Manager, Continuum of Care

Community Health Systems Professional Services Corporation•Franklin, TN

20h•Remote

About The Position

The Remote Manager, Continuum of Care provides operational oversight and management for the continuum of care team and care transition programs. This role oversees day-to-day care coordination workflows, evaluates transition processes, and monitors operational performance against quality, cost, and patient experience metrics. The position collaborates with post-acute network partners to support care alignment, reduce avoidable readmissions, and optimize in-network resource utilization in alignment with value-based care objectives.

Requirements

Bachelor's Degree in Nursing, Social Work, Healthcare Administration, or a related field required
A combination of education and relevant experience may be considered in lieu of a degree
5-7 years of healthcare experience in clinical care, care coordination, or healthcare operations required
2-4 years of supervisory, team lead, or formal direct leadership experience required
Demonstrated knowledge of care transitions, utilization management, discharge planning, and post-acute venues of care.
In-depth knowledge of care coordination practices, discharge planning, utilization management, and post-acute care resources.
Strong leadership and supervisory skills to direct staff, conduct performance evaluations, and foster team development.
Analytical and problem-solving skills to interpret operational data, evaluate care transition metrics, and drive process improvements.
Effective communication skills to collaborate across multidisciplinary teams, leadership, and external healthcare providers.
Knowledge of value-based care models, healthcare regulatory guidelines, and quality improvement standards.
Proficiency with enterprise healthcare software, electronic health record (EHR) systems, and office productivity tools.

Nice To Haves

Master's Degree preferred
Experience within Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), or value-based care delivery models preferred
Prior experience coordinating care for high-risk patient populations or managing post-acute network relationships preferred
RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred
LCSW- License Clinical Social Worker preferred
CCM - Certified Case Manager preferred

Responsibilities

Manages day-to-day operations and workflows of care coordination teams to maintain operational compliance and consistent care delivery.
Directs staff management activities including recruitment, performance evaluations, professional development, coaching, and employee relations.
Establishes and standardizes standard operating procedures (SOPs), care protocols, and documentation guidelines across care transition workflows.
Oversees operational relationships and performance monitoring for preferred post-acute provider networks and collaborative partners.
Evaluates care transition and referral processes to identify operational efficiencies, lower readmission rates, and improve in-network utilization.
Serves as an escalation point for complex clinical, administrative, or operational issues arising between care coordination staff and external post-acute partners.
Manages the onboarding, orientation, and ongoing training programs for care coordination staff regarding clinical protocols, regulatory standards, and operational platforms.
Analyzes care transition metrics and team productivity data to generate operational reports and inform management decisions.
Coordinates continuous quality improvement initiatives to support organizational efficiency, service delivery, and value-based care goals.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.