Job Summary: The Manager, Inpatient Care Management provides operational leadership for the performance of Care Management Services, including operationalizing strategic initiatives, monitoring the departments quality program, maintaining regulatory readiness, compliance monitoring, data analytics, and policy governance. Working in partnership with department supervisor and clinical lead, this role uses data and performance improvement methods to advance Care Without Delay objectives, optimize patient progression, strengthen resource stewardship, and improve departmental outcomes. The Manager oversees accreditation readiness, quality and compliance programs, performance reporting, budget monitoring, policy development, and implementation of key operational and technology initiatives to ensure safe, effective, and efficient care management services.
Essential Responsibilities:- Strategic Initiatives
- Serves as department representative for cross functional initiatives.
- Operationalizes optimization of care management programs, technology, and workflows.
- Leads multidisciplinary initiatives that advance Care Without Delay objectives, quality outcomes, regulatory readiness, and operational performance.
- Department Quality and Performance
- Uses performance data to identify opportunities to improve quality, patient progression, Care Without Delay objectives, operational efficiency, and resource stewardship.
- Leads the department quality program and performance improvement activities.
- Develops and monitors department dashboards, scorecards, and key performance indicators.
- Presents department performance and improvement plans to leadership and committees.
- Regulatory Compliance and Accreditation
- Leads departmental accreditation readiness and regulatory compliance activities.
- Oversees compliance monitoring, audit processes, and performance improvement plans.
- Maintains a state of continuous readiness for regulatory and accreditation reviews.
- Data, Reporting, and Analytics
- Oversees the collection, analysis, and reporting of departmental performance data.
- Monitors key operational, quality, regulatory, and patient experience metrics.
- Uses data and trends to recommend operational decisions, performance improvement, and strategic planning.
- Budget and Resource Management
- Assists the Senior Director with budget monitoring, forecasting, and resource planning.
- Monitors productivity, staffing trends, and resource utilization.
- Identifies opportunities to improve efficiency and resource stewardship.
- Policies, Procedures, and Program Development
- Oversees the development, implementation, and maintenance of departmental policies, procedures, and workflows.
- Ensures policies remain current and compliant with regulatory requirements.
- Supports implementation of new programs, technology, and organizational initiatives.
- Leadership and Collaboration
- Provides leadership, coaching, and support to department supervisor and lead.
- Develops and oversees staffing plans, recruitment strategy, workforce capacity, and workforce pipeline to ensure appropriate staffing to meet operational needs.
- Leads multidisciplinary workgroups and improvement teams.
- Maintains effective working relationships with physicians, nursing, quality, compliance, finance, and community partners.
- Represents the department on committees, projects, and organizational initiatives.
Basic Qualifications: Experience
- Minimum four (4) years of experience in management /leadership in a hospital or outpatient setting.
- Minimum three (3) years of previous experience in acute care, care management, utilization management, quality, compliance, or healthcare operations.
Education
- Bachelors degree in Nursing (BSN).
License, Certification, Registration
- Registered Nurse License (Hawaii)
Additional Requirements:- Knowledge of hospital Case Management, Utilization Management, Discharge Planning, Care Coordination, and Social Work practices.
- Knowledge of CMS Conditions of Participation, Joint Commission standards, and healthcare regulatory requirements.
- Experience with accreditation readiness, compliance auditing, quality improvement, and performance monitoring.
- Strong analytical, project management, communication, and organizational skills.
- Ability to lead multidisciplinary teams and manage complex projects across departments.
- Ability to analyze operational and financial data and use findings to drive improvement.
Preferred Qualifications: - Masters degree in Nursing, Healthcare Administration, Business Administration, Public Health, or related field preferred.
- ACM-RN, CCM, CPHQ, Lean, Six Sigma, or similar professional certification.
- Experience leading accreditation surveys, regulatory readiness programs, quality programs, or compliance audits.
- Experience with Epic Clinical Case Management, care progression, utilization management, and length-of-stay improvement initiatives.
Primary Location: Hawaii,Wailuku,Maui Memorial - Molokini II
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 08:00 AM
Working Hours End: 04:30 PM
Job Schedule: Full-time
Job Type: Standard
Employee Status: Regular
Worker Location: Onsite
Employee Group/Union Affiliation: NUE-MHS-01|NUE|Non Union Employee
Job Level: Manager with Direct Reports
Department: MAUI MEMORIAL MEDICAL CENTER - UR-Case Mgmt - 3601
Pay Range: $149200 - $193050 / year Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate's years of relevant work experience, education, certifications, skills, and geographic location.
Travel: No
