Manager, Care Coordination presso Broadlawns

The Broadlawns Medical Center campus includes an acute care hospital, primary and specialty care clinics, urgent care and emergency services, lab, radiology, dentistry, inpatient and outpatient mental health, crisis team, and community-based behavioral support services. Broadlawns accepts all forms of insurance and its approach to healthcare and quality outcomes earned a Level 3 rating from the National Committee for Quality Assurance, the highest achievable status for a medical delivery model.

We are a safety net hospital and our Patients are our North Star! With a dedicated staff of over 160 physicians and 1,600 employees, Broadlawns Medical Center ensures that our community has access to high quality healthcare that is coordinated, compassionate and cost-effective. We provide our employees a top-rated benefits package, supportive work culture, and more! 

Manager, Care Coordination

ROLES & RESPONSIBILITIES

• Lead and supervise Utilization Management, Case Management, and Clinical Care Coordinator teams to ensure high-quality delivery of care.
• Chair and lead discharge planning meetings on a routine and periodic basis.
• Develop, implement, and monitor care coordination policies, procedures, and performance metrics.
• Collaborate with clinical and administrative leadership to optimize patient flow, resource allocation, and discharge planning.
• Ensure compliance with regulatory requirements, payer guidelines, and organizational standards in care coordination activities.
• Foster interdisciplinary collaboration and analyzing data to support process and quality improvement initiatives leading to improved patient outcomes and satisfaction.
• Provide ongoing coaching, performance evaluations, and professional development for direct reports.
• Participate in budget planning and resource management for care coordination services.
• Coordinates and leads departmental activities (Payroll, scheduling, staff meetings, etc). 
• Performs comprehensive patient assessments and on-going treatment and care plans.
• Seeks clinical advice from and works collaboratively with nursing, medical, and other ancillary and interdisciplinary staffs.
• Identifies patients proactively with complex needs, collaborates with other relevant internal and external resources and services; periodically monitors and reviews the individual's ongoing needs and the appropriateness of the service(s) to improve access to quality services to meet health and social care needs, promoting user choice and independence.
• Effectively manages the delivery of care to an active caseload of patients to reduce the risk of hospital re-admissions.
• Provides concurrent input related to utilization of resources, risk management, and quality of care.
• Performs other duties as assigned.

Schedule:

Full-Time Days, Mon-Fri

PERFORMANCE STANDARDS

• Effectively leads and manages the Case Management Department in alignment with the hospital’s mission, values, and strategic goals. Demonstrates strong leadership in recruitment, development, and retention of case management staff.
• Develops and maintains departmental policies, procedures, and protocols to ensure consistent and effective case management practices.
• Ensures timely and appropriate discharge planning, care coordination, and transitions of care.
• Maintains high standards for interdisciplinary collaboration with physicians, nurses, social workers, and other care team members. Ensures compliance with evidence-based practices in care coordination and discharge planning.
• Maintains full compliance with all federal, state, and accrediting agency regulations, including CMS & other accrediting bodies, and HIPAA.
• Prepares for and successfully leads audits and surveys related to case management functions.
• Oversee the utilization review process to ensure appropriate levels of care and avoid unnecessary hospitalizations.
• Ensures timely completion of medical necessity reviews and appeals.
• Tracks and improves metrics such as length of stay, readmission rates, and denial rates.
• Develops and manages departmental budgets efficiently.
• Identifies cost-saving opportunities through effective case management and resource utilization.
• Monitors financial indicators such as LOS variances and avoidable days and implements strategies for improvement.
• Promotes a culture of collaboration, respect, and shared accountability across departments.
• Effectively communicates case management objectives and updates to hospital leadership, staff, and stakeholders.
• Provides education and support to staff, patients, and families regarding case management services.
• Monitors and reports on key performance indicators (KPIs) related to case management, such as length of stay, discharge delays, readmissions, and patient throughput.
• Uses data analytics to drive process improvements and improve patient outcomes.
• Leads or supports initiatives to improve patient outcomes, reduce readmissions, and optimize resource utilization.
• Develops and implements quality improvement projects within the department.
• Participate in hospital-wide quality and patient safety committees as needed.
• Ensures all direct reports are appropriately trained, certified, and supported.
• Provides regular performance feedback, coaching, and professional development opportunities.
• Maintains appropriate staffing levels and schedules to meet patient needs.
• Advocates for patient needs and ensures patient-centered care planning.
• Addresses and resolves patient or family concerns related to discharge planning or case management services in a timely and respectful manner.
• Promotes a positive patient and family experience through effective communication and support.

MINIMUM QUALIFICATIONS

• Bachelor’s degree in Nursing, Healthcare Administration, Social Work or related field.
• Current RN license (if applicable) or relevant clinical certification. Minimum of 5 years’ experience in case management, utilization review, or care coordination, with at least 2 years in a leadership role. Strong knowledge of healthcare regulations, payer requirements, and care management best practices.
• Excellent leadership, communication, and organizational skills. Ability to work collaboratively across multidisciplinary teams.

PREFERRED QUALIFICATIONS

• Master’s degree in Nursing (MSN), Social Work (MSW), Healthcare Administration (MHA), Business Administration (MBA), or related field.
• Additional certifications in healthcare management or leadership are highly desirable.
• Certification in Case Management (ACM- Accredited Case Manager or CCM- Certified Case Manager) highly preferred.
• Lean Six Sigma, CPHQ (Certified Professional in Healthcare Quality), or other quality/process improvement certifications.
• Minimum of 5–7 years of progressive leadership experience in hospital-based case management or care coordination.
• Proven experience managing large, multidisciplinary teams and complex patient care environments.
• Demonstrated success in improving length of stay, readmissions, utilization management, and patient throughput.
• Proficiency in using case management and EMR software.
• Strong data analysis skills, including experience with dashboards, performance metrics (KPIs), and reporting tools.

Work Shift

Benefits (FT/PT) 

• Retirement - IPERS 

• Education Assistance 

• Employee Health & Wellness 

• PTO 

• Free Parking

• Health Insurance 

• Supplemental Insurance 

• 529 College Savings Plan 

• And more! 

Broadlawns Medical Center is an Equal Opportunity Employer