<p>Position Summary Responsible for the leadership and oversight of Care Management assigned departments and assists with care management education programs. Directs the evolution of these departments and the integration of services within the Orlando Health hospital site. Responsible for the planning, priority setting, coordination, implementation, and evaluation of programs related to patient care coordination and utilization review. Monitor's quality and budgeting standards, while managing to achieve hospital and corporate goals. Ensures that a continuous improvement approach is implemented to measure actual performance against established standards for care coordination and utilization review throughout the hospital. Opening Summer 2026 at 4000 Lakeland Highlands Road, Lakeland, FL. The Orlando Health System of Care includes award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities that span Florida's east to west coasts, Central Alabama and Puerto Rico. Collectively, our dedicated team members honor our over 100-year legacy by providing professional and compassionate care to the patients, families and communities we serve. Join us! Combining the collective strengths of two powerhouse organizations, Orlando Health and the high-quality physicians at Watson Clinic are expanding access to award-winning specialty care for patients in Polk County and beyond. Opening in summer 2026, Orlando Health Watson Clinic Lakeland Highlands Hospital - a state-of-the-art, seven-story, multi-specialty hospital - will serve as a vital 550,000 square-foot healthcare hub offering: 300+ inpatient beds and 69 emergency and observation beds 11 operating rooms and four cardiac interventional suites Dedicated labor and delivery services - including a neonatal intensive care unit (NICU) that will debut shortly after the hospital opens Comprehensive cardiovascular, neurology, and oncology services Advanced surgical procedures Join us in shaping the future of healthcare in Polk County as part of the Orlando Health Watson Clinic Lakeland Highlands Hospital opening team and share in the privilege of saying you were there from the very beginning. Benefits Beyond the Expected Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible, so that you can be present for your passions. "Orlando Health Is Your Best Place to Work" is not just something we say, it's our promise to you. Benefits that begin on Day 1 Four (4) weeks paid parental leave Debt-free degrees through our Preferred Education Program Tuition reimbursement and loan repayment programs Back-up childcare and elder care Fertility benefits and adoption assistance NCLEX reimbursement Free NCPDs for RN license Free Kaplan review courses Dedicated RN career counselor and GN Coordinators to develop you Specialty certifications reimbursement And more! Responsibilities Essential Functions • Demonstrates leadership and management skills from front-line staff supervision to strategic leadership; leads the Managers, Care Management. • Provides leadership and strategic direction for day-to-day operations for all assigned departments/programs to include process improvement projects, as needed. • Demonstrates extensive knowledge in reimbursement methodology. • Ensures highly effective collaboration for all Care Management departments such as Care Coordination, utilization review and Mental Health Therapy/Counseling services to optimize best care opportunities for patients and families served. • Promotes and supports regular education and training programs that continuously strive toward best clinical outcomes and overall performance improvement. • Collaborative responsibility for the development, analysis, and accountability of department budget. • Measures actual budgetary performance (revenue, expense, staffing) against standards, and ensures variances are within established targets. • Provides direct support and assistance to the managers and staff members assigned for the full accomplishments of their assigned duties and responsibilities. • Monitors, evaluates, and redesigns departmental guidelines relative as it relates to the roles and responsibilities of assigned teams and ensures compliance to meet or exceed all regulatory and accrediting agency requirements. • Understands the regulatory and external review agencies, third party payers, and community-based organizations. • Demonstrates knowledge and skill in data preparation, analysis, and presentation to maintain effective, efficient, and compliant work environments. • Creates data priorities and establishes dashboards for monitoring outcomes. • Ensures provision of quality services by maintaining appropriate staffing resources, staffing levels, competency of staff, and ongoing training and education. • Develops structures and processes that contribute to continuity of care through demonstrated use of the interdisciplinary team approach to patient care. • Establishes and maintains an open and positive working relationship with board members, physicians, managers, employees, patients, visitors, and the community. • Develops/implements personal goals/objectives that support the organization's strategic/operating plans and patient care services. • Develops and implements operational plans for the hospital in conjunction and consistent with the overall Orlando Health strategic goals. Establishes system for control of variances. • Participates with leaders from the governing body, management, medical staff, and clinical areas in hospital's decision-making structure and process. • Recruits, develops, retains, and evaluates qualified managers and staff members, recognizing the full accomplishments of staff assigned duties and responsibilities. Assists in the professional development of staff. Develops staff to make effective decisions and delegates authority to lowest appropriate level. • Works collaboratively with internal and external departments and agencies, physicians, and