Inpatient Care Manager Jobs
Inpatient Care Manager jobs are open across health systems, hospitals, and managed care organizations, covering specializations in utilization review, discharge planning, and transitions of care, from entry-level coordinators to senior and director-level roles. Find a role that fits below and apply directly.
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MAJOR RESPONSIBILITIES
Conducts complete assessments, establishes appropriate plans, and initiates interventions within desired timeframes. Collaborates and negotiates effectively with patient, family, and team while striving to achieve patient and organizational goals with regard to patient’s care needs, choice and satisfaction when discharge planning/transitioning care. Utilizes patient/family strengths in the problem-solving process, involving the patient/family and team in the decision-making process beginning on admission and continuing throughout patient’s hospital stay.
Provides continuity of care and discharge planning services compliant with regulatory standards by providing coordinated relevant options and services based on assessed needs to ensure patient/family and healthcare team is informed and able to proceed with accountabilities in a timely manner. This includes participating in the communication process to facilitate a smooth transition for patient, family, and staff when patients are transferred.
Provides case management services related to various levels of health care, finances, housing, family discord, or illness adjustment, based department scope. This may include managing family dynamics and crisis situations in a timely and professional manner, using community resources effectively, and educating patient/family regarding access to and use of services.
Initiates internal and external referrals to assure timely progression of care and transitions. Documents discharge planning interventions and utilization review activity per department and medical center standards in a timely manner. Performs and documents accurate and timely concurrent and retrospective reviews based on approved established criteria as required by department standards.
Communicates effectively with the healthcare team. Works in partnership with Social Work and unlicensed support personnel to effectively establish and implement a safe plan of care. Serves as an active member of the MDR and works closely with medical staff, hospital departments and ancillary services in identification and resolution of barriers to discharge, expediting care delivery to avoid delays in timely service provision, and implementing and reporting care coordination, discharge planning and utilization management (UM) activities.
Collaborates with managers, physicians, medical directors, advisory groups, and treatment teams for issues related to physician practices and best practices for the patient’s plan of care. Refers cases to physician advisor as needed to ensure efficient progression of care, accurate status, and compliance with regulatory guidelines.
Remains knowledgeable in issues of healthcare regulations, reimbursement issues, impact on length of stay and community resources. Completes UM activities as required based on local structure to include providing clinical updates to payers and/or external review organizations, collecting data, coordinating denial activity, supporting UM activity, and managing avoidable delays. Delivers CMS regulatory notices within CMS established timeframes, as appropriate based on-site guidelines.
Develops and maintains productive relationships with community-based agencies and networks by representing Advocate Health Care in a positive manner working collaboratively, internally, and externally, to meet patient/family needs. Works in collaboration with Advocate Ambulatory Care Management and Continuing Health to meet common goals and outcomes.
Serves as an educator and expert resource to medical and hospital staff regarding admission status and acute care criteria, utilization management issues, care coordination and discharge planning needs, and relevant regulatory requirements.
Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.
Education:
Graduate of a Board of Nursing approved nursing education program (RN)
Preferred Bachelor of Science degree in Nursing (BSN).
License/Registration/Certification:
Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside or if declaring a National License Compact (NLC) state as your primary state of residency, meet the licensure requirements in your home state; or for Non-National License Compact states, (where applicable) current RN license or temporary license as a Registered Nurse
Years of Experience:
Typically requires 3 years of related nursing experience. Clinical experience within the assigned population. Extensive knowledge of disease processes and clinical outcomes. Case Management experience or background preferred. Strong critical thinking and analytical skills preferred. Appropriate Professional certification preferred within 3 years of hire
KNOWLEDGE SKILLS AND ABILITIES
Ability to prioritize and organize work.
Effective communication skills.
Utilization of critical thinking and timely decision making.
Ability to navigate the Electronic Health Record.
Basic utilization of MS Office products.
Knowledge of Medicare A and B guidelines.
Knowledge of Managed Care program requirements/implications.
Ability to apply elements of Utilization Management programs.
Physical REQUIREMENTS
Must be able to sit up to approximately 50 percent of the workday; stand and walk for the equivalent of several blocks at a time.
Must lift up to 10 lbs. continuously, up to 20 lbs. frequently, and up to 50 lbs. occasionally.
Manual dexterity required for operation computer and calculator.
Visual acuity required for facilitating review of written documents/computer screens, medical records, and to record information accurately.
Clear verbal communications and hearing acuity required for receiving instructions and converse on standard telephone.
Functional speech and hearing to allow for effective communication of instructions and conversation over the telephone.
Exposed to normal office environment; including usual hazards related to operating electrical equipment.
Operates all equipment necessary to perform the job.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Inpatient Care Manager Jobs by Experience Level
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Find Inpatient Care Manager JobsInpatient Care Manager Job Market
Who's Hiring
- UW Health16

