Manager, Care Coordination

Upward Health•Cook County, Illinois, IL

About The Position

The Manager, Care Coordination leads the day-to-day operations of a team of Community Health Workers who provide in-home and community-based support to high-risk, high-need patients. The role focuses on care coordination, patient engagement, and services that address social determinants of health, improve access to care, and support better health outcomes. The Manager hires, onboards, develops, and coaches Community Health Workers, and ensures consistent adherence to workflows, documentation standards, and compliance requirements. The role partners with clinical leaders, clients, and community partners to streamline operations, strengthen collaboration, and align patient interactions with Upward Health’s care delivery model. The Manager oversees team performance and professional development, monitors caseloads, adjusts assignments to patient needs, and ensures timely outreach, assessments, and follow-up. The role uses KPIs, engagement outcomes, and documentation metrics to identify trends and guide improvement efforts. It also ensures compliance with client and regulatory standards, promotes communication across the care team, and leads process improvements to increase efficiency, reduce barriers to care, and enhance patient satisfaction. The Manager coordinates across teams and stakeholders and fosters accountability and growth through coaching, feedback, and ongoing support.

Requirements

  • Master's in Social Work.
  • Minimum of 2 years of leadership experience managing non-clinical or community-based care teams.
  • Proven ability to analyze data, make decisions, and implement improvements in a fast-paced setting.
  • Excellent interpersonal skills and ability to influence and interact with clients and community partners at all levels.
  • High flexibility and adaptability in an evolving, rapidly growing company.
  • Strong written and oral communication skills, including the ability to communicate proactively and clearly with team members.
  • Ability to travel throughout the market, with occasional travel within the US.
  • Experience managing and coaching multidisciplinary teams.
  • Experience with hiring, training, and mentoring clinical and non-clinical staff.
  • Strong analytical skills to assess performance metrics and develop actionable improvement plans.
  • Ability to make data-driven decisions to enhance clinical outcomes.
  • Ability to collaborate with internal and external partners to align with service agreements and achieve client satisfaction.
  • Knowledge of federal, state, and local healthcare regulations.
  • Ability to ensure clinical operations align with accreditation standards, regulatory requirements, and client needs.

Nice To Haves

  • Experience in care coordination, population health, or community health.
  • Experience managing Medicare and Medicaid populations.
  • Knowledge of quality metrics for value-based care models or quality improvement programs.

Responsibilities

  • Lead and manage the day-to-day operations of Community Health Workers providing in-home and community-based patient support.
  • Hire, onboard, develop, coach, and provide ongoing support to Community Health Workers.
  • Ensure adherence to established workflows, documentation standards, compliance requirements, and performance standards.
  • Oversee team performance and professional development.
  • Monitor caseloads and adjust assignments based on patient needs.
  • Ensure timely completion of outreach, assessments, and follow-up activities.
  • Review KPIs, engagement outcomes, and documentation metrics to identify trends and guide improvement efforts.
  • Partner with clinical leaders, clients, and community partners to streamline operations and strengthen collaboration.
  • Reinforce care coordination practices that improve communication among Community Health Workers, providers, and other care-team members.
  • Ensure team activities meet client and regulatory standards while maintaining patient-centered care.
  • Lead process improvement initiatives to increase efficiency, reduce barriers to care, and enhance patient satisfaction.
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