Manager Case Management Care Coordination

Manager Case Management Care Coordination

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized.

Job Summary and Qualifications

The Manager of Clinical Care Coordination supports the patient and primary care relationship through care delivery enhancement with direct oversight of the Clinical Care Coordination team. Primary mechanisms for this support are telephonic outreach to patients to guide them through transitions of care, care management, preventive services, and self-management. The Clinical Care Manager acts as an integral member of the ACO and CIN network by providing direct leadership to the Clinical Care Coordinators, engaging and managing Post-Acute relationships in the markets, coordinating collaboration with the HCA facilities, partners, providers and leadership.

• Serves as a subject matter expert in care transitions, case management and post-acute care. Assists in educating Clinical Care Coordinators, practice staff on quality, payor, and government program requirements.
• Directly oversees the clinical care coordinator team for MountainStar Care Partners, makes appropriate recommendations on workflow changes, continuing education needs and team development
• Develops professional working relationship with ACO and CIN network providers, practice managers, and their staff to collaboratively manage follow-up care and improve overall health and wellness
• Directly oversees Transitional Care Program for MountainStar Care Partners networks.
• Contacts patients after an emergency department encounter or hospital discharge to identify the need for a follow-up appointment, community resource needs, etc.
• Documents assessment in the medical record to support transition of care services as specified by CMS and other program requirements
• Prepares and maintains Transitions of Care and Care Management reports and provides periodic updates to network leaders
• Knowledge and understanding of Post-Acute relationships pertaining to ACO, CMS, and Value Based Entity requirements
• Triages patients to determine those appropriate for medical and/or behavioral care management
• Creates a care management action plan with the patient/caregiver that includes elements of self-management, as appropriate

What Qualifications You Will Need:

• Graduate of an accredited college of nursing required
• Current licensure as an RN in the state of residence and/or practice
• Certified Case Manager, preferred
• Minimum of 10 years' experience as an RN, including an administrative capacity with responsibility for the overall operation of the business, required

MountainStar Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

HCA's Mountain Division offers careers within 11 respected and integrated hospitals within Utah, Idaho and Alaska. While each site is unique in location, size, and community, all Mountain Division facilities share commonalities of compassion, patient-focused, quality care and collaborative teamwork. We know that together, we're greater. We know that what makes us better makes our patients better. That's why our facilities consistently receive national recognition for top quality and exceptional safety.

HCA's Mountain Division hospitals are part of HCA Healthcare - a network of more than 300 affiliate hospitals, outpatient centers and business offices across the country offering employees the opportunity for travel and relocation. HCA facilities are all about caring for people, and that care extends to patients, families and employees.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder

If you find this opportunity compelling, we encourage you to apply for our Manager Case Management Care Coordination opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.