Care Coordination & Utilization Manager

Integrated Home Care Services, Inc.; Florida; On-site; USD 75,000 - 100,000; Full time

Benefits offered by this job

Medical insurance

Vision insurance

Dental insurance

Short- and long-term insurance

Holidays pay

PTO (17 days)

Employer paid life insurance

401K with employer contribution

Wellness program with rewards

Employee recognition programs

Comprehensive paid training program

Job summary

Integrated Home Care Services (IHCS) seeks a Manager of Clinical Care Coordination to oversee referral management for home health, DME, and infusion services, ensuring appropriate utilization and regulatory compliance.

You will review clinical documentation, streamline workflows, and collaborate with multidisciplinary teams to deliver high-quality, cost-effective patient care and optimal resource use.

Qualifications

• Bachelor’s degree in Nursing or related field.
• 3–5 years in utilization management or case management in a healthcare setting.
• At least 2 years of leadership or supervisory experience in healthcare.
• Understanding of CMS, NCQA, URAC regulatory requirements.
• Proficiency with Microsoft Word, Excel, and PowerPoint.
• Strong leadership, communication, and decision-making abilities.

Responsibilities

• Oversee referral management and approval of home health, DME, or infusion services.
• Review clinical documentation and streamline workflows with interdisciplinary teams.
• Implement utilization management strategies to improve efficiency and cost-effectiveness.

Skills

Utilization management

Leadership

Communication

Problem solving

Cross-functional collaboration

Education

Bachelor’s degree in Nursing (BSN)

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

Integrated Home Care Services (IHCS) seeks a Manager of Clinical Care Coordination to oversee referral management for home health, DME, and infusion services, ensuring appropriate utilization and regulatory compliance.

You will review clinical documentation, streamline workflows, and collaborate with multidisciplinary teams to deliver high-quality, cost-effective patient care and optimal resource use.