Remote Area Manager, Case Management Leader

Mainstay Medical International; San Diego (CA); Hybrid; USD 120,000 - 150,000; Full time

Job summary

Mainstay Medical is seeking an Area Manager, Case Management to lead a team of Case Managers while maintaining an active patient portfolio. You will drive performance, patient progression, and service excellence across the patient journey from identification through implant.

You will partner with Patient Access, Market Access, Clinical, Sales, and Operations, balance hands-on casework with people leadership, and use data to identify trends and drive improvements in a growing organization.

Qualifications

• Bachelor’s degree or equivalent healthcare experience required.
• 5+ years in case management, care coordination, patient access, reimbursement, or healthcare operations.
• 2+ years of leadership, team lead, or people management experience preferred.
• Strong knowledge of benefits verification, prior authorization, appeals, and reimbursement.
• Experience with Salesforce or similar cloud-based systems preferred.

Responsibilities

• Manage, coach, and develop a team of Case Managers, including hiring, onboarding, performance reviews, and development planning.
• Set performance and patient experience standards; monitor workload, capacity, and resource allocation.
• Foster a culture of accountability, collaboration, and continuous improvement.
• Serve as primary escalation point for complex patient, provider, field, and operational issues.
• Maintain an active patient portfolio and coordinate with patients, providers, field sales, and internal stakeholders from identification through implant.
• Lead complex cases and maintain visibility into high-priority, stalled, or at-risk patients.
• Model best practices in patient engagement, communication, documentation, and case progression.
• Drive patient progression across all phases of treatment; establish and monitor KPIs (progression, conversion, engagement, timeliness, barriers to care).
• Work with Case Managers to identify stalled patients, set clear ownership and next steps, and reduce patient leakage.
• Use data to identify trends, gaps, and improvement opportunities.

Skills

Leadership

Coaching

Analytical

Communication

Problem-solving

Education

Bachelor's degree in nursing, healthcare, business, or related field

Tools

Salesforce

Job description

Mainstay Medical is seeking an Area Manager, Case Management to lead a team of Case Managers while maintaining an active patient portfolio. You will drive performance, patient progression, and service excellence across the patient journey from identification through implant.

You will partner with Patient Access, Market Access, Clinical, Sales, and Operations, balance hands-on casework with people leadership, and use data to identify trends and drive improvements in a growing organization.