all members of the interdisciplinary team in meeting customer needs and organizational goals. • Acts as liaison to external accrediting/regulatory bodies for health plans on issue related to care coordination. • Ensures technology and software systems support workflow with clinical logic, standards of practice, and regulatory accreditation requirements. Qualifications Education/Training • Bachelor of Science in Nursing (BSN), or • Master's in Social Work (MSW), Mental Health Counseling, or Marriage and Family Therapy, or • Graduate degree in Business or health-related field (Nursing, Business Administration, Health Administration) Licensure/Certification • Maintains current State of Florida Registered Nurse (RN) license or Nurse Licensure Compact (NLC), or • Maintains Florida State (Chapter 491 Florida Statutes) licensure as a Licensed Clinical Social Worker, Licensed Mental Health Counselor/Therapist. Experience • Three (3) years of experience in chronic disease management, care management, care coordination, utilization management, or acute clinical care including Care Management leadership is required. • Experience in managing care management services, including productivity enhancement, cost reduction, new program development, and quality management is also required. • Must demonstrate the ability to affect good medical staff relations while working with highly qualified physicians.</p> <p>Education/Training • Bachelor of Science in Nursing (BSN), or • Master's in Social Work (MSW), Mental Health Counseling, or Marriage and Family Therapy, or • Graduate degree in Business or health-related field (Nursing, Business Administration, Health Administration) Licensure/Certification • Maintains current State of Florida Registered Nurse (RN) license or Nurse Licensure Compact (NLC), or • Maintains Florida State (Chapter 491 Florida Statutes) licensure as a Licensed Clinical Social Worker, Licensed Mental Health Counselor/Therapist. Experience • Three (3) years of experience in chronic disease management, care management, care coordination, utilization management, or acute clinical care including Care Management leadership is required. • Experience in managing care management services, including productivity enhancement, cost reduction, new program development, and quality management is also required. • Must demonstrate the ability to affect good medical staff relations while working with highly qualified physicians.</p> <p>Essential Functions • Demonstrates leadership and management skills from front-line staff supervision to strategic leadership; leads the Managers, Care Management. • Provides leadership and strategic direction for day-to-day operations for all assigned departments/programs to include process improvement projects, as needed. • Demonstrates extensive knowledge in reimbursement methodology. • Ensures highly effective collaboration for all Care Management departments such as Care Coordination, utilization review and Mental Health Therapy/Counseling services to optimize best care opportunities for patients and families served. • Promotes and supports regular education and training programs that continuously strive toward best clinical outcomes and overall performance improvement. • Collaborative responsibility for the development, analysis, and accountability of department budget. • Measures actual budgetary performance (revenue, expense, staffing) against standards, and ensures variances are within established targets. • Provides direct support and assistance to the managers and staff members assigned for the full accomplishments of their assigned duties and responsibilities. • Monitors, evaluates, and redesigns departmental guidelines relative as it relates to the roles and responsibilities of assigned teams and ensures compliance to meet or exceed all regulatory and accrediting agency requirements. • Understands the regulatory and external review agencies, third party payers, and community-based organizations. • Demonstrates knowledge and skill in data preparation, analysis, and presentation to maintain effective, efficient, and compliant work environments. • Creates data priorities and establishes dashboards for monitoring outcomes. • Ensures provision of quality services by maintaining appropriate staffing resources, staffing levels, competency of staff, and ongoing training and education. • Develops structures and processes that contribute to continuity of care through demonstrated use of the interdisciplinary team approach to patient care. • Establishes and maintains an open and positive working relationship with board members, physicians, managers, employees, patients, visitors, and the community. • Develops/implements personal goals/objectives that support the organization's strategic/operating plans and patient care services. • Develops and implements operational plans for the hospital in conjunction and consistent with the overall Orlando Health strategic goals. Establishes system for control of variances. • Participates with leaders from the governing body, management, medical staff, and clinical areas in hospital's decision-making structure and process. • Recruits, develops, retains, and evaluates qualified managers and staff members, recognizing the full accomplishments of staff assigned duties and responsibilities. Assists in the professional development of staff. Develops staff to make effective decisions and delegates authority to lowest appropriate level. • Works collaboratively with internal and external departments and agencies, physicians, and all members of the interdisciplinary team in meeting customer needs and organizational goals. • Acts as liaison to external accrediting/regulatory bodies for health plans on issue related to care coordination. • Ensures technology and software systems support workflow with clinical logic, standards of practice, and regulatory accreditation requirements.</p>