What Manager Of Case Management Jobs are in the United States?

Complexity of Work: Responsible for day-to-day oversight and coordination of case management and discharge planning functions ensuring patient care meets quality and efficiency standards while aligning with regulatory requirements. This role requires an understanding of payer guidelines and working closely with multi-disciplinary teams to optimize patient flow. Requires critical thinking and effective communication (verbal and written) skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Knowledge of State and Federal regulations governing discharge planning conditions of participation, hospital information systems (e.g., logician and IDX), staff development techniques, and performance improvements processes. Strong background in clinical decision making, medical criteria, and discharge planning. Must be proficient with Interqual or Milliman guidelines and use. Proficient in process improvement, and performance monitoring. Required Work Experience: Minimum of three (3) years of case management experience and, at least, two (2) years of leadership experience within case management. Other Information: Additional Education Info: Graduate of an accredited Registered/Professional Nursing program or a Bachelor's degree in Nursing (BSN).Additional Certification Info: Certification in Case Management preferred.

Memorial Healthcare System is a community of caregivers dedicated to delivering quality patient- and family-centered care. This passion for caring extends to our teammates, who support one another and create heartfelt connections that last a lifetime. We are one family at the heart of exceptional care. Join us as we elevate the well-being of everyone we touch. #teamMHSflorida

**Requisition number:**
**Job category:** Nursing
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start **Caring. Connecting. Growing together.**
**We are currently offering a $10,000 sign on bonus for external candidates!**
This position has accountability and oversight the NV Medical Management Command Center RN case Manager functions. Medical Management includes observation level patients, acute long-term level patients and the development of plans of care to for transitions of care at discharge. This positions is responsible for the daily operations of medical management case managers in the assigned facilities. Collection and oversight of documentation and safety of RN decisions at discharge. Education and training is an integral part of this position to promote patient care. As a manager lead IDT meetings, participate in taskforces and ensures coverage at large volume hospitals and high risk patients. There is direct responsibility for the development and maintainence of metric performance for the assigned areas of the position.
Primary responsibility for case management includes discharge planning, improved transitions of care, and utilization management of long length hospitalized health plan members. Ensure members receive quality medical care in the most appropriate setting. Performs the following on a daily basis; 1) assurance of staffing higher volume hospitals and focusing the case managers on the standard work of command center; 2) Productivity of case management teams; 3) Audit standard work 4) Produce daily, weekly and monthly operational metrics for the command center and 5) refocus team members on the tactics of the command center with report progress to the Sr. Medical Director
**Primary Responsibilities:**
+ Ensure the team provides appropriate education, training, support and resources to all staff so that all compliance and customer service standards are met including the appropriateness of decision making, timeliness and completeness of all requests
+ Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions
+ Identify barriers so that staff can maintain high productivity and high levels of morale
+ Ensure coordination between other internal departments as well as external companies as appropriate
+ Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments
+ Independently manage work flows including orientation, standard work and report concerns to the director
+ Collaborates on decisions to promote teamwork
+ Collaboration with Sr. Medical Director and V.P.
+ Promote LEAN work cycles for performance enhancement
+ Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission
+ Other duties as assigned in medical management
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School diploma and/or equivalent
+ Active unrestricted Nevada RN license
+ Obtain CCM certification within 2+ years of employment
+ Valid Nevada driver's license and maintain personal auto insurance coverage
+ 1+ years of related professional experience in managed care environment
+ 1+ years related supervisory/management experience
+ Solid knowledge of regulatory requirements, competent in case management business as well as clinical arenas
+ Solid technology skills and excellent interpersonal skills
+ Proven ability to negotiate and arbitrate without difficulty
+ Proven ability to supervise multiple levels of people
+ Critical Thinking: Proven ability to integrate guidelines/tools to negotiate most effective plan of care
**Preferred Qualification:**
+ Bachelor's degree
**Working Conditions:**
+ Work completed in acute hospital and/or sub-acute and/or Inpatient Rehabilitation setting or office to promote command center management
+ Driving up to one hour per day.
**Competencies for High Performers:**
+ Participation in departmental projects assigned by Director or Manager.
+ Certification in Case Management (CCM) or equivalent Professional Certification (ACM).
+ Metric measures of success: Observation rate discharge, LOS Observation Rate; Observation rate of engagement with patient's high risk patients, improved readmission rate of high risk patients (10 days) and engagement of PCP HFU rate, daily productivity 10-11 patients per day OBs note; Affordability measures 6 O'clock X matrix cost of care on engaged members. Number of IDT completed within the week with Medical Director.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._

