Senior Care Management Leader: High-Risk Patients

RiseMe; Rhode Island; On-site; USD 100,000 - 150,000; Full time

Job summary

Astrana Health is seeking a Manager of Care Management to lead telephonic and in-home care management for high-risk patients. You will supervise a multidisciplinary clinical team and ensure compliance with regulatory and quality measures.

The role requires a nursing degree and Rhode Island licensure, with preference for Massachusetts licensure. Strong leadership and communication skills are essential to improve outcomes and support value-based care in Rhode Island.

Qualifications

• Bachelor's degree in Nursing required.
• Rhode Island RN licensure required (Massachusetts license preferred).
• 3+ years in care management or utilization management.

Responsibilities

• Lead multidisciplinary clinical team including providers, nurses, social workers, and care coordinators.
• Ensure staffing and training to serve high-risk patients and various disabilities.
• Maintain compliance with HIPAA and NCQA/HEDIS measures.

Skills

Leadership

Communication

Care management

MS Office

Education

Bachelor's degree in Nursing

Rhode Island RN license

Tools

Microsoft Office Suite

Job description

Astrana Health is seeking a Manager of Care Management to lead telephonic and in-home care management for high-risk patients. You will supervise a multidisciplinary clinical team and ensure compliance with regulatory and quality measures.

The role requires a nursing degree and Rhode Island licensure, with preference for Massachusetts licensure. Strong leadership and communication skills are essential to improve outcomes and support value-based care in Rhode Island.