RN Case Management Manager – Team Leadership

Health Plans Inc; United States; On-site; USD 115,000 - 125,000; Full time

Benefits offered by this job

Medical, Dental and Vision coverage

401(k) with quarterly bonuses

Generous PTO & volunteering

Educational assistance

Fitness reimbursement

Employee Assistance Program

HSAs/FSAs

Job summary

Health Plans Inc. is seeking a Manager of Care Management Services to lead the Case Management team. This full-time role will drive clinical outcomes by overseeing care delivery and resource utilization across members.

The ideal candidate will hold an RN license, have 5+ years of clinical experience and 3+ years in case management, with CCM certification preferred. Strong leadership and collaboration skills are essential.

Qualifications

• Associate’s degree in nursing.
• Active, current and unrestricted RN license.
• 5+ years of clinical experience.
• 3+ years’ experience as a Case Manager.
• Certified Case Manager (CCM).
• Preferred: Bachelor’s Degree.
• Preferred: Supervisory experience.

Responsibilities

• Provide day-to-day oversight of the Case Management program.
• Perform monthly audits of designated team members.
• Hold 1:1 meetings with team members every month.
• Complete annual performance reviews of team members.
• Manage daily CM team schedule, PTO requests, and timesheets.
• Collaborate with the CM team to balance caseloads and mentoring.
• Coordinate with the Director on performance issues and workflows.
• Communicate with members, physicians and other health professionals about CM processes.

Skills

Case Management

Nursing

Supervisory skills

Education

Associate’s degree in nursing

Bachelor’s Degree

Tools

Certified Case Manager (CCM)

Job description

Health Plans Inc. is seeking a Manager of Care Management Services to lead the Case Management team. This full-time role will drive clinical outcomes by overseeing care delivery and resource utilization across members.

The ideal candidate will hold an RN license, have 5+ years of clinical experience and 3+ years in case management, with CCM certification preferred. Strong leadership and collaboration skills are essential.