Manager, Inpatient Care Management
American Addiction Centers•Winston-Salem, NC
•$48 - $71•Onsite
About The Position
This role provides strategic leadership and hands-on oversight for Inpatient Care Management. The Manager partners 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. This is a highly visible role within the organization.
Requirements
- Bachelor’s Degree in Nursing (required)
- Active Registered Nurse (RN) license
- Accredited Case Manager (ACM) – American Case Management Association OR Certified Case Manager (CCM) – Commission for Case Manager Certification (Required within one year of hire)
- Minimum of 3 years in a relevant clinical setting
- At least 1 year of supervisory experience in a Care Management leadership role
- 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
Nice To Haves
- Master of Nursing Administration, Master of Health Care Administration, or related field (preferred)
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 organization’s Code of Ethical Conduct.
Benefits
- Comprehensive suite of Total Rewards: benefits and well-being programs
- Competitive compensation
- Generous retirement offerings
- Programs that invest in your career development
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Manager