**Your future role at a glance**
**Location:** Mequon, WI | Onsite
**Facility:** Columbia St. Mary's Hospital Ozaukee
**Department:** Case Management
**Schedule:** Day shift | Full-Time
**Life at Ascension: Where purpose meets opportunity**
Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.
**Benefits that help you thrive**
+ **Comprehensive health coverage:** medical, dental, vision, prescription coverage and HSA/FSA options
+ **Financial security & retirement:** employer-matched 403(b), planning and hardship resources, disability and life insurance
+ **Time to recharge:** pro-rated paid time off (PTO) and holidays
+ **Career growth:** Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
+ **Emotional well-being:** Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
+ **Family support:** parental leave, adoption assistance and family benefits
+ **Other benefits:** optional legal and pet insurance, transportation savings and more
**How you'll make an impact in this role**
+ Manage assigned case managers, related activities and workflow to ensure effective and efficient patient care.
+ Manage professional and clerical associates who work in case management, as well as tracking of the post-acute period and provision of disease management, and contracting with internal and external resources.
+ Communicate with administration and medical staff in matters related to appropriateness of hospital admissions, discharge planning, and length of stay.
+ Serve as content specialist for staff in the areas of utilization criteria, appeal and review process, and case management system documentation.
+ Develop staff schedule and revise assignments daily to assure optimal unit coverage and distribution of workload within staffing standards. Cover on units as needed and serve as a resource for complex case management issues.
**What minimum requirements you'll need**
Licensure / Certification / Registration:
+ One or more of the following required:
+ Registered Nurse credentialed from the Wisconsin Board of Nursing obtained prior to hire date or job transfer date.
+ Social Worker credentialed from the Wisconsin Board of Marriage & Family Therapy, Professional Counseling & Social Work obtained prior to hire date or job transfer date.
+ Case Manager credentialed from the American Case Management Association (ACMA) preferred.
+ Case Manager credentialed from the Commission for Case Manager Certification (CCMC) preferred.
Education:
+ High school diploma/GED with 2 years of experience, or Associate's degree, or Technical degree required.
+ Masters Degree preferred.
Work Experience:
+ 3 years of experience required.
+ 1 year of leadership or management experience required.
**What additional preferences we're seeking**
+ Strong written and verbal communication. This individual will report directly to the hospital CFO and have heavy communication with physicians and hospital senior leadership.
**_Equal employment opportunity employer_**
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) ( poster or EEO Know Your Rights (Spanish) ( poster.
**_Fraud prevention notice_**
Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.
**_E-Verify statement_**
Employer does not participate in E-Verify and therefore cannot employ STEM OPT candidates.

