Manager, Case Management – RN

This is a fully remote position, open to applicants in Arizona, +9 more states.

📋 Description

• Oversee clinical management and guidance of Enhanced Care Management (ECM) personnel addressing the medical, behavioral health, and social determinants of health for clients.

• Engage with ECM staff and, when necessary, patients through telephone, telehealth, or Interdisciplinary Care Team meetings.

• Review medication management and adherence, ensuring necessary follow-ups with primary care, behavioral health, and specialist providers.

• Assist ECM staff in navigating crises.

• Collaborate with the clients’ comprehensive care teams to advocate for their needs and secure necessary services.

• Evaluate progress towards personalized, patient-centered care plan objectives.

• Monitor team performance, provide coaching, and manage staff outcomes.

• Supervise around 10–15 direct reports.

• Manage client outreach, enrollment processes, and Individual Care Plan development.

• Determine if client needs can be effectively handled by an ECM Lead Care Manager and act as an escalation point.

• Propel the team to achieve Key Performance Indicators (KPIs).

• Work in conjunction with Enhanced Care Management Directors to implement changes and improve processes.

• Offer clinical oversight approximately 30% of the time, including supervision of clinical staff, clinical sign-offs, oversight of care plans, Interdisciplinary Team meetings, and consultation on complex cases.

• Provide direct care management as needed.

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

⛳️ Requirements

• Must reside in Arizona, California, Colorado, Florida, Georgia, Illinois, Nevada, North Carolina, Oregon, Texas, or Washington.

• Available to work Monday through Friday, from 8:30 am to 5:00 pm Pacific Time, with flexibility for potential evening and weekend shifts.

• Possess an active, unrestricted RN license, with the ability to secure California licensure within 6 months of hire.

• Willingness to obtain any additional state licensure as required.

• Minimum of 2 years of experience in people management; 4 years is preferred.

• At least 2–3 years of care management experience is required.

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

• Demonstrated leadership and change management success in rapidly growing environments.

• Strong organizational skills and the ability to work independently.

• Proficient in Microsoft and Google applications; experience with Salesforce is advantageous.

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

• Familiarity with Lean Six Sigma methodology is preferred.

• Must have legal authorization to work in the United States.

• Completion of background screening prior to employment is required.

• Employees who interact with patients, clients, or customers must be vaccinated against influenza, subject to accommodation considerations.

🏝️ Benefits

• Medical, dental, and vision insurance.

• Income protection benefits.

• Flexible Paid Time Off (PTO).

• Company holidays.

• 401k plan.

• Wellness benefits.

• Mileage reimbursement for field roles in accordance with IRS guidelines.

• Eligibility for bonuses.