Manager of Case Management

Salary Estimate: $103,916.80 - $155,896.00 per year. Factors such as skills, experience, and comparisons to existing employees may influence the actual salary, with typical hires below the midpoint of the range.

About the Role

We are seeking a Manager of Case Management to promote growth and innovation at Sunrise Hospital and Medical Center. This role assists in directing the Case Management program, including case management, utilization management, resource management, discharge planning, and care coordination. You will help coordinate systems for safe and appropriate discharges, ensure utilization management practices meet corporate, division, facility, and regulatory guidelines, and assess staffing levels, competency, and educational needs of the case management team.

This position provides consultation and education to facility leadership, clinical and financial personnel, the Board of Trustees, and medical staff regarding case management practices. You will assist the Director of Case Management in reviewing the annual Case Management/Utilization Management Plan and implementing processes that support efficient patient throughput, optimal clinical outcomes, appropriate resource utilization, patient status, level of care, and reimbursement.

Sunrise Hospital & Medical Center is a leading healthcare provider in Las Vegas and the Southwest region, offering advanced services such as a comprehensive stroke center and Nevada’s only fresh post-op Pediatric CICU. HCA Healthcare, our parent organization, is recognized for ethical practices and has invested significantly in charitable care and uncompensated expenses.

Responsibilities

• Assist in directing the Case Management program, including case management, utilization management, resource management, discharge planning, and care coordination.
• Coordinate systems for safe and appropriate patient discharges while ensuring compliance with corporate, division, facility, and regulatory guidelines.
• Assess and evaluate care/services provided, staffing levels, competency, and educational needs of case management staff.
• Provide consultation and education to facility leadership, clinical and financial personnel, the Board of Trustees, and medical staff on case management practices.
• Assist the Director of Case Management in reviewing the annual Case Management/Utilization Management Plan.
• Identify and implement processes to support efficient patient throughput, optimal clinical outcomes, appropriate resource utilization, patient status, level of care, and reimbursement.

Requirements

• Diploma in Nursing, ADN, BA, or BSN degree in nursing or another healthcare-related field. Master’s degree preferred.
• National Certification in Case Management (ACM or CCM) preferred.
• Minimum of five (5) years of experience in acute care nursing.
• Minimum of two (2) years of management experience in an acute care setting, specifically in case management, throughput, and/or utilization management.
• Advanced knowledge of levels of care criteria, financial management, and regulatory standards for federal payers, JCAHO, and other insurance companies.

Benefits

• Comprehensive medical coverage, including no-cost or low-copay services, prescription drug coverage, behavioral health coverage, free telemedicine services, and free AirMed medical transportation.
• Dental and vision benefits, life and disability coverage, flexible spending accounts, and supplemental health protection plans (e.g., accident, critical illness, hospital indemnity).
• Auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, and pet insurance.
• Free counseling services and resources for emotional, physical, and financial well-being.
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service).
• Employee Stock Purchase Plan with a 10% discount on HCA Healthcare stock.
• Family support through fertility and family-building benefits (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 other programs.
• Retirement readiness services, rollover assistance, and preferred banking partnerships.
• Education assistance, including tuition support, student loan assistance, certification support, and dependent scholarships.
• Colleague recognition program.
• Time Away From Work Program, including paid time off, paid family leave, long- and short-term disability coverage, and leaves of absence.
• Employee Health Assistance Fund offering free employee-only coverage based on income.

Note: Eligibility for benefits may vary by location.