**Introduction**
Managers thrive with us! HCA Healthcare is one of the nation's leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We are looking for a(an) RN Manager of Case Management for our Overland Park Regional Medical Center team where excellence creates excellence.
**Benefits**
Overland Park Regional Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
HCA Healthcare has expanded our influence across the healthcare industry by investing $3.5 billion in capital improvements in recent years. Do you want to be an influencer in healthcare? **Apply for our RN Manager of Case Management role today!**
**Job Summary and Qualifications**
The Manager for Case Management Services reports to the Case Management Director and is responsible for promoting patient-centered care by coordinating all aspects of hospital based case management for his/her assigned area of responsibility in alignment with the goals of the Case Management Department.
The Manager for Case Management is accountable for the overall day-to-day oversight and management of the case management program including coordination, supervision, and administrative oversight of the case management team.
The Manager for Case Management functions as an expert clinical practitioner, case management subject-matter expert, resource, advisor and leader for the members of the case management team.
The Manager for Case Management supervises and monitors professional and support staff and ensures that effective care coordination and case management practices are consistent with hospital policies, and applicable regulations and guidelines.
The Manager for Case Management monitors quality of the interactions, documentation and assessments of the case management staff.
The Manager for Case Management coordinates activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.
+ Serves as a role model and functions as a clinical resource for staff.
+ Supervises and facilitates development of staff and oversees the day-to-day tasks/activities in the department.
+ Ensures staff are competent in the use of InterQual to progress the plan of care.
+ Works collaboratively and maintains active communication with physicians, nurses, and other members of the interdisciplinary care team to effect timely, appropriate patient management.
+ Monitors the quality of CM interactions with patients, families, physicians, and the multidisciplinary team by regularly shadowing staff to ensure clear understanding and adherence to department processes.
+ Monitors quality of documentation and assessments by regularly auditing the case managers' documentation.
+ Participates in clinical performance improvement activities.
+ Communicates effectively with patients, family, medical staff, care team members, students, supervisors, and outside contacts.
+ Assumes responsibility of the department in the absence of the Director.
+ Assumes responsibility for scheduling and staffing of department.
+ Assumes responsibility for department education and competencies.
+ Completes daily, weekly and monthly reports as assigned by the Director of Case Management.
+ Covers staff assignments as needed.
+ Seeks ways to control costs without compromising patient safety, quality of care, or the services delivered.
+ Adheres to established policy and procedure and standards of care; escalates issues promptly through the established chain of command.
+ Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives.
+ Serves as an advocate for patient's rights, needs, and values; ensures that patients' ethnic, cultural, or religious values, beliefs, preferences ,and needs are considered and aligned.
+ Performs other duties as assigned.
+ Practices and adheres to the "Code of Conduct" and "Mission and Value Statement."
What qualifications you will need:
Associate Degree in Nursing or Nursing Diploma
Required
Bachelor's Degree in Nursing
Preferred
3+ years experience in clinical nursing
Required
2+ years supervisory experience
Preferred
InterQual experience
Preferred
Overland Park Regional Medical Center ( is a 340+ bed facility offering acute medical services to our patients. We are Johnson County's only Pediatric Intensive Care Unit and Level II Trauma Center. We have an Accredited Stroke and Chest Pain Center. Our hospital is a premier area destination for Women's & Children's healthcare services. We offer the region's only Maternal Fetal Health Center to care for critically ill mothers and their babies. Our hospital has an antepartum unit, a labor and delivery unit, and a Level III NICU. We have four emergency rooms, including a dedicated Pediatric emergency room and two freestanding ERs located in Olathe and Shawnee. Each year our colleagues treat over 45,000 patients. Caring for patients is more than a job for us, it's our mission and our calling. OPRMC is part of HCA Midwest Health, Kansas City's leading healthcare provider in the region.
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.
"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you're looking for a leadership opportunity that provides both personal satisfaction and professional growth, apply to join HCA Healthcare as a(an) RN Manager of Case Management. **Unlock your leadership potential with HCA Healthcare.**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

3 days ago Be among the first 25 applicants

This range is provided by Net2Source Inc. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$142,771.00/yr - $214,032.00/yr

Direct message the job poster from Net2Source Inc.

Location: Riverside, California

Position Summary:

We are seeking a skilled and experienced Manager of Case Management to lead a dynamic team in a large, acute care hospital setting. This individual will be responsible for overseeing the daily operations of the case management department, ensuring compliance with regulatory standards, optimizing patient throughput, and promoting high-quality, patient-centered care. The Manager will serve as a key leader in supporting effective care coordination, discharge planning, and utilization management throughout the hospital.

