

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. INDLEAD