Manager, Care Management Operations

Summary

The Manager of Care Management Operations is responsible for leading the daily operations of the care management team, ensuring high-quality, cost-effective, and patient-centered services. This role oversees care managers and support staff, implements workflow efficiencies, and supports strategic initiatives related to care management and value-based care.

Operational Leadership

• Supervise virtual and on-site care management staff (i.e., licensed practical nurses, registered nurses, and medical assistants), including hiring, training, performance evaluations, and staff development.
• Evaluate workload, priorities, and adjust allocation of time and resources to increase efficiency and effectiveness.
• Facilitate and lead team weekly meetings to discuss performance, upcoming training, and ensure the team’s alignment on new workflows as applicable.
• Review and approve payroll, track attendance, and oversee employee leave, FMLA, and call-offs.

Clinical Oversight

• Ensure adherence to evidence-based care coordination practices.
• Review and support the development of care plans, ensuring clinical appropriateness.
• Collaborate with clinical leaders to align care management activities with organizational goals.
• Monitors post-discharge communications to assure continuity of care and prevent unnecessary readmissions.

Cross-Functional Collaboration

• Partners with the Director of Care Management to ensure adequate staffing and maintain customer satisfaction by implementing and monitoring staff productivity and performance indicators.
• Works as a liaison with external organizations to ensure lines of communication are in place for patient engagement and communicates directly with families, physicians, and community providers as needed.

• Perform quality assurance audits on virtual and on-site staff.

Other tasks as assigned

Required Skills

• Proficient computer skills and exhibits knowledge in using various Microsoft Office applications.
• Excellent organizational and time management skills with the ability to prioritize tasks.
• Willingness to travel to local or out-of-state Senior Living Communities.
• Demonstrated strategic thinking with the ability to identify opportunities for process improvement.

Education and Experience

• Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), or Registered Nurse (RN)
• Minimum 2 years in a supervisory or leadership role preferred

Travel Requirements:

• Remote position requires a reliable high-speed internet connection.
• Occasional travel to local or out of state Senior Living Communities.