Manager, Continuum of Care

Community Health Systems; United States; Remote; USD 90,000 - 120,000; Full time

Job summary

Community Health Systems seeks a Remote Manager, Continuum of Care to oversee care coordination operations and care transitions across the network. You will manage workflows, staff development, SOPs, and performance monitoring to align with value-based care goals.

The role collaborates with post-acute partners to reduce readmissions, optimize resource use, and deliver high-quality patient experiences in a national remote setting.

Qualifications

• Bachelor's Degree in Nursing, Social Work, Healthcare Administration, or related field required.
• Master's Degree preferred.
• 5-7 years of healthcare experience in care coordination or healthcare operations required.
• 2-4 years of supervisory or formal leadership experience required.
• Experience within ACOs, CINs, or value-based care delivery models preferred.
• Prior experience coordinating care for high-risk patient populations or managing post-acute network relationships preferred.

Responsibilities

• Oversee day-to-day care coordination operations and workflows.
• Direct staff recruitment, evaluations, professional development, coaching, and relations.
• Establish and standardize SOPs, care protocols, and documentation guidelines.
• Monitor relationships and performance with post-acute networks and partners.
• Evaluate care transitions to identify efficiencies, reduce readmissions, and improve utilization.
• Serve as escalation point for complex clinical or operational issues with staff and partners.
• Oversee onboarding and ongoing training for care coordination staff on protocols and regulatory standards.
• Analyze care transition metrics and generate reports to inform management decisions.
• Coordinate continuous quality improvement initiatives to advance efficiency and value-based care.
• Perform other duties as assigned.
• Maintain regular and reliable attendance.
• Complies with all policies and standards.

Skills

Leadership

Care coordination

Operations management

Utilization management

Discharge planning

Analytical thinking

Communication

Quality improvement

EHR proficiency

Problem-solving

Education

Bachelor's degree in Nursing, Social Work, Healthcare Administration, or related field

Master's degree preferred

Combination of education and experience may be considered

Tools

EHR systems

Job description

Job Summary

The Remote Manager, Continuum of Care provides operational oversight and management for the continuum of care team and care transition programs. This role oversees day-to-day care coordination workflows, evaluates transition processes, and monitors operational performance against quality, cost, and patient experience metrics. The position collaborates with post-acute network partners to support care alignment, reduce avoidable readmissions, and optimize in-network resource utilization in alignment with value-based care objectives.

Essential Functions

• Manages day-to-day operations and workflows of care coordination teams to maintain operational compliance and consistent care delivery.
• Directs staff management activities including recruitment, performance evaluations, professional development, coaching, and employee relations.
• Establishes and standardizes standard operating procedures (SOPs), care protocols, and documentation guidelines across care transition workflows.
• Oversees operational relationships and performance monitoring for preferred post-acute provider networks and collaborative partners.
• Evaluates care transition and referral processes to identify operational efficiencies, lower readmission rates, and improve in-network utilization.
• Serves as an escalation point for complex clinical, administrative, or operational issues arising between care coordination staff and external post-acute partners.
• Manages the onboarding, orientation, and ongoing training programs for care coordination staff regarding clinical protocols, regulatory standards, and operational platforms.
• Analyzes care transition metrics and team productivity data to generate operational reports and inform management decisions.
• Coordinates continuous quality improvement initiatives to support organizational efficiency, service delivery, and value-based care goals.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• Bachelor's Degree in Nursing, Social Work, Healthcare Administration, or a related field required
• Master's Degree preferred
• A combination of education and relevant experience may be considered in lieu of a degree
• 5-7 years of healthcare experience in clinical care, care coordination, or healthcare operations required
• 2-4 years of supervisory, team lead, or formal direct leadership experience required
• Experience within Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), or value-based care delivery models preferred
• Prior experience coordinating care for high-risk patient populations or managing post-acute network relationships preferred

Knowledge, Skills and Abilities

• Demonstrated knowledge of care transitions, utilization management, discharge planning, and post-acute venues of care.
• In-depth knowledge of care coordination practices, discharge planning, utilization management, and post-acute care resources.
• Strong leadership and supervisory skills to direct staff, conduct performance evaluations, and foster team development.
• Analytical and problem-solving skills to interpret operational data, evaluate care transition metrics, and drive process improvements.
• Effective communication skills to collaborate across multidisciplinary teams, leadership, and external healthcare providers.
• Knowledge of value-based care models, healthcare regulatory guidelines, and quality improvement standards.
• Proficiency with enterprise healthcare software, electronic health record (EHR) systems, and office productivity tools.

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred or
• LCSW- License Clinical Social Worker preferred
• CCM - Certified Case Manager preferred