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NeueHealth is a value-driven healthcare company transforming how care is delivered across the ACA Marketplace, Medicare, and Medicaid. The company operates owned clinics (Centrum Health and Premier Medical) and partners with affiliated providers nationwide, using technology and services to enable providers to succeed in performance-based arrangements.
As Manager of Care Management, you will directly supervise and manage clinical staff supporting NeueHealth's care management programs. You'll provide day-to-day supervision of care management teams, ensuring consistent application of clinical standards and proper documentation. Your primary responsibility is aligning clinical teams with NeueHealth's Model of Care.
Key responsibilities include: performing clinical functions within your scope of practice; monitoring performance and outcome data at defined intervals to track program activities and key performance indicators; supporting the clinical director in developing performance improvement plans based on KPI deficiencies; leading onboarding training and continued education for clinical staff and care partners; ensuring consistent application of the care model across clinical services; completing value stream mapping and desktop procedures for program standardization; supporting clinical directors in conducting care team meetings; and adhering to Quality Management Committee policies.
Required qualifications: Active, unrestricted California RN license; bachelor's degree in nursing, business, or related healthcare field (preferred); minimum 5 years' experience in medical management (case management, utilization management); minimum 1 year supervisory experience; certified case management (preferred); training experience (preferred); and EZ Care proficiency. You must demonstrate high attention to detail, strong analytical skills, critical thinking, and problem-solving abilities.
