Care Coordinator Manager

Deerfield Management Companies • Livingston, NJ

29d • Hybrid

About The Position

The Manager of Care Coordination is an on-site working manager in Livingston, New Jersey, with four days on-site and one day remote. Approximately 40% of the role is dedicated to direct care coordination and 60% to team supervision, management, program leadership, and strategy. Reporting to the Associate Chief Medical Officer, the manager leads Vanova Health’s care coordination program through growth and transformation by improving workflows, onboarding population health technology, expanding services across the CIN, and building external relationships that support effective transitions of care.

The manager provides direct care coordination for high-risk, high-utilizing, and complex patients while leading program strategy and operations. The role includes developing care management, behavioral health, and social work strategies; establishing performance measures; expanding services to additional CIN practices; supervising a multidisciplinary team; optimizing a population health platform; building relationships with health systems and community partners; and ensuring compliance and documentation quality.

The position is based in an office setting involving extended periods of sitting and computer work, with occasional travel to CIN provider and practice sites. Vanova describes its total rewards as including competitive compensation, health and wellness benefits, a retirement savings plan, time off, learning opportunities, and a collaborative culture. The anticipated annual base salary is $120,000–$145,000, with an opportunity for an annual target bonus based on individual and company performance. Benefits, based on eligibility, include a 401(k) with company match, paid time off, and medical, prescription drug, dental, and vision insurance.

Requirements

• Active RN or LCSW licensure in New Jersey.
• 5–7 years of experience in care coordination, case management, or a related clinical or population health role.
• 3–5 years of program leadership experience, including a track record of leading teams through operational change or program growth.
• Deep knowledge of TCM and complex care management best practices.
• Commitment to patient-centered care and ability to translate it into team culture and practice.
• Experience developing KPIs and performance frameworks in a clinical or population health setting.
• Experience identifying and managing high-cost, high-utilizing patients, including strategy development and cross-functional coordination and execution.
• Experience with population health platforms such as Arcadia, Innovaccer, or Lightbeam; comfort leading technology onboarding and adoption.
• Ability to synthesize complex data into clear, actionable insights for clinical and operational audiences.
• Excellent organizational, communication, and facilitation skills.

Nice To Haves

• Certification in Case Management (CCM) or a related credential.
• Experience in a value-based care, managed care, CIN, or health plan environment.
• Ability to build relationships and influence across an independent practice environment.
• Familiarity with integrated behavioral health models and frameworks, such as the Collaborative Care Model, co-location, and warm handoffs, and experience selecting and implementing an approach suited to a practice environment.
• Experience developing and executing a behavioral health strategy in a primary care, CIN, or population health setting, including evaluating and implementing integrated care models and building external provider partnerships.
• Experience developing a proactive social work or SDOH strategy using population health data and screening tools.
• Familiarity with SDOH screening tools such as PRAPARE and community resource platforms.
• Experience with Medicare, Medicaid, or dual-eligible populations.
• Experience expanding clinical programs across multiple practice sites.

Responsibilities

• Conduct and oversee Transitional Care Management (TCM) outreach and follow-up for patients discharged from acute and post-acute settings.
• Maintain an active caseload of high-risk, high-utilizing, and complex patients.
• Collaborate with primary care providers, specialists, behavioral health clinicians, and social workers to develop and execute care plans informed by the treating team.
• Partner with the Associate Chief Medical Officer to assess current operations and define the program’s strategic vision for growth and improvement.
• Review TCM and complex care management workflows; identify gaps and develop refined protocols, training, and implementation plans.
• Develop and implement a strategy for identifying and managing high-cost, high-utilizing patients through risk stratification, proactive outreach, and individualized care planning.
• Develop a behavioral health strategy, including expanding internal roles, strengthening external partnerships, and identifying and implementing integrated care models and interventions.
• Develop a proactive social work strategy using population health data, SDOH screening, and risk stratification to direct resources toward patients with the greatest intervenable need.
• Establish and maintain a KPI framework for team performance, patient outcomes, and program impact; use data for continuous improvement and strategic decisions.
• Expand care coordination services to additional CIN practices by building relationships, workflows, and infrastructure for onboarding and execution.
• Recruit, onboard, supervise, and evaluate Care Coordinators, Care Coordination Specialists, Behavioral Health Specialists, Social Workers, and other staff.
• Assess team knowledge and develop plans to address skill gaps, standardize practice, and expand clinical scope.
• Promote a patient-centered team culture through modeling, training, and accountability; provide coaching, performance feedback, and professional development.
• Manage staffing, scheduling, and workload distribution to support adequate coverage and team sustainability.
• Lead onboarding and optimization of a population health platform in partnership with clinical, IT, and data leadership and teams.
• Use population health tools to monitor ADT data, identify care gaps, stratify risk, and drive targeted interventions.
• Compile and present leadership reports on TCM, emergency department utilization, inpatient admissions, post-acute placements, and readmissions.
• Use data where possible to inform program development, implementation, and evaluation.
• Build and maintain relationships with health system care management and IT teams to support care coordination for independent providers and practices.
• Develop partnerships with skilled nursing facilities, home health agencies, and rehabilitation facilities to support continuity of care and reduce preventable hospital visits.
• Cultivate partnerships with external behavioral health providers, psychiatrists, and community mental health organizations to support accessible integrated care across the CIN.
• Build a community-based organization and social service referral network to address patients’ non-clinical and psychosocial needs at scale.
• Represent care coordination in cross-functional and CIN-level meetings and contribute to broader population health strategy.
• Ensure team adherence to regulatory requirements, clinical standards, and organizational policies.
• Oversee documentation quality and support audits and quality assurance activities as needed.

Benefits

• Competitive compensation.
• Health and wellness benefits, including medical, prescription drug, dental, and vision insurance, based on eligibility.
• 401(k) retirement savings plan with company match, based on eligibility.
• Paid time off.
• Learning opportunities.
• Annual target bonus opportunity based on individual performance and company financial performance.
• Collaborative culture with shared celebrations and appreciation events.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed