**Description** Hourly Wage Estimate: $43.28 - $64.94 / hour Learn more about the benefits offered ( https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards ) for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. **Introduction** Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our ACO Care Manager opening with HCA Healthcare today and find out what it truly means to be a part of the HCA Healthcare team. **Benefits** HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** We are seeking a(an) ACO Care Manager for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply! **Job Summary and Qualifications** The ACO Care Manager’s primary function is to implement accountable care programs that meet contractually identified targets for efficiency and quality. The programs will be designed to implement interventions which will subsequently prevent unnecessary admissions, readmissions, and overutilization in a healthcare system, to meet the Triple Aim of better care, better health, and lower costs. The ACO Care Manager initiates and coordinates a multidisciplinary team approach to care management across the care continuum to ensure timely and appropriate access to care. The ACO Care Manager effectively manages patients at high risk for healthcare complications to help improve their quality of life. What you will do: + Initiate and coordinate a multidisciplinary team approach to care management which includes patients, payors, and providers, across the care continuum. + Evaluate patients’ comprehensive medical and social support and devise a comprehensive plan of care to support patients’ self-management of condition(s), arrange for services and ensure continuity of care at optimal levels. + Design care plans which ensure seamless continuity of care, minimize the potential for duplication of services, and reduce fragmentation and gaps in care. + Enhance and continuously improve communication and collaborative relationships with multidisciplinary healthcare team members including payors and providers. + Open and assign transplant cases; find health plan DOFR, identify health plan case manager. Act as a liaison between health plan, facility and IPA. Ensure global period is identified and adhered to. Review and manage all authorizations for transplant related authorizations. + Act as a patient advocate protecting privacy and confidentiality issues. + Provide patient education, monitor health needs, and coordinate community resources. + Prevent adverse patient events to minimize poor outcomes. + Maintain a comprehensive working knowledge of community resources, payor requirements, and network services available to the target population. + Identifying opportunities for health promotion and illness preventions. + Perform face-to-face patient visits in the home or physician office setting. All patient visits are “hands-off” visits for educational purposes only. + Identify high risk patients by reviewing the daily discharge list and contact the patient for transition of care calls timely. + Complete Transitions of Care, CCM, PHQ-9 and SEMCD assessments as needed. + Work with team members, both internally and externally, to provide accountable program results. + Participate in accountable care management meetings, both internally and externally, as required. + Attend accountable care training sessions, as required. + Work with the PPMSI medical management team to develop tools and methods of identifying high risk patients using payor information as well as in-house analysis. + Ensure targeted high risk chronically ill patients are enrolled in care management programs according to program requirements. + Coordinate efforts with the Quality Management team to meet quality gate targets for identified patients, as required by the accountable care programs. + Assume responsibility for special projects as assigned by the Medical Director. What you will need: + Advocacy, communication, education and counseling, and resource research skills. + Core philosophy or values consistent with a family-center approach to care. + Culturally effective capabilities demonstrating a sensitivity and responsiveness to varying cultural characteristics and beliefs. + Adaptable, flexible and ability to learn new skills. + Self-directed and ability to be a self-starter and work independently. + Perform other duties as assigned. + This position requires the following minimum requirements: + Attention to detail. + Ability to manage conversations with tact and diplomacy. + Ability to become proficient with care management information technology. + Experience and competence with Microsoft Office (Excel, Word, PowerPoint) and internet-based Software tools + Excellent written, verbal, telephonic skills  Excellent data gathering, data analysis and summary-level reporting skills + Ability to prioritize tasks and thrive in a highly productive environment + Ability to communicate effectively, both verbally and in writing, with executive clinical and nonclinical leadership, payor representatives and providers and their office staff + Strong professional level of knowledge and comprehensive clinical assessment skills in the areas of population and chronic disease management + Familiar with current clinical practices for adult and pediatric medical, surgical and psychiatric care + Familiar with standard review criteria such as Interqual and/or Milliman + Current unrestricted California RN Licensure required + CCM Certification required + Minimum of 3-5 years of previous experience in a managed care organization or other comparable experience required Physician Services Group (https://careers.hcahealthcare.com/pages/physician-services) is skilled in physician employment, practice and urgent care operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent care centers. We are HCA Healthcare’s graduate medical education leader. We provide direction for over 260 exceptional resident and fellowship programs. We focus on carrying out value-added solutions. These solutions help physicians deliver patient-centered healthcare. We support HCA Healthcare's commitment to the care and improvement of human life. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you find this opportunity compelling, we encourage you to apply for our ACO Care Manager opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. **We are interviewing apply today!** We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.