Key Responsibilities:

• Provide leadership and oversight to the case management department, including Registered Nurse Case Managers and Case Management Assistants.
• Monitor departmental processes to ensure alignment with hospital policies, regulatory requirements, and professional standards.
• Foster interdisciplinary collaboration to ensure safe, efficient, and timely discharge planning and care coordination.
• Assist with patient throughput by evaluating direct admits and supporting real-time discharge planning.
• Engage in proactive discharge discussions with patients and families to set appropriate expectations and minimize delays.
• Manage staffing schedules, attendance, productivity, and daily rounding to support case management team members.
• Ensure consistent application of utilization review criteria (e.g., InterQual, MCG Guidelines) to support medical necessity and level of care determinations.
• Address delays in patient care progression, escalate barriers, and collaborate with other hospital departments to implement solutions.
• Provide ongoing staff education and hold team members accountable for process adherence and quality outcomes.
• Serve as a weekend/evening on-call resource to resolve time-sensitive case management concerns, including transportation and higher level of care (HLOC) transfers.

Qualifications:

• Education:
• Bachelor’s Degree in Nursing (BSN) – Required
• Licensure/Certification:
• Current Registered Nurse (RN) License in California – Required (Pending license may be considered)

Experience:

• 3–5 years of case management experience in an acute care hospital – Required
• Prior leadership or management experience in a clinical or case management setting – Required

Department Structure:

• Reports to: Director of Case Management
• Support: Administrative Assistant
• Facility Size: 540+ inpatient beds
• Schedule: Monday – Friday, 8:00 AM – 5:00 PM
• On-Call: Rotational (Evenings/Weekends) to support escalations, service recovery, transportation issues, or emergent HLOC approvals.

Department Culture:

The team is rooted in values of Integrity, Compassion, Accountability, and Excellence (ICARE) . The ideal candidate will be a proactive leader, skilled in communication and collaboration, who prioritizes seamless discharge planning and patient satisfaction.

Seniority level

• Seniority level Mid-Senior level

Employment type

• Employment type Full-time

Job function

• Job function Health Care Provider
• Industries Hospitals and Health Care and Hospitals

Referrals increase your chances of interviewing at Net2Source Inc. by 2x

Inferred from the description for this job

Disability insurance

Tuition assistance

Paid paternity leave

Student loan assistance

Paid maternity leave

Child care support

Pension plan

Medical insurance

Vision insurance

401(k)

Get notified about new Manager Case Management jobs in Riverside, CA .

Riverside, CA $142,771.20-$214,032.00 2 weeks ago

Assistant Director of Case Management and Utilization Review - RUHS - Medical Center Registered Nurse Care Manager / Case Management (RN)

San Bernardino, CA $110,600.00-$143,800.00 2 weeks ago

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Do you have the career opportunities as a(an) Manager of Case Management you want with your current employer? We have an exciting opportunity for you to join HCA Florida Palms West Hospital which is part of the nation's leading provider of healthcare services, HCA Healthcare.
**Job Summary and Qualifications**
**What qualifications you will need:**
+ **(RN) Registered Nurse license in the state of FL**
+ **2 years experience Required Years of Experience**
+ **Leadership experience preferred**
**Benefits**
HCA Florida Palms West Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ **Comprehensive benefits** for medical, prescription drug, dental, vision, behavioral health and telemedicine services
+ **Wellbeing support,** including free counseling and referral services
+ **Time away from work** programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
+ **Savings and retirement resources** , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
+ **Education support** through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
+ **Additional benefits** for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
HCA Florida Palms West Hospital is a 204-bed facility in Palm Beach County. We offer preventative and elective programs and surgeries. We are an Agency for Health Care Administration (AHCA) Primary Stroke Center. HCA Florida Palms West Hospital has emergency services, a dedicated New Life Center and a Level II NICU. We have a full-service Children's Hospital. Services include outpatient rehabilitation, an aquatics center, orthopedic spine center, robotics, and interventional radiology. HCA Florida Palms West Hospital is located on a 94-acre campus in Palm Beach County. The surrounding areas include Wellington, Royal Palm Beach and Loxahatchee. Wellington is known for its parks and quality schools. Royal Palm Beach and Loxahatchee are known for their large acreage parcels, new homes, and equestrian community. We invite you to explore career opportunities with us at HCA Florida Palms West Hospital. Join our team of top healthcare professionals while enjoying all Palm Beach County has to offer.
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.
Â
"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Manager of Case Management opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock the possibilities and apply today!**
**We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.**

