Senior Case Management Lead: Patient Progress & Ops

Mainstay Medical; San Diego (CA); Hybride; USD 120 000 - 150 000; Plein temps

Résumé du poste

Mainstay Medical is seeking an Area Manager, Case Management in San Diego, with quarterly travel. This player-coach role develops a team of Case Managers while maintaining an active patient portfolio and guiding progression from identification through implant.

The Manager partners with Patient Access, Market Access, Clinical, Sales, and Operations to ensure service excellence, accountability, and a patient journey that balances leadership with hands-on case work in a growing organization.

Qualifications

• Bachelor’s degree in nursing, healthcare, business, or related field.
• 5+ years in case management, care coordination, or healthcare operations.
• 2+ years of leadership or people management experience.
• Strong knowledge of benefits verification, prior authorization, appeals, and reimbursement.
• Experience with Salesforce or similar cloud-based systems.
• Strong analytical, problem-solving, communication, and coaching skills.
• Ability to balance patient responsibilities with people leadership.

Responsabilités

• 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.

Connaissances

Leadership

Team management

Communication

Coaching

Analytical thinking

Problem solving

Prioritization

Formation

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

Outils

Salesforce

Description du poste

Mainstay Medical is seeking an Area Manager, Case Management in San Diego, with quarterly travel. This player-coach role develops a team of Case Managers while maintaining an active patient portfolio and guiding progression from identification through implant.

The Manager partners with Patient Access, Market Access, Clinical, Sales, and Operations to ensure service excellence, accountability, and a patient journey that balances leadership with hands-on case work in a growing organization.