Remote Care Coordination Supervisor

Integrated HomeCare Services; Florida; Remote; USD 85,000 - 110,000; Full time

Benefits offered by this job

Medical, Vision, Dental

Short- and Long-term insurance

6+ Holidays Pay

13 days of PTO

Employer paid life insurance

401K with employer contribution

Wellness program

Employee recognition and reward

Job summary

Integrated HomeCare Services (IHCS) is seeking a Clinical Care Coordination Supervisor to oversee the UM team and ensure compliant, cost‑effective care coordination for home health and DME services. You will lead referrals across health plans, drive staff development, and monitor performance to improve patient outcomes.

The role requires a BSN or related field, 3–5 years in UM/case management, and at least 2 years of leadership, with strong regulatory knowledge and Microsoft Office proficiency.

Qualifications

• Bachelor's degree in Nursing (BSN) or Healthcare Administration required or related field.
• 3–5 years of experience in utilization management, case management, or related healthcare setting.
• At least 2 years of leadership or supervisory experience in healthcare.
• Strong knowledge of CMS, NCQA, URAC regulations and compliance.
• Proficiency in Microsoft Office suite.

Responsibilities

• Oversee daily operations of the Utilization Management (UM) team, ensuring regulatory and organizational standards are met.
• Lead and support Referral Coordinators for multiple health plans; monitor performance and outcomes.
• Ensure compliance with UM processes; evaluate eligibility for benefit coverage; coordinate with internal/external stakeholders to optimize patient care.
• Collaborate with health plan case managers and claims payers to facilitate care coordination and accurate claims processing.

Skills

Leadership

Communication

Problem-solving

Teamwork

Education

Bachelor's degree in Nursing (BSN) or Healthcare Administration

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Job description

Integrated HomeCare Services (IHCS) is seeking a Clinical Care Coordination Supervisor to oversee the UM team and ensure compliant, cost‑effective care coordination for home health and DME services. You will lead referrals across health plans, drive staff development, and monitor performance to improve patient outcomes.

The role requires a BSN or related field, 3–5 years in UM/case management, and at least 2 years of leadership, with strong regulatory knowledge and Microsoft Office proficiency.