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Manager Case Management Care Coordination
**Job Summary and Qualifications**
**The Manager of Clinical Care Coordination supports the patient and primary care relationship through care delivery enhancement with direct oversight of the Clinical Care Coordination team. Primary mechanisms for this support are telephonic outreach to patients to guide them through transitions of care, care management, preventive services, and self-management. The Clinical Care Manager acts as an integral member of the ACO and CIN network by providing direct leadership to the Clinical Care Coordinators, engaging and managing Post-Acute relationships in the markets, coordinating collaboration with the HCA facilities, partners, providers and leadership**
+ **Serves as a subject matter expert in care transitions, case management and post-acute care. Assists in educating Clinical Care Coordinators, practice staff on quality, payor, and government program requirements.**
+ **Directly oversees the clinical care coordinator team for MountainStar Care Partners, makes appropriate recommendations on workflow changes, continuing education needs and team development**
+ **Develops professional working relationship with ACO and CIN network providers, practice managers, and their staff to collaboratively manage follow-up care and improve overall health and wellness**
+ **Directly oversees Transitional Care Program for MountainStar Care Partners networks.**
+ **Contacts patients after an emergency department encounter or hospital discharge to identify the need for a follow-up appointment, community resource needs, etc.**
+ **Documents assessment in the medical record to support transition of care services as specified by CMS and other program requirements**
+ **Prepares and maintains Transitions of Care and Care Management reports and provides periodic updates to network leaders**
+ **Knowledge and understanding of Post-Acute relationships pertaining to ACO, CMS, and Value Based Entity requirements**
+ **Triages patients to determine those appropriate for medical and/or behavioral care management**
+ **Creates a care management action plan with the patient/caregiver that includes elements of self-management, as appropriate**
**What qualifications you will need:**
+ **Graduate of an accredited college of nursing required**
+ **Current licensure as an RN in the state of residence and/or practice**
+ **Certified Case Manager, preferred**
+ **Minimum of 10 years' experience as an RN, including an administrative capacity with responsibility for the overall operation of the business, required**
**Benefits**
MountainStar Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ **Comprehensive benefits** for medical, prescription drug, dental, vision, behavioral health and telemedicine services
+ **Wellbeing support,** including free counseling and referral services
+ **Time away from work** programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
+ **Savings and retirement resources** , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
+ **Education support** through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
+ **Additional benefits** for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
HCA's Mountain Division ( offers careers within 11 respected and integrated hospitals within Utah, Idaho and Alaska. While each site is unique in location, size, and community, all Mountain Division facilities share commonalities of compassion, patient-focused, quality care and collaborative teamwork. We know that together, we're greater. We know that what makes us better makes our patients better. That's why our facilities consistently receive national recognition for top quality and exceptional safety.
HCA's Mountain Division hospitals are part of HCA Healthcare - a network of more than 300 affiliate hospitals, outpatient centers and business offices across the country - offering employees the opportunity for travel and relocation. HCA facilities are all about caring for people, and that care extends to patients, families and employees.
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.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you find this opportunity compelling, we encourage you to apply for our Manager Case Management Care Coordination opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. **We are interviewing - apply today!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

