Hybrid RN Care Management Leader

Moda Health; Portland (OR); Hybrid; USD 95,000 - 121,000; Full time

Benefits offered by this job

Medical, Dental, Vision, Pharmacy, and

Life, & Disability

401K - Matching

FSA

Employee Assistance Program

PTO and company holidays

Job summary

Moda Health, based in Portland, Oregon, is seeking a Manager of Care Management for a FT hybrid role. You will provide operational and clinical leadership for care coordination, complex case management, and population health initiatives, ensuring high-quality, member-centered care while optimizing outcomes and cost.

You will lead a multidisciplinary team, drive evidence-based practices, and ensure compliance with CMS/NCQA standards, while partnering with analytics to improve performance and

Qualifications

• Bachelor’s degree in Nursing (BSN) or related clinical field required; Master’s degree preferred.
• Minimum of 5 years of clinical or healthcare delivery experience.
• At least 3 years of leadership or supervisory experience.

Responsibilities

• Collaborate in developing, implementing, evaluating, and improving clinical programs to support Moda’s mission and regulatory standards.
• Lead day-to-day operations of care management programs including care coordination, case management, and disease management.
• Provide coaching, mentorship, and performance management to a multidisciplinary team.
• Foster a culture of accountability, continuous improvement, and member-centered care.
• Ensure staffing models and workflows meet program demands and compliance with CMS/NCQA requirements.
• Oversee data reporting and use analytics to guide program design and improvements.

Skills

Leadership

Project management

Data analysis

Communication

Healthcare operations

Education

BSN required

Master’s degree preferred

Oregon RN license

Job description

Moda Health, based in Portland, Oregon, is seeking a Manager of Care Management for a FT hybrid role. You will provide operational and clinical leadership for care coordination, complex case management, and population health initiatives, ensuring high-quality, member-centered care while optimizing outcomes and cost.

You will lead a multidisciplinary team, drive evidence-based practices, and ensure compliance with CMS/NCQA standards, while partnering with analytics to improve performance and