Care Integration Team Lead – Population Health

Conviva Senior Primary Care; West Palm Beach (FL); Hybrid; USD 95,000 - 131,000; Full time

Job summary

Conviva Senior Primary Care is seeking a Care Integration Team Manager to lead nurses, care coaches, and social workers in an interdisciplinary, population-health oriented program. You will oversee operations, patient engagement, and program delivery while maintaining a direct caseload of high-risk patients.

The role balances leadership, operations, and strategic partnerships. Hybrid work with travel to clinics and community settings; 40-hour weeks.

Qualifications

• Active license: RN/LPN/LVn, PharmD, EMT or foreign equivalent.
• 5+ years nursing, case management, or disease management experience.
• 2+ years of leadership experience.
• Experience with transitions of care and seniors.
• Knowledge of chronic conditions and related interventions.
• Experience in primary care value-based/managed care.
• Proficiency in analyzing data trends.
• Strong Microsoft Office skills.
• Willingness to travel to clinics and community orgs.

Responsibilities

• Lead daily operations of the Care Integration Team with productivity and quality oversight.
• Monitor program goals across metrics and develop action plans.
• Hire, train, and develop team members; conduct 1:1 feedback.
• Ensure program integrity and collaborate with Clinical Care Integration Director.
• Manage a caseload of high-risk patients and support care planning.
• Build partnerships with market leaders and community partners.
• Foster a high-performing team culture and accountability.

Skills

Nursing leadership

Care management

Data analysis

Communication

Interdisciplinary collaboration

Community partnership

Education

RN licensure or equivalent

Tools

Athena EMR

Salesforce

Microsoft Office

Job description

Conviva Senior Primary Care is seeking a Care Integration Team Manager to lead nurses, care coaches, and social workers in an interdisciplinary, population-health oriented program. You will oversee operations, patient engagement, and program delivery while maintaining a direct caseload of high-risk patients.

The role balances leadership, operations, and strategic partnerships. Hybrid work with travel to clinics and community settings; 40-hour weeks.