Supervisor - Care Management (Non-clinical)

Astrana Health, Inc.•Monterey Park, CA

12d•$75,000 - $85,000•Remote

About The Position

The Supervisor – Care Management position is responsible for the direct daily supervision of care management activities of case managers and care coordinators for assigned North East market populations, including HMO and ACO members. The role ensures high-quality, cost-effective, and patient-centered care through effective supervision of care management operations, non-clinical staff, and interdisciplinary care coordination. The Supervisor helps maintain compliance with health plan requirements, regulatory guidelines, and internal quality standards. The description states that the role reports to the Senior Manager, Care Management; the posting’s reporting field lists Heather Hartman. This is a remote position, with travel potentially required based on business needs. The total compensation target range is $75,000–$85,000 per year. Actual compensation depends on geographic location, experience, and other job-related factors.

Requirements

High school diploma.
At least 2 years of case or care management experience in a medical group, IPA, and/or HMO setting is preferred.
Knowledge of NCQA standards, Model of Care and Case Management requirements, CMS and state regulations, and HMO/ACO model structures.
Strong communication, leadership, and critical-thinking skills.
Ability to work cross-functionally with clinicians, leadership, and administrative staff to drive outcomes.
Experience managing diverse teams and leading quality-focused initiatives.
Skilled in Microsoft Office and able to learn and navigate other computer systems effectively.

Nice To Haves

Management diploma or certificate.
At least 2 years of case or care management experience in a medical group, IPA, and/or HMO setting.

Responsibilities

Provide day-to-day supervision of care management teams and ensure adherence to ambulatory care management policies, procedures, and regulatory requirements.
Supervise the delivery of clinical care management services across the continuum and support staff performance and clinical excellence.
Ensure consistent application of policies and take corrective or disciplinary action when necessary.
Carry out other projects and duties assigned by the Clinical Leadership team.
Monitor and support implementation of the Astrana Health care management process, including training and documentation requirements.
Review health plan reports to identify new members requiring care coordination or targeted interventions.
Ensure care management activities comply with NCQA standards, CMS, health plan and state regulations, and internal protocols.
Support development and review of individualized care plans and integration of care strategies across disciplines.
Engage with network PCPs, specialists, and vendors to support timely and appropriate care coordination and service utilization.
Collaborate with Utilization Management, Inpatient Case Management, and Ambulatory Care to maintain continuity across transitions of care.
Conduct internal audits of ambulatory care management cases and provide staff feedback and coaching as needed.
Educate and support staff on documentation standards, best practices, and quality improvement opportunities.
Assist with submission of deliverables for health plan audits.
Conduct staff performance evaluations, including audits of care plans, assessments, and documentation.
Monitor staff attendance and ensure accountability to organizational expectations.
Provide mentorship and training to foster excellence, collaboration, and continuous improvement.
Oversee hiring, onboarding, and training of new staff.
Maintain staff timekeeping and personnel records.
Perform other duties as assigned.