Manager of Care Management

Manager, Care Management

Competitive salary with a comprehensive benefits package, including : 401(k) match, Paid Time Off (PTO), Medical, dental, vision and flexible spending accounts, Life and disability insurance and more.

The Manager, Care Management 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, 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 :

Qualifications :

Knowledge, Skills and Abilities :

Licenses and Certifications :

INDLEAD Equal Employment Opportunity :

This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to : hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to to obtain the main telephone number of the facility and ask for Human Resources.