Jobs · Healthcare · Iowa

Nurse Manager-Case Management

MercyOne · Mason City, IA · 2 wk ago
On-siteHealthcareFull-time

About the role

The Case Management Manager provides both strategic and operational leadership for acute care case management services, including utilization management, social work, care transitions, and complex care coordination. This role collaborates closely with senior leadership, physicians, and interdisciplinary teams to drive performance, improve patient outcomes, and ensure efficient, compliant care delivery. The manager leverages data to optimize key metrics such as length of stay, readmissions, and denials. Additionally, the role leads and develops supervisory staff while advancing standardized workflows and a culture of continuous improvement.

Responsibilities

  • Lead ministry level acute care management strategy and execute across utilization management, case management, social work, care transitions, and complex care coordination, aligning regional priorities with local operational needs.
  • Partner with senior leadership, including the CMO, CNO, physicians, and interdisciplinary teams, to drive performance improvement and lead change management efforts that support adoption of new workflows, tools, and care delivery initiatives.
  • Ensure staffing models, workflows, and escalation processes support efficient patient flow and discharge while maintaining consistent adherence to standard work, organizational policies, and regulatory requirements.
  • Provide formal coaching and mentorship, while leading and developing care management staff and coordinators.
  • Promote engagement, accountability, and leadership development, supporting succession planning and leadership readiness across the acute care management team.
  • Collaborate with physicians, nursing leadership, and cross-functional partners (quality, finance, revenue cycle, compliance) to support safe, compliant, high-quality care, while representing acute care management in market-level operational, clinical, and performance improvement initiatives.
  • Drive performance across key metrics including length of stay, avoidable days, denials, level of care accuracy, readmissions, and documentation integrity by leveraging data and dashboards to identify trends, prioritize improvements, sustain outcomes, and escalate unresolved risks or systemic barriers.

Minimum Qualifications

  • Bachelor’s degree in Nursing.
  • Three to five (3–5) years of progressive acute care management or related healthcare leadership experience.
  • Master’s Degree in nursing, health care administration, or related healthcare field preferred.
  • Current Iowa RN license; current Registered Nurse (RN) license in either Iowa or Illinois required at time of hire. A secondary RN license for the other state must be obtained within 12 months of hire date.
  • Professional Care Management Certification (ACMA, CCM, CMAC) preferred.
  • Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire. Colleagues working solely in Illinois facilities are exempt from this requirement in accordance with applicable state requirements.
  • Demonstrated depth of knowledge in utilization management, care coordination, throughput optimization, and regulatory compliance.

Benefits

  • Education Assistance offered
  • Effective Day 1 Benefit Package (Medical, Dental, Vision, and more) for positions 16 hours per week or greater
  • Competitive wages; including weekend and night differentials
  • Generous paid time off program
  • Retirement Savings program with employer match starting on Day 1

Similar jobs