Manager of Clinical Care Coordination

Integrated Home Care Services, Inc.; Town of Florida (NY); On-site; USD 90,000 - 115,000; Full time

Benefits offered by this job

Medical/Vision/Dental insurance

Holidays pay

PTO 17 days

Employer paid life insurance

401K with employer contribution

Wellness program with rewards

Employee recognition programs

Comprehensive paid training

Job summary

Integrated Home Care Services, Inc. is seeking a Manager of Clinical Care Coordination to oversee referral management and approval of home health services, DME, and infusion services to ensure efficient resource use and high-quality patient care.

The role involves reviewing clinical documentation, streamlining workflows, and collaborating with interdisciplinary teams to implement utilization management strategies that enhance cost-effectiveness and patient outcomes.

Qualifications

• Bachelor's degree in Nursing or related field is preferred.
• Minimum 3–5 years in utilization management or case management in healthcare.

Responsibilities

• Oversee referral management and approval of home health, DME, or infusion services.
• Review clinical documentation to ensure accuracy and regulatory compliance.
• Streamline workflows and implement utilization management strategies.
• Collaborate with interdisciplinary teams to optimize patient care and resource use.

Skills

Leadership

Communication

Problem solving

Interpersonal skills

Cross-functional collaboration

Education

BSN or Healthcare Administration

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

Who We Are:

Integrated Home Care Services (IHCS) provides a comprehensive Integrated Delivery System in the home setting, offering Durable Medical Equipment (DME), Respiratory, Home Health, and Home Infusion services. Through our select network of Medicare and Medicaid Certified and Accredited providers, we are available 24/7 to meet the needs of our patients with compassion, expertise, and excellence. For more than 30 years, we have been dedicated to improving lives by delivering the highest quality in-home care services. As a trusted market leader in value-based Home Health, Durable Medical Equipment, and Home Infusion Services, we proudly serve more than 2 million lives across the United States and the Commonwealth of Puerto Rico. Our integrated care model is trusted by leading Managed Care Organizations (MCOs), physicians, and healthcare partners because of our commitment to exceptional patient outcomes and coordinated care. At IHCS, our patients are at the heart of everything we do. We believe in creating a culture built on compassion, integrity, collaboration, and innovation. Every team member plays a vital role in fulfilling our mission of enhancing the quality of life for those we serve through Exceptional Customer Service, Proven Outcomes, and Seamless Care.

Offering a competitive compensation package, including but not limited to;

• Medical, Vision, Dental, Short- and Long-term insurance
• 6+ Days of Holidays Pay
• 17 days of PTO
• Employer paid life insurance
• 401K with employer contribution
• Wellness program with reward incentives
• Employee recognition and reward programs
• Comprehensive paid training program

What You Will Be Doing:

The Manager of Clinical Care Coordination is responsible for overseeing the referral management and approval of home health care services, DME or infusion services to ensure efficient resource utilization, medically necessary services, regulatory compliance, and exceptional patient care. This role involves reviewing clinical documentation, streamlining workflows, collaborating with interdisciplinary teams, and implementing utilization management strategies to enhance operational efficiency and cost-effectiveness.

Qualifications:

• Bachelor's degree in Nursing (BSN, Healthcare Administration, or a related field.
• Minimum of 3-5 years of experience in utilization management, case management, or a related healthcare setting.
• At least 2 years of leadership or supervisory experience in a healthcare environment.
• Strong understanding of utilization management, medical necessity criteria, and regulatory compliance (e.g., CMS, NCQA, URAC).
• Required to uphold compliance principles as outlined in the Code of Conduct and related policies. Actively supports and participates in mandatory Corporate Compliance Program training initiatives annually or as required.
• Proficient in Microsoft products (Word, Excel, Powerpoint)
• Excellent leadership, problem-solving, and decision-making abilities.
• Strong communication and interpersonal skills for cross-functional collaboration.

Education:

Preferred:

• Bachelors or better in Nursing or related field

Licenses & Certifications:

Preferred:

• RN-LICENSE

Behaviors:

Preferred:

• Team Player: Works well as a member of a group
• Enthusiastic: Shows intense and eager enjoyment and interest
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
• Dedicated: Devoted to a task or purpose with loyalty or integrity

Motivations:

Preferred:

• Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
• Growth Opportunities: Inspired to perform well by the chance to take on more responsibility
• Self-Starter: Inspired to perform without outside help

Equal Opportunity Employer:

IHCS is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.