Lead Care Manager (RN)

Community Clinic is a trusted regional healthcare system dedicated to delivering exceptional, whole-person care in a compassionate, professional, and welcoming environment. As we continue to grow across the region, we remain grounded in one belief: people matter. That includes our patients—and our team. Every employee plays a vital role in living out our promise: We care. You belong.

Job Summary

Community Clinic is seeking a Registered Nurse (RN) Lead Care Manager for our Quality team in Springdale, AR. The Lead Care Manager is responsible for leading the execution and performance of care management teams that support the organization’s success under quality and value-based care models. This role directly supervises Care Managers and Care Coordinators (CMC Team) and ensures effective delivery of care coordination services that improve clinical outcomes, enhance patient engagement, and reduce avoidable utilization. The Lead Care Manager serves as the operational bridge between value-based care strategy and frontline execution, translating organizational priorities into standardized workflows, compliant documentation, and measurable clinical and financial outcomes across clinics. the schedule for this position is in-person, Monday - Friday 8:00 AM - 5:00 PM

Key Responsibilities

• Directly supervise CMC Team staff, including hiring, training, and performance management
• Establish and maintain standardized care management playbooks, including step-by-step workflows, escalation protocols, and documentation templates to ensure consistency across sites
• Monitor caseloads, staffing models, and resource allocation to ensure optimal team performance
• Conduct regular team huddles, case reviews, and performance discussions
• Assist with the implementation, execution, and optimization of APCM, CCM, and RPM programs
• Ensure compliance with CMS and payer requirements including documentation, time tracking, and patient consent
• Support documentation impacting risk adjustment and financial performance
• Review risk stratification reports and participate in interdisciplinary case reviews to provide management of high-risk and rising-risk patient panels.
• Oversee development and execution of comprehensive, individualized care plans for all patients enrolled in care management programs.
• Monitor clinical and financial outcomes, including ED utilization, hospital readmissions, care gap closure rates, and reimbursement performance, and adjust interventions to improve results.
• Ensure timely follow-up for discharges and ED visits
• Promote patient engagement and self-management
• Ensure closed-loop referral processes
• Develop and deliver training for CMC Team as needed
• Collaborate with Quality, IT, and Revenue Cycle teams to optimize population health tools, dashboards, and reporting systems used for risk stratification, care gap identification, program performance tracking, and payer reporting.
• Contribute to the development and implementation of advanced value-based care models (e.g., ACO participation) by providing input on care management capabilities, identifying opportunities for improved performance, and supporting readiness assessments as directed by the Value-Based Care Strategy Manager.
• Optimize care management technologies

Skills

• Care management and population health expertise
• Leadership and team development ability
• Value-based care financial and operational understanding
• Program implementation and workflow optimization
• Expertise in APCM, CCM, RPM compliance and audit readiness
• Data analysis and program performance improvement
• Patient engagement
• Proficient in use of care management technologies (e.g. EHR based tools, population health platforms, patient engagement platforms, payer portals)

Required Qualifications

• Active RN License required
• 3+ years’ experience in care management, case management, or population health required
• 1+ year leadership experience required
• Local travel ability required (Northwest Arkansas and Northeast Oklahoma) required

Preferred Qualifications

• BSN or MSN is preferred
• 5+ years of experience in Case or Care Management or Population Health preferred
• 3+ years of experience leading Case Management or Population Health teams preferred
• Experience with APCM, CCM, and/or RPM programs preferred

Why Work at Community Clinic?

• Be a part of a mission-driven organization committed to providing access to health-care to everyone in your community!
• Excellent Benefits Package including:
  • Health, Vision, Dental and Life Insurance
  • 403(b) Retirement plan (automatic employer contribution of 5% per paycheck!)
  • Paid Time Off and Holidays
  • Employee Discounts for Care

Monday - Friday 8:00 AM - 5:00 PM
40 - Hours