- Sanford Health16

- Fresenius Medical Care15

- Advocate Aurora Health11

- Bassett Healthcare Network11

Top Industries Hiring
- Healthcare & Medical Services46
- Education13
- Insurance1
- Agriculture & Farming1
What Employers Look For
The qualifications that appear most often in inpatient care manager jobs.
- Active RN licensure or clinical social work credentials required in most postings
- Two or more years of acute care case management or utilization review experience
- Proficiency with InterQual or Milliman Care Guidelines clinical criteria tools
- Experience with concurrent review, denial management, and payer appeals processes
- Strong knowledge of Medicare, Medicaid, and commercial insurance coverage criteria
- CCM (Certified Case Manager) certification preferred or required by many employers
Tips for Your Inpatient Care Manager Job Search
Tailor your resume to utilization metrics
Inpatient care manager postings almost always ask for demonstrated experience with length-of-stay reduction and denial management. Quantify your outcomes in those terms on your resume rather than describing duties in general nursing or case management language.
Highlight your InterQual and Milliman credentials
Many inpatient care manager roles screen applicants by clinical criteria tool proficiency before the first call. If you've worked with InterQual or Milliman Care Guidelines, name both explicitly in your skills section so ATS filters don't screen you out.
Target postings by payer mix and setting
Acute-care hospital roles differ sharply from post-acute and managed care settings in daily responsibilities and required experience. Read each posting for payer mix language and filter your search to settings that match your background before applying.
Apply early to roles that fit
Migrate Mate lists inpatient care manager openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Prepare for clinical scenario questions
Inpatient care manager interviews commonly test your reasoning on concurrent review decisions and payer escalation situations. Practice walking through a denial scenario step by step, including how you document and communicate with the clinical team and the payer.
Negotiate start date around licensure transfer
If you're relocating, payers and health systems will push for a fast start date. Know your state nursing or social work licensure transfer timeline before you reach the offer stage so you can negotiate a realistic date without stalling the process.
Inpatient Care Manager Jobs: Frequently Asked Questions
Which companies are hiring the most inpatient care managers?
UW Health, Sanford Health, and Fresenius Medical Care are hiring the most inpatient care managers right now, with openings concentrated in Wisconsin, Pennsylvania, and New York, based on current listings on Migrate Mate as of November 2026. Health systems with large acute-care footprints and managed care organizations tend to post the highest volume of openings.
How many inpatient care manager jobs are remote?
About 15% of inpatient care manager openings are fully remote or hybrid as of November 2026, with remote availability concentrated in utilization review, telephonic concurrent review, and payer-side care management roles rather than hospital-based discharge planning positions, which typically require on-site presence.
How do you become an inpatient care manager?
Most inpatient care manager positions require an active RN license or a master's-level social work credential as a starting point. From there, employers expect direct experience in acute care, whether in a clinical bedside role or an adjacent case management position. Gaining hands-on exposure to utilization review, payer criteria tools like InterQual, and discharge coordination builds the core skill set. Earning a CCM certification after meeting the eligibility requirements strengthens your candidacy for senior roles.
Can you get hired as an inpatient care manager with little experience?
Some health systems hire RNs or social workers with strong acute-care clinical backgrounds into entry-level inpatient care manager roles and provide structured orientation in utilization review and case management processes. Targeting smaller community hospitals or post-acute settings is a practical way to build foundational experience before moving into larger health system or managed care roles that require prior case management credentials.
What does the inpatient care manager interview process look like?
Most hiring processes start with a phone screen focused on your clinical background and familiarity with payer criteria tools. A panel interview with the case management director, charge nurses, and sometimes a payer liaison typically follows, covering scenario-based questions on concurrent review, denial escalation, and interdisciplinary communication. Some employers add a brief written or verbal case study before the offer stage.
Where can I find and apply to inpatient care manager jobs?
You can find and apply to inpatient care manager jobs on Migrate Mate, which lists current openings from across the United States. Find roles that match your background and apply directly to each listing from the page.
See All 423+ Inpatient Care Manager Jobs
Find roles that match your experience and apply in just a few clicks.
Find Inpatient Care Manager Jobs