Hospital Care Management Manager

Job Description:

The Manager of Care Management II leads and collaborates with care management operations across utilization review, acute and emergency department care, and ambulatory/community settings, ensuring alignment with broader system-level strategies. This role oversees multiple disciplines at various care sites within a market or region, working collaboratively with medical staff, nursing, clinical, and revenue cycle leaders to optimize patient care and financial performance. Responsible for managing departmental services, including social work and complex care planning, transitions of care, and utilization management. The position ensures compliance with state, national, and regulatory requirements while fostering workforce development. The manager plays a crucial role in shaping enterprise-wide strategies to deliver safe, high-quality, patient-centered, and equitable care. Additionally, this role may require travel to various locations for operational oversight and leadership support.

Scope: Manages a department with operations primarily 24/7 (requiring overnight and non-traditional hours of support for escalations). Oversees operations related to staffing, escalations, barrier triage, and coordination with compliance and legal teams to support care delivery.

Job Specifics

• Pay Range: $50.97 - $78.69 Exempt
• Benefits Eligible: Yes
• FTE: Full time
• Shift: 8:30am - 5:00pm. Requires 24-hour and weekend leadership accountability for operations in the Emergency Departments and Acute hospital units which may require onsite support for escalations.
• Click learn about additional Intermountain benefits
• REQUIRED: LCSW LICENSURE
• Location: LDS hospital, requires travel to Riverton and Alta View hospitals to support Care Management operations.          

Essential Functions

• Leadership & Operations: Oversees care management, ensure daily efficiency in operations and staffing, allocate resources, and contribute to executive decisions. 
• Financial & Operational Management: Supports budgeting, revenue cycle processes, and compliance with financial goals. 
• Employee Engagement & Development: Leads hiring, training, retention, and performance evaluation while fostering professionalism. 
• Clinical Excellence: Ensures patient safety, quality care, compliance, and best-practice collaboration. 
• Patient Experience & Advocacy: Drives patient satisfaction programs and mentor staff in service excellence. 
• System-Wide Collaboration: Represents care management with healthcare executives, post-acute providers, multidisciplinary teams, and outreach programs to improve care transitions and service integration. 
• Process Improvement Leadership: Drives high-impact change initiatives, monitors key performance indicators, and leads quality assurance efforts. 
• Change Management: Leads strategic initiatives to support enterprise KPI’s and outcomes, manages transitions, and involves staff in decision-making. 
• Continuous Improvement: Implements best practices, drives quality enhancements, and optimizes operational effectiveness. 

Minimum Qualifications

• Current Registered Nurse (RN) license or Licensed Clinical Social Worker (LCSW) in state of practice
• Bachelor’s degree in Nursing or Master’s degree in Social Work from accredited institution (degree verification required)
• Care Management certification within 24 months of hire or promotion into role
• Demonstrated care management experience

Preferred Qualifications

• Management experience in hospital Care Management, utilization review, ambulatory care management, ambulatory utilization review or related area
• LCSW Licensure.

Physical Requirements

• Ongoing need to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.
• Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, medication preparation, etc.
• Expected to lift and utilize full range of movement to transfer patients. Will also bend to retrieve, lift, and carry supplies and equip