Care Management Coordinator

Care Management Supervisor (RN)

Location: Remote (California)

Department: Care Management

Pay Rate: Competitive; based on experience

Position Summary

We are seeking an experienced Care Management Supervisor (RN) to lead and support a team of Adult Case Management professionals in a remote healthcare environment. This role is responsible for overseeing staff performance, driving operational excellence, ensuring quality member outcomes, and fostering effective collaboration between care teams, providers, members, and community-based organizations. The ideal candidate is a clinically strong Registered Nurse with leadership experience in managed care and a passion for coaching, mentoring, and process improvement. Success in this position requires excellent communication, critical thinking, and the ability to lead a high-performing remote team. This is an excellent opportunity for a healthcare leader seeking to influence care delivery, improve population health outcomes, and advance their career within a growing managed care organization.

Required Qualifications

• Current, active, and unrestricted California Registered Nurse (RN) license.
• Bachelor's degree required; Nursing, Public Health, Community Health, or a related healthcare field preferred.
• Minimum of five (5) years of clinical healthcare experience.
• Minimum of three (3) years of leadership, lead, or supervisory experience in a clinical setting.
• Minimum of two (2) years of managed care experience.
• Experience with case management, care coordination, utilization review, and healthcare program oversight.
• Strong knowledge of healthcare regulations, clinical documentation, and care management best practices.
• Proficiency with computer systems, electronic health records, and Microsoft Office applications.
• Excellent verbal, written, and interpersonal communication skills.
• Ability to effectively supervise and motivate remote teams.

Preferred Qualifications

• Experience within Medi-Cal managed care programs.
• Background supervising adult case management teams.
• Experience implementing process improvement initiatives and quality programs.
• Knowledge of population health management and community resource coordination.
• Bilingual communication skills are a plus.

Key Responsibilities

• Supervise and support Adult Case Management staff in a remote environment.
• Monitor productivity, performance metrics, and quality standards to ensure program success.
• Provide ongoing coaching, mentoring, training, and professional development to team members.
• Facilitate effective communication between staff, members, healthcare providers, and community organizations.
• Address employee performance concerns and support resolution of staff-related issues.
• Review workflows and identify opportunities to improve operational efficiency and member outcomes.
• Collaborate with cross-functional teams to support care management initiatives and organizational goals.
• Ensure compliance with regulatory requirements, organizational policies, and clinical best practices.
• Support utilization review and care coordination activities as needed.
• Promote a culture of accountability, collaboration, and continuous improvement.

Employee Value Proposition (EVP)

• Opportunity to lead and develop a high-impact healthcare team.
• Fully remote work environment with limited quarterly onsite training requirements.
• Ongoing leadership development and professional training opportunities.
• Meaningful work that improves member health outcomes and access to care.
• Collaborative, mission-driven culture focused on quality patient care.
• Exposure to managed care, population health, and healthcare operations leadership.
• Ability to influence program development and process improvement initiatives.
• Clear opportunities for career growth and advancement within a growing healthcare organization.