Area Manager, Case Management

Mainstay Medical International; San Diego (CA); Hybrid; USD 120,000 - 150,000; Full time

Job summary

Mainstay Medical is seeking an Area Manager, Case Management to lead a team of Case Managers while maintaining an active patient portfolio. You will drive performance, patient progression, and service excellence across the patient journey from identification through implant.

You will partner with Patient Access, Market Access, Clinical, Sales, and Operations, balance hands-on casework with people leadership, and use data to identify trends and drive improvements in a growing organization.

Qualifications

• Bachelor’s degree or equivalent healthcare experience required.
• 5+ years in case management, care coordination, patient access, reimbursement, or healthcare operations.
• 2+ years of leadership, team lead, or people management experience preferred.
• Strong knowledge of benefits verification, prior authorization, appeals, and reimbursement.
• Experience with Salesforce or similar cloud-based systems preferred.

Responsibilities

• Manage, coach, and develop a team of Case Managers, including hiring, onboarding, performance reviews, and development planning.
• Set performance and patient experience standards; monitor workload, capacity, and resource allocation.
• Foster a culture of accountability, collaboration, and continuous improvement.
• Serve as primary escalation point for complex patient, provider, field, and operational issues.
• Maintain an active patient portfolio and coordinate with patients, providers, field sales, and internal stakeholders from identification through implant.
• Lead complex cases and maintain visibility into high-priority, stalled, or at-risk patients.
• Model best practices in patient engagement, communication, documentation, and case progression.
• Drive patient progression across all phases of treatment; establish and monitor KPIs (progression, conversion, engagement, timeliness, barriers to care).
• Work with Case Managers to identify stalled patients, set clear ownership and next steps, and reduce patient leakage.
• Use data to identify trends, gaps, and improvement opportunities.

Skills

Leadership

Coaching

Analytical

Communication

Problem-solving

Education

Bachelor's degree in nursing, healthcare, business, or related field

Tools

Salesforce

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Area Manager, Case Management

3 days ago Requisition ID: 1320

Salary Range: $120,000.00 To $150,000.00 Annually

Location: Main office in San Diego, CA, with quarterly travel required. Remote candidates will be considered.

Mainstay Medical

Mainstay Medical is a medical device company focused on marketing an innovative implantable neurostimulation system, ReActiv8®, for people with disabling chronic mechanical Low Back Pain. The company is headquartered in Dublin, Ireland, with subsidiaries operating in the United States, Australia, the United Kingdom, and Germany.

The Role:

The Area Manager, Case Management is a player-coach leader who develops a team of Case Managers while maintaining an active patient portfolio. The role is accountable for team performance, patient progression, and service excellence, ensuring a consistent patient journey from identification through implant. The Manager partners with Patient Access, Market Access, Clinical, Sales, and Operations, and serves as the primary escalation point for complex patient situations, all while balancing direct patient work with people leadership in a growing organization.

Position Responsibilities:

• Manage, coach, and develop a team of Case Managers, including hiring, onboarding, performance reviews, and development planning.
• Set performance and patient experience standards; monitor workload, capacity, and resource allocation.
• Foster a culture of accountability, collaboration, and continuous improvement.
• Serve as primary escalation point for complex patient, provider, field, and operational issues.
• Maintain an active patient portfolio and coordinate with patients, providers, field sales, and internal stakeholders from identification through implant.
• Lead complex cases and maintain visibility into high-priority, stalled, or at-risk patients.
• Model best practices in patient engagement, communication, documentation, and case progression.
• Drive patient progression across all phases of treatment; establish and monitor KPIs (progression, conversion, engagement, timeliness, barriers to care).
• Work with Case Managers to identify stalled patients, set clear ownership and next steps, and reduce patient leakage.
• Use data to identify trends, gaps, and improvement opportunities.

Quality & Service Excellence

• Review patient interactions and documentation for quality, consistency, and compliance.
• Provide actionable feedback; ensure accurate, timely documentation in Salesforce and adherence to SOPs and privacy requirements.
• Standardize best practices across the team.

Cross-Functional Partnership

• Partner with the Manager, Patient Access Operations for seamless handoffs and accountability.
• Collaborate with Market Access, Reimbursement, Sales Operations, Clinical Affairs, and Field Sales to resolve access barriers and support territory planning and patient prioritization.
• Build strong relationships with physician offices and referral sources; communicate trends and barriers to internal stakeholders.

Operational Leadership & Continuous Improvement

• Help develop and improve SOPs, training materials, and workflows; contribute to workforce planning and capacity modeling.
• Recommend process improvements that reduce turnaround times and increase efficiency and scalability.
• Champion new technologies and reporting capabilities as the function evolves.

Qualifications:

• Bachelor’s degree in nursing, healthcare, business, or a related field, or equivalent healthcare experience.
• 5+ years in case management, care coordination, patient access, reimbursement, or healthcare operations.
• 2+ years of leadership, team lead, or people management experience preferred.
• Strong knowledge of benefits verification, prior authorization, appeals, and reimbursement.
• Experience with Salesforce or similar cloud-based systems preferred.
• Strong analytical, problem-solving, communication, and coaching skills.
• Proven ability to balance patient responsibilities with people leadership, prioritize competing demands, and lead teams through change.

The salary range for this position is $120,000 to $150,000/year; however, base pay offered will take into account a range of factors, including job-related knowledge, skills, and experience. The total compensation package includes a range of medical, dental, vision, financial, and other benefits, as well as equity.

Mainstay Medical is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to gender, race, color, religious creed, national origin, age, sexual orientation, gender identity, physical or mental disability, and/or protected veteran status. Mainstay Medical participates in E-Verify.