Manager, Case Management

Millennium Physician Group•US-Indiana-Remote, IN

1d•$85,159 - $127,738•Hybrid

About The Position

The Case Management Manager is responsible for the leadership, oversight, and daily operations of outpatient case management and care coordination programs. This role directs a multidisciplinary team focused on improving patient outcomes, enhancing continuity of care, reducing unnecessary hospitalizations and emergency department utilization, and supporting value-based care initiatives. The Manager collaborates with providers, clinical staff, community partners, and organizational leadership to ensure high-quality, patient-centered care while meeting quality, utilization, and financial performance goals.

Requirements

Registered Nurse
Bachelor of Science in Nursing (BSN)
Current Registered Nurse (RN) license in good standing.
Minimum of 3-5 years of clinical case management, care coordination, or population health experience.
Minimum of 2 years of leadership or supervisory experience in a healthcare setting preferred.
Experience with outpatient care management and value-based care programs strongly preferred.
Strong leadership, organizational, and team management skills.
Knowledge of case management principles, utilization management, and transitional care.
Understanding of population health and value-based reimbursement models.
Ability to analyze clinical and operational data and implement performance improvement strategies.
Excellent communication, interpersonal, and relationship-building skills.
Proficiency with Electronic Medical Records (EMR/EHR) and Microsoft Office applications.
Ability to manage multiple priorities and work effectively in a fast-paced environment.

Nice To Haves

Master's Degree in Nursing, Healthcare Administration, Public Health, or related field preferred.
Certified Case Manager (CCM) preferred.
Basic Life Support (BLS)
Additional certifications as applicable

Responsibilities

Lead and supervise outpatient case management, care coordination, and population health programs.
Manage and mentor a multidisciplinary team, including Case Managers, Social Workers, Transitional Care Nurses, Care Coordinators, and Support Staff.
Establish performance expectations, conduct evaluations, and support staff development and training.
Monitor program effectiveness and implement process improvements to enhance operational efficiency and patient outcomes.
Ensure compliance with organizational policies, regulatory requirements, and value-based care standards.
Oversee care management services for high-risk, complex, and chronically ill patient populations.
Direct transitional care management activities for patients discharged from hospitals, skilled nursing facilities, rehabilitation centers, and behavioral health facilities.
Ensure timely follow-up appointments, medication reconciliation, home health services, durable medical equipment coordination, and specialist referrals.
Develop strategies to reduce preventable emergency department visits, hospital admissions, and readmissions.
Facilitate collaboration among providers, patients, caregivers, and community resources to support comprehensive care plans.
Utilize clinical and operational data to identify population health needs and care gaps.
Develop and implement programs that improve quality metrics, patient engagement, and health outcomes.
Support value-based care initiatives and organizational performance objectives.
Monitor utilization trends and identify opportunities to increase appropriate outpatient management.
Collaborate with leadership to achieve quality, utilization, and financial goals.
Provide education and resources to patients, providers, and staff regarding care management and value-based programs.
Foster strong relationships with healthcare providers, hospitals, community agencies, and other key stakeholders.
Serve as a resource and advocate for patients navigating the healthcare system.
Support organizational initiatives and strategic goals through effective communication and collaboration.