**Description**
Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
Summary:
The Care Manager RN plays a crucial role in providing comprehensive and coordinated care to patients within UNC Health. This position involves utilizing a variety of skills, including risk segmentation, patient assessments, patient-centered care plans, tasks or interventions, care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare providers, patients, and their families to ensure that patients receive the highest quality of care and support throughout their healthcare journey.
Responsibilities:
1. Patient Assessments:
a. Conduct comprehensive care manager assessments utilizing standardized assessment tools and nursing knowledge to evaluate patients' functional abilities, cognitive status, and psychosocial support systems.
b. Identify any barriers to care and develop appropriate interventions to address them.
2. Patient-Centered Care Plans:
a. Collaborate with providers, patients, their families, and the healthcare team on individualized care plans that align with patients' goals, preferences, and values.
b. Ensure that care plans are evidence-based, culturally sensitive, and promote patient engagement and self-management.
3. Risk Segmentation:
a. Utilize standardized tools and clinical judgment to identify and assess the risk level of patients based on various factors such as medical conditions, social determinants of health, and behavioral health needs.
b. Develop strategies to effectively manage and mitigate risks for patients, ensuring their overall well-being and optimal health outcomes.
4. Tasks or Interventions: a. Coordinate and facilitate necessary tasks or interventions to support patients' care plans.
b. Collaborate with healthcare providers, community resources, and support services to ensure seamless coordination of care.
c. Advocate for patients' needs and rights, ensuring that they receive appropriate and timely interventions. d. Participates in quality improvement initiatives to ensure patient, departmental, and organizational goals/outcomes are met or exceeded.
5. Care Transitions: a. Coordinate and facilitate care across various healthcare settings, ensuring seamless transitions and continuity of care.
b. Communicate and collaborate with healthcare providers, specialists, and community resources to ensure comprehensive and coordinated care delivery.
c. Facilitate multidisciplinary care team meetings to discuss patients' care plans and progress.
6. Coordinated Work:
a. Coordinate care management tasks with other members of the healthcare team while maintaining accountability for the overall coordination and management of patients' care as applicable per patient population.
7. Payer Communication:
a. Collaborate with payers, insurance companies, and utilization management teams to optimize reimbursement and facilitate timely approvals for necessary care and services.
8. Accurately document and bill for services rendered, as applicable, in compliance with insurance and regulatory requirements.
a. Collaborate with billing and coding professionals, as applicable, to ensure compliance with coding and documentation requirements.
9. Longitudinal Care as part of the Medical Home (varies per patient population and care setting):
a. Act as a key point of contact and advocate for patients within the care team.
b. Provide ongoing support and care coordination throughout the patient's healthcare journey, ensuring continuity and comprehensiveness of care.
**Other Information**
Other information:
**Education Requirements:**
● Graduation from a state accredited school of professional nursing
● Magnet hospitals: BSN required or must be enrolled in an accredited program within 4 years of employment and obtain a bachelor's degree with a major in nursing or a master's degree with a major in nursing within 7 years of employment date.
**Licensure/Certification Requirements:**
● Registered Nurse with a valid license to practice in North Carolina.
**Professional Experience Requirements:**
● Minimum of 2 years of experience as a registered nurse.
**Knowledge/Skills/and Abilities Requirements:**
● - Strong knowledge of risk segmentation, patient assessments, patient-centered care planning, care transitions, and payer communication.
- Excellent communication, collaboration, and problem-solving skills.
- Ability to work independently and as part of a multidisciplinary team.
- Proficiency in electronic health records (EHR) and other relevant software applications.
**Job Details**
Legal Employer: NCHEALTH
Entity: UNC Rockingham Health Care
Organization Unit: RHC Case Management
Work Type: Per Diem
Standard Hours Per Week: 20.00
Salary Range: $31.04 - $44.62 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Onsite
Work Schedule: Variable
Location of Job: US:NC:Eden
Exempt From Overtime: Exempt: Yes
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email if you need a reasonable accommodation to search and/or to apply for a career opportunity.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.