Nurse Care and Case Management (CCM) Manager

Position Overview

• Employment Type: Full-Time
• Location Type: [Not Specified]
• Salary: [Not Specified]

The Nurse Care and Case Management (CCM) Manager will oversee and lead the day-to-day efforts of our CCM Nurse Care Managers. The Manager will play a key role in helping nurses achieve individual and team-level goals, with a focus on delivering high quality and efficient care and case management to our members. As we grow, the Nurse Care and Case Management (CCM) Manager will support the professional growth and development of their direct reports, while also fostering team engagement and enhancing overall performance.

Requirements

• Education: BSN required
• Certification: CCM Certification required
• Licensure: Active Nursing License, in good standing with state's BON.
• Experience: 5+ years of nursing experience required
• Leadership Experience: 2+ years care management leadership required
• Skills:
  • Strong organizational and team-building skills
  • Ability to work efficiently, be detail-oriented, and adapt in a rapidly changing environment
  • Exceptional communication skills with a positive and respectful approach
  • Proven experience leading teams or initiatives with measurable results
  • Proficiency in technology and data-driven decision-making
  • Proven ability to manage change and adapt in a fast-paced, evolving organization

Responsibilities

• Actively track and manage performance for all clinicians under your leadership, ensuring timely and high-quality care delivery.
• Manage team members to meet performance metrics, including volumes, customer commitments, service line agreements, and performance guarantees.
• Collaborate with the Quality and Clinical Excellence (CE) teams to promote the highest level of care and service excellence.
• Partner with Human Resources Business Partners (TAO) to develop formal remediation plans when necessary.
• Support the growth and development of individual clinicians, helping them achieve their professional goals.
• Serve as a bridge between clinical leadership and clinicians to implement workflow changes and drive continuous improvement.
• Communicate team vision, updates on organizational processes, and champion changes that impact the navigation team.
• Represent the team in cross-functional collaborations and partner with service line leaders to enhance workflows.
• Ensure that care and case management services are in alignment with the organization's values and objectives.
• Communicate openly and collaboratively with nurses, leadership, and cross-functional teams.
• Develop and manage policies and procedures that align with organizational goals.
• Demonstrate innovative and creative thinking, identifying opportunities for improvement in workflows and processes.
• Make timely decisions and effectively manage change in a dynamic environment.
• Lead and engage others in driving success, fostering a culture of accountability and high performance.
• Navigate difficult conversations with professionalism and care when necessary.

Shift

• Monday-Friday 9AM-6PM local time (Preference for those in MST/PST timezone)

Physical/Cognitive Requirements

• Prompt and regular attendance at assigned work location.
• Capability to remain seated.