Remote Clinical Manager, RN – Care Coordination

Acentra; Los Angeles, Northern (CA, KY); Hybrid; USD 95.000 - 128.000; Vollzeit

Zusammenfassung

Acentra Health is seeking a Clinical Manager (RN) to lead the CA UIS Care Coordination and Case Management programs. The role oversees clinical quality and contract performance, guiding staff to meet performance outcomes and ensuring high standards across care coordination activities.

The position is remote within California, with a preference for candidates in Sacramento, Los Angeles, or San Diego. The candidate will manage Case Managers, monitor KPIs, and lead cross‑functional initiatives

Qualifikationen

• Active, unrestricted Licensed Registered Nurse (RN) or compact license.
• Associate degree, OR 7 years equivalent experience in nursing, healthcare administration or related field.
• A minimum of 5+ years being in health care management, supervisory, lead, or team leadership experience in a healthcare, human services, care coordination, or related environment.
• Demonstrated effective verbal and written communication skills essential.
• Customer‑focused, results‑oriented, and capable of building and maintaining relationships with internal and external customers.
• Organizational skills, ability to plan and prioritize multiple assignments essential.
• Computer proficiency in Microsoft Office applications and other software programs essential to perform job functions.
• Ability to provide clinical guidance and leadership to care coordination team.
• Flexibility to travel up to 25% within CA as needed.

Aufgaben

• Provide overall clinical and operational leadership for Care Coordination and Discharge Case Management activities.
• Manage, direct, and evaluate program activities to ensure clinical quality, operational effectiveness, and consistency across care coordination and case management functions.
• Provide leadership and oversight of Case Managers and Care Coordinators, including performance management, coaching, development, and accountability for program outcomes.
• Ensure program deliverables, clinical efficiencies, workflows, and contract requirements are consistently achieved and maintained at a high standard.
• Monitor key performance indicators, productivity, quality metrics, and program outcomes; identify opportunities for improvement and implement corrective actions as needed.
• Oversee the consistency and effectiveness of member outreach, engagement, care coordination, and transition‑of‑care activities.
• Serve as a Clinical Subject Matter Expert (SME) and provide guidance on complex clinical and operational issues.
• Partner with senior leadership and cross‑functional teams to identify opportunities for process improvement, resolve operational challenges, and support strategic program initiatives.
• Lead and participate in leadership committees, work groups, and cross‑functional initiatives, fostering collaborative decision‑making among diverse stakeholders.
• Ensure adherence to applicable clinical standards, regulatory requirements, contract obligations, and Acentra Health policies and procedures.
• Review program performance and provide leadership with updates, recommendations, and actionable insights related to clinical operations, quality, and contract performance.
• Support the development and implementation of policies, procedures, workflows, and initiatives that enhance clinical effectiveness and member outcomes.
• Promote a culture of accountability, collaboration, continuous improvement, and high‑quality member service.
• Perform other duties as assigned.
• Read, understand, and adhere to all corporate policies, including policies related to HIPAA and its Privacy and Security Rules.

Kenntnisse

Leadership

Communication

Customer‑focused

Organizational skills

Technical proficiency

Travel readiness

Ausbildung

RN license (active/unrestricted)

Associate degree or 7 years related experience

Bachelor's degree (preferred)

Tools

Microsoft Office

Jobbeschreibung

Acentra Health is seeking a Clinical Manager (RN) to lead the CA UIS Care Coordination and Case Management programs. The role oversees clinical quality and contract performance, guiding staff to meet performance outcomes and ensuring high standards across care coordination activities.

The position is remote within California, with a preference for candidates in Sacramento, Los Angeles, or San Diego. The candidate will manage Case Managers, monitor KPIs, and lead cross‑functional initiatives