Manager, Case Management – RN

This is a fully remote position, open to applicants in Arizona, +10 more states.

📋 Description

• Oversee and manage Enhanced Care Management staff to address the medical, behavioral health, and social needs of clients.

• Engage in communication with ECM staff and, at times, patients via telephone, telehealth, or during Interdisciplinary Care Team meetings.

• Discuss medication management and adherence while ensuring proper follow-up with primary care, behavioral health, and specialty providers.

• Provide guidance during crises faced by ECM staff.

• Collaborate with clients’ comprehensive care teams to advocate for and ensure access to necessary services.

• Assess progress towards individualized care plan objectives.

• Monitor team performance, coach staff, and manage overall performance outcomes.

• Supervise approximately 10–15 direct reports.

• Oversee client outreach, enrollment processes, and the development of Individual Care Plans.

• Act as an escalation point for addressing complex client needs.

• Propel team performance in alignment with Key Performance Indicators (KPIs).

• Partner with Enhanced Care Management Directors on process enhancements and changes.

• Provide clinical oversight roughly 30% of the time, which includes staff supervision, clinical sign-offs, care plan oversight, IDT meetings, and clinical consultations.

• Deliver direct care management as necessary.

• Travel up to 20–25% for training, meetings, and other business-related activities.

⛳️ Requirements

• Must possess an active, unrestricted RN license and the ability to secure California licensure within 6 months of employment.

• Willingness to obtain additional state licensure as required.

• Minimum of 2 years of experience in people management (4 years preferred).

• 2–3 years of experience in care management.

• 1–2 years of post-acute care experience.

• Experience with change management in fast-paced growth settings.

• Strong organizational skills and ability to work independently.

• Proficient in Microsoft and Google applications.

• Experience with Salesforce is advantageous.

• Excellent communication and motivational skills, including conflict resolution abilities.

• Familiarity with Lean Six Sigma methodology is preferred.

• Availability to work Monday–Friday, from 8:30 am to 5:00 pm Pacific Time, with potential for evenings and weekends.

• Must be legally authorized to work in the United States.

• Completion of required background screening is mandatory.

• Employees interacting with patients/clients must be vaccinated against influenza, subject to applicable accommodations.

🏝️ Benefits

• Comprehensive medical, dental, and vision insurance.

• Income protection benefits.

• Flexible paid time off (PTO).

• Company holidays observed.

• 401k retirement plan.

• Wellness benefits offered.

• Mileage reimbursement for field positions according to IRS guidelines.