Manager, Care Management

Job Requisition #: JR69741

End Date: 12/2/2023

Location: Wilmington, Delaware

Position Type: Management/Executive, Professional

Shift: Day Shift, No Rotation

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To manage the daily operations of longitudinal care management, precertification, appeals and denials for patients in the acute care setting.


  • Evaluates and provides feedback/recommendation of information technology software that allows for comprehensive, longitudinal care management of an identified population of patients.
  • Facilitates the development of care management guidelines, algorithms and protocols
  • Develops and implements applicable care management processes, policies, and procedures..
  • Manages daily operations of the Care Management Team
  • Prepares and reviews annual performance appraisals with employees.
  • Develops systems and processes to effectively manage collaborative relationships with external third party payers
  • Identifies areas of potential compliance risk and develops strategies to mitigate risk in  collaboration with the Compliance Officer and staff
  • Maintains strong working relationship with compliance office and staff and actively engages in all compliance activities as requested.
  • Assists in the preparation of the annual operating and capital budget
  • Develops processes for the accurate capture of data in order to maintain a care management dashboard reflective of key performance measures
  • Collaborates with Data Informatics team to analyze data and makes recommendations for program development/changes based on data analysis.
  • In collaboration with the key internal stakeholders, develops and implements processes, policies, and procedures to effectively and efficiently manage the transition of patients in accordance with state, federal and payer standards and regulations.
  • Demonstrates knowledge of local, state, and federal reimbursement guidelines
  • Serves as an expert resource for staff and Christiana Care leadership related to care management functions
  • Coordinates and facilitates dept meetings
  • Maintains a collaborative professional relationship with clinicians and administrative staff necessary to develop, implement, and evaluate successful process outcomes
  • Collaborates with Physician Advisors as needed.
  • Performs assigned work safely, adhering to established departmental safety rules and practices; reports, in a timely manner, any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, patients and visitors.
  • Performs other duties as assigned.


Assigned supervisors, case manager, case management assistants and social workers


Reports directly to the Director, Care Management, or Vice President, Care Management and Utilization Management


Formal Clinical Training with professional licensure required- Registered Nurse

Bachelor's degree required Five years' experience in Utilization Management and/or Case Management,

Three years supervisory/management experience. 

Maintains required documented hours of relevant continuing education related to licensure requirements.

An equivalent combination of education and experience may be substituted.


RN w/ Active Delaware  or compact state license. 


Frequent travel to multiple sites as needed.  Occasional exposure to office materials.  Normal office environment.

EEO Statement: Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.

Why do WE offer careers full of possibilities?

For the Love of Health.

Inclusion & Diversity

At ChristianaCare, we’re committed to treating everyone with dignity and respect. We believe in a safe, inclusive work environment that fosters collaboration between caregivers from all walks of life. We know that each unique viewpoint is vital in delivering high-quality, safe patient care to everyone who walks through our doors. Our policies, benefits, hiring practices, employee resource groups, and corporate citizenship demonstrate our commitment to inclusion and diversity throughout our system.

Why do we embrace inclusion and diversity? For the Love of Health.

Our Values

We serve together in Love and Excellence. Our unique values, Love and Excellence are bold and powerful, and they are the reason why working for ChristianaCare is special. The behaviors associated with our values guide how caregivers interact with everyone they work with and make for an exceptional work experience. We believe that when you lead with Love, Excellence is inevitable.


ChristianaCare’s comprehensive total rewards package is one of the most competitive in the region. We are proud to offer excellent benefits that reflect the organization’s commitment to being exceptional today and even better tomorrow.

At ChristianaCare, we provide access to high-quality and affordable benefits designed to meet our caregivers where they are. You can tailor your benefits to meet your needs now and adjust them as your priorities change.

Take advantage of ChristianaCare’s wide-ranging benefit offerings from supporting optimal health through medical, prescription, dental and vision coverage to valuable wellness and work/life programs, which include paid parental leave, coverage for infertility and assisted reproductive technologies, an employer-funded short-term disability program, and more.

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Our Region

A Great Place To Live

Our region offers a diversity of cultures, lifestyles, sports and entertainment events, housing options and educational opportunities. Located between Philadelphia and Washington, D.C., our locations provide easy access to two international airports, employment opportunities in a tri-state area, and proximity to some of the nation's top universities and colleges, as well as beaches in MD, DE and NJ!

Why Delaware? Why Maryland?

We Serve Together

For the Love of Health

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