Market Clinical Nurse Manager/Case Manager (RN)

Sage Health•North Little Rock, AR

2d•Hybrid

About The Position

The Market Clinical Nurse Manager/Case Manager (RN) is responsible for delivering comprehensive clinical leadership and case management support across the market, ensuring high-quality, patient-centered care for a diverse geriatric population. The role consists of approximately 40% Case Management responsibilities and 60% Clinical Nurse Manager responsibilities, including hands-on clinical support, market-level operational oversight, and leadership responsibilities as the role expands. This role is responsible for implementing and reviewing individualized healthcare plans for patients recovering from serious illnesses or managing chronic conditions, while also providing operational clinical oversight and support to ensure efficient market-wide clinical operations. This position collaborates closely with physicians, clinical staff, operational leadership, patients, families, hospitals, insurance providers, and interdisciplinary care teams to coordinate care, advocate for patient needs, improve health outcomes, and ensure continuity of care. The Market Clinical Nurse Manager/Case Manager (RN) demonstrates competency and skill in serving medically underserved and culturally diverse geriatric populations while ensuring compliance with all nursing standards, regulatory requirements, and organizational policies.

Requirements

Bachelor of Science in Nursing (BSN)
Valid and active Registered Nurse (RN) license in the state of employment
Current Basic Life Support (BLS) certification
5+ years of experience in healthcare management. Must have solid people management skills related to hiring, onboarding, training, coaching, developing, and disciplining staff.
2–3 years of experience in inpatient, outpatient, home health, hospice, or health plan case management settings
Strong clinical assessment skills and chronic disease management experience
Experience working in medically underserved and culturally diverse communities
Excellent interpersonal, written, and verbal communication skills
Strong organizational skills with exceptional attention to detail
Ability to manage competing priorities in a fast-paced environment
Resourceful problem-solving abilities
Demonstrated accountability and ability to follow through on assigned responsibilities
Experience working with electronic health records (EHR)
Proficiency in Microsoft Office (Word, Outlook, Excel)
Skilled in web navigation and use of mobile hotspot technology
Valid driver’s license, automobile insurance, and reliable transportation
Ability to travel between healthcare facilities including centers, hospitals, skilled nursing facilities, and patient homes

Nice To Haves

Certification in Case Management (ACM or CCM)
Managed care experience, including Medicare HMO and D-SNP
Knowledge of value-based care models
Motivational interviewing experience
Bilingual in Spanish and English

Responsibilities

Provides leadership and management for assigned staff, including but not limited to interviewing, hiring, onboarding. training, developing, coaching, mentoring, and discipling, as needed.
Effectively mentors and coaches clinical staff collaboration with providers, operations and clinical leadership.
Acts as the primary clinical resource for MAs in the market, providing training, guidance, and education, as needed.
Maintain a safe, secure, and healthy work environment by following Sage Health policies and procedures and complying with legal and regulatory requirements.
Provide Medical Assistant (MA) coverage as needed to support clinic operations during staffing shortages or high patient census.
Monitor provider inboxes, ensuring timely review and follow-up.
Manage medication refill requests across the market.
Handle phone triage and patient clinical concerns across the market.
Collaborate with physicians, clinical support staff, and operations leadership to optimize workflows and patient outcomes.
Hold regular meetings and communication cadences with clinical support staff, physicians, and operational leadership.
Support daily clinical operations and assist with workflow management across centers.
Maintain readiness for health plan audits and local, state, and federal inspections.
Stay current on nursing regulations, standards of practice, and compliance requirements.
Support role expansion by assuming additional clinical and operational responsibilities as needed.
Ensure patient information always remains secure and confidential.
Create, implement, and manage individualized care plans for patients with chronic or serious medical conditions, including diabetes, heart disease, chronic heart failure, cancer, and other complex illnesses.
Advocate for personalized treatment options that address each patient’s unique care needs.
Coordinate patient care across healthcare settings to ensure continuity and quality outcomes.
Schedule post-hospital discharge follow-up appointments within 72 hours (3 days) and ensure patient attendance.
Verify daily patient hospital census reports and planned discharges.
Communicate effectively with patients and families regarding health conditions, treatment plans, and care transitions.
Collaborate with primary care physicians to educate patients and families in navigating complex medical decisions.
Serve as a liaison between patients and insurance providers to promote cost-effective, quality care with optimal outcomes.
Identify and provide appropriate educational resources and support services to patients and families in collaboration with the Chief Medical Officer or designee.
Assist primary care physicians in executing virtual appointments in patients’ homes.
Ensure patients’ electronic health records are updated accurately with current medical treatments and clinical documentation.
Ensure overall quality of healthcare delivery for each patient.
Ensure compliance with all applicable state, federal, OSHA, CLIA, and healthcare regulatory requirements.
Maintain documentation standards and audit readiness across all clinical operations.
Monitor adherence to organizational clinical policies and procedures.
Promote continuous quality improvement initiatives to enhance patient outcomes and operational effectiveness.