Hospital Care Management Manager

About the role

The LDS hospital manager will support Acute Care Management on the hospital floors at LDS, as well as the Behavioral Health/Detox Care Managers at LDS & Alta View Hospital to maintain alignment for Behavioral Health programming. The manager also 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. Responsibilities include managing departmental services such as 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. This role may require travel to various locations for operational oversight and leadership support.

Responsibilities

• Oversee operations including staffing, escalations, barrier triage, and coordination with compliance and legal to support care delivery
• Drive patient satisfaction programs and mentor staff in service excellence
• Represent care management with healthcare executives, post-acute providers, multidisciplinary teams, and outreach programs to improve care transitions and service integration
• Lead high-impact change initiatives, monitor key performance indicators, and lead quality assurance efforts
• Lead strategic initiatives to support enterprise KPIs and outcomes, manage transitions, and involve staff in decision-making
• Implement best practices, drive quality enhancements, and optimize operational effectiveness

Scope

This position manages a department with operations primarily Monday through Friday (may include weekend support for escalations) in non-24-hour service areas, regardless of the size of the facility, or has a small number of direct reports in 24-hour departments of medium or large facilities due to specific reporting structure considerations.

Requirements

• Current Registered Nurse (RN) license in state of practice OR Licensed Clinical Social Worker (LCSW) in the state of practice with relevant experience at this licensure
• Bachelor of Science in Nursing (BSN) OR Master of Social Work (MSW) from an accredited institution (degree verification required)
• Care Management Certification within 24 months of hire or promotion
• Demonstrated care management experience

Preferred Qualifications

• Previous management experience in hospital care management, utilization review, ambulatory care management, ambulatory utilization review, or related area

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 verbal communication as well as hearing and understanding 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; 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 equipment, including items of varying weights, up to and including heavy items
• Need to walk and assist with transporting/ambulating patients and obtaining and distributing supplies and equipment; includes pushing/pulling gurneys and portable equipment, including heavy items; often required to navigate crowded and busy rooms
• May be expected to stand in a stationary position for an extended period of time
• For roles requiring driving: expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles

Pay

The hourly range for this position is $44.99 – $69.44. Actual hourly rate dependent upon experience.