Value-Based Outpatient Case Management Lead

Mosaic Health, LLC.; Indiana, Northern (PA, KY); Hybrid; USD 85,000 - 128,000; Full time

Job summary

Mosaic Health, LLC seeks a Case Management Manager to lead outpatient case management and care coordination programs in Indiana. You will guide a multidisciplinary team to improve patient outcomes, reduce readmissions, and support value-based care initiatives.

Responsibilities include overseeing care transitions, coordinating with providers and community partners, and monitoring quality metrics to meet payer requirements. RN with ACSM/CCM preferred and strong data skills are valued.

Qualifications

• Registered Nurse with outpatient case management experience.
• Experience in value-based care and population health.
• Strong leadership and data-driven improvement skills.

Responsibilities

• Lead outpatient case management operations and care coordination.
• Direct multidisciplinary teams and drive performance improvements.
• Develop population health initiatives and value-based programs.
• Monitor quality metrics and payer requirements.

Skills

Outpatient Case Management

Value-Based Care Programs

Population Health Management

Transitional Care Management

Utilization Management

Care Coordination

Readmission Reduction

Emergency Department Diversion

Quality Measures & HEDIS

Team Leadership

Staff Education

Performance Improvement

Social Services Coordination

Home Health Coordination

Healthcare Analytics

EMR/EHR (Athena)

Strategic Planning

Education

BSN

RN Licensure

CCM (Certified Case Manager)

Tools

Athena EMR

EMR/EHR Systems

Job description

Mosaic Health, LLC seeks a Case Management Manager to lead outpatient case management and care coordination programs in Indiana. You will guide a multidisciplinary team to improve patient outcomes, reduce readmissions, and support value-based care initiatives.

Responsibilities include overseeing care transitions, coordinating with providers and community partners, and monitoring quality metrics to meet payer requirements. RN with ACSM/CCM preferred and strong data skills are valued.