Manager, Continuum of Care

Job Summary

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.

Essential Functions

• 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.

Qualifications

• Bachelor's Degree in Nursing, Social Work, Healthcare Administration, or a related field required

• Master's Degree preferred

• 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

• 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

Knowledge, Skills and Abilities

• 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.

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred or

• LCSW- License Clinical Social Worker preferred

• CCM - Certified Case Manager preferred

Equal Employment Opportunity

This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.