Manager, Inpatient Care Management

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Manager, Inpatient Care Management

Winston Salem, NC, United States

Job ID: R227323

Shift: 1st

Job Type: Regular

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Department:

34033 Wake Forest Baptist Medical Center - Nursing: Care Coordination

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Business hours with on-call rotation

Pay Range

$47.50 - $71.25

Are you a collaborative healthcare leader passionate about driving exceptional patient outcomes through effective care coordination and discharge planning? Join our team as a Manager of Inpatient Care Management, where youll provide strategic leadership and hands-on oversight. In this highly visible role, youll partner with hospital leadership, physicians, nurses, and post-acute providers to ensure timely progression of care, regulatory compliance, and high-quality, cost-effective outcomes for patients and families.

Essential Functions & Responsibilities

• Provide leadership and operational oversight of Inpatient Care Management
• Directly manage, mentor, and develop CM/SW staff, fostering strong team engagement, accountability, and professional growth.
• Oversee daily operations, including staffing schedules, timecards, PTO approval, and continuity of services.
• Monitor staff performance and competencies; develop and implement action plans to address gaps, ensure regulatory compliance, and improve efficiency.
• Lead team building, conflict resolution, and employee engagement initiatives.
• Facilitate performance improvement activities by establishing metrics, benchmarks, and performance targets.
• Collect, analyze, and report data to evaluate care management effectiveness and identify variation from standards.
• Conduct root-cause analyses of performance gaps and recommend sustainable improvements.
• Identify and communicate physician practice trends related to care management and utilization management.
• Collaborate with the Director of Inpatient Care Management Operations, Physician Advisors, and Medical Staff Leadership to develop documented improvement and education plans.
• Serve as an internal consultant and subject-matter expert for complex care management and discharge planning cases.
• Intervene with physicians as needed to resolve barriers to discharge and ensure appropriate utilization of resources.
• Support Utilization Management (UM) Committees and participate in multidisciplinary and cross-functional initiatives.
• Collaborate closely with Physician Advisors on challenging cases and throughput optimization.
• Develop, manage, and monitor operational and capital budgets for assigned programs.
• Ensure full compliance with CMS, OSHA, accrediting bodies, and established care management standards and ethical codes.
• Partner with Compliance to ensure adherence to all state and federal regulations.
• Lead orientation and ongoing competency assessments for CM/SW staff.
• Perform full human resources responsibilities, including hiring, performance evaluations, corrective actions, and employee relations.
• Maintain professional licensure, certifications, and ongoing professional development.
• Model and enforce adherence to the organizations Code of Ethical Conduct.

Education, Experience, Licensure & Certification Requirements

Education

• Bachelors Degree in Nursing (required)
• Master of Nursing Administration, Master of Health Care Administration, or related field (preferred)

Licensure

• Active Registered Nurse (RN) license

Certification

(Required within one year of hire one of the following)

• Accredited Case Manager (ACM) American Case Management Association
• Certified Case Manager (CCM) Commission for Case Manager Certification

Experience

• Minimum of 3 years in a relevant clinical setting
• At least 1 year of supervisory experience in a Care Management leadership role

Knowledge, Skills & Abilities

• Strong leadership, communication, and critical-thinking skills
• Ability to prioritize, organize, and manage multiple demands independently
• Knowledge of Medicare Parts A & B, Managed Care programs, and Utilization Management requirements
• Understanding of Conditions of Participation for Discharge Planning
• Familiarity with regulatory and accreditation environments
• Proficiency with Microsoft Office applications
• Ability to travel

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

• Premium pay such as shift, on call, and more based on a teammate's job

• Incentive pay for select positions

• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs

• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability

• Flexible Spending Accounts for eligible health care and dependent care expenses

• Family benefits such as adoption assistance and paid parental leave

• Defined contribution retirement plans with employer match and other financial wellness programs

• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nations largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Provides leadership and oversight of the Care Management (CM) program and staff assigned. Provides direct management and development of site CM/SW staff. Collaborates frequently with Hospital Leaders, Post-Acute Partners, Physicians, Physician Advisors, Nurses, and others to ensure accurate and timely progression of care, discharge planning, and compliance with regulatory standards/conditions of participation related to discharge planning and utilization management. Supports ongoing communication and education on care coordination, discharge planning, alternate payment methods, regulatory requirements and performance improvement methodologies.

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