lead care manager

Community Clinic

<div>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&mdash;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&rsquo;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<ul><li>
Directly supervise CMC Team staff, including hiring, training, and performance management</li><li>
Establish and maintain standardized care management playbooks, including step-by-step workflows, escalation protocols, and documentation templates to ensure consistency across sites</li><li>
Monitor caseloads, staffing models, and resource allocation to ensure optimal team performance</li><li>
Conduct regular team huddles, case reviews, and performance discussions</li><li>
Assist with the implementation, execution, and optimization of APCM, CCM, and RPM programs</li><li>
Ensure compliance with CMS and payer requirements including documentation, time tracking, and patient consent</li><li>
Support documentation impacting risk adjustment and financial performance</li><li>
Review risk stratification reports and participate in interdisciplinary case reviews to provide management of high-risk and rising-risk patient panels.</li><li>
Oversee development and execution of comprehensive, individualized care plans for all patients enrolled in care management programs.</li><li>
Monitor clinical and financial outcomes, including ED utilization, hospital readmissions, care gap closure rates, and reimbursement performance, and adjust interventions to improve results.</li><li>
Ensure timely follow-up for discharges and ED visits</li><li>
Promote patient engagement and self-management</li><li>
Ensure closed-loop referral processes</li><li>
Develop and deliver training for CMC Team as needed</li><li>
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.</li><li>
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.</li><li>
Optimize care management technologies</li></ul> 
Skills<ul><li>
Care management and population health expertise</li><li>
Leadership and team development ability</li><li>
Value-based care financial and operational understanding</li><li>
Program implementation and workflow optimization</li><li>
Expertise in APCM, CCM, RPM compliance and audit readiness</li><li>
Data analysis and program performance improvement</li><li>
Patient engagement</li><li>
Proficient in use of care management technologies (e.g. EHR based tools, population health platforms, patient engagement platforms, payer portals)</li></ul> 
Required Qualifications<ul><li>
Active RN License required</li><li>
3+ years&rsquo; experience in care management, case management, or population health required</li><li>
1+ year leadership experience required</li><li>
Local travel ability required (Northwest Arkansas and Northeast Oklahoma) required</li></ul> 
Preferred Qualifications<ul><li>
BSN or MSN is preferred</li><li>
5+ years of experience in Case or Care Management or Population Health preferred</li><li>
3+ years of experience leading Case Management or Population Health teams preferred</li><li>
Experience with APCM, CCM, and/or RPM programs preferred</li></ul> 
Why Work at Community Clinic?<ul><li>
Be a part of a mission-driven organization committed to providing access to health-care to everyone in your community!</li><li>
Excellent Benefits Package including:<ul><li>
Health, Vision, Dental and Life Insurance</li><li>
403(b) Retirement plan (automatic employer contribution of 5% per paycheck!)</li><li>
Paid Time Off and Holidays</li><li>
Employee Discounts for Care</li></ul></li></ul> 
Monday - Friday 8:00 AM - 5:00 PM 
40 - Hours</div>

Lead Care Manager (RN)

BLEHEALTH, LLC

<div>BLEHEALTH is seeking qualified candidates who reside within the Metro Los Angeles area and are able to work exclusively within this service region. Candidates must live in or near ZIP codes 90001&ndash;90089 and demonstrate reliable access to the Metro LA community for field‑based duties, member visits, provider coordination, and in‑person engagements as required.
Job Description
The Lead Care Manager plays a vital role in supporting chronically ill and high‑risk members by coordinating care, reducing barriers, and improving health outcomes. This position works in continuous partnership with members, families/caregivers, providers, hospitals, and community resources to deliver high‑quality, person‑centered Enhanced Care Management (ECM) services.
Key Responsibilities
Care Coordination &amp; Member Support<ul><li>
Coordinate care across clinics, hospitals, specialists, and community agencies using strong care coordination, case management, and organizational skills to ensure a seamless experience and avoid duplication of services.</li><li>
Oversee the delivery of ECM services and ensure implementation and follow‑through of individualized care plans, applying project management and prioritization skills.</li><li>
Provide services where the member lives, seeks care, or feels most comfortable, demonstrating flexibility, cultural awareness, and strong interpersonal skills.</li><li>
Assess unmet medical, behavioral, and social needs and develop comprehensive care plans using critical thinking, problem‑solving, and clinical judgment.</li><li>
Support access to medical, behavioral health, and specialty care; arrange transportation and assist with appointment scheduling using effective communication and coordination abilities.</li><li>
Accompany members to office visits when appropriate, maintaining professional boundaries and member‑centered engagement.</li><li>
Monitor treatment adherence, including medication compliance, using attention to detail and follow‑through.</li><li>
Provide health promotion, self‑management coaching, and culturally/linguistically appropriate education using motivational interviewing and trauma‑informed care techniques.</li><li>
Promote timely access to care, preventive services, and reduced emergency room utilization and hospital readmissions through proactive planning and quality‑improvement practices.</li></ul>
Member Engagement &amp; Health Promotion<ul><li>
Use motivational interviewing, trauma‑informed care, and harm‑reduction approaches to build trust and support behavior change.</li><li>
Increase member capacity for self‑management and shared decision‑making through clear communication and coaching skills.</li><li>
Connect members to relevant community resources to improve health, stability, and overall well‑being using resource navigation and problem‑solving abilities.</li><li>
Apply crisis navigation skills when members present with urgent or complex needs.</li></ul>
Collaboration &amp; Communication<ul><li>
Serve as the primary point of contact, advocate, and informational resource for members, caregivers, providers, payers, and community partners using strong interpersonal and relationship‑building skills.</li><li>
Maintain strong relationships with primary care and specialty providers, ensuring timely communication and coordination during transitions of care through professional collaboration and follow‑up.</li><li>
Work closely with hospital staff on discharge planning and follow‑up using effective teamwork and care‑transition management.</li><li>
Facilitate and attend meetings between members, caregivers, providers, and community partners as needed, demonstrating clear communication and facilitation skills.</li><li>
Communicate with members through face‑to‑face visits, secure email, phone calls, text messages, and other approved methods using professional communication and documentation skills.</li><li>
Work independently and collaboratively with diverse teams, applying team‑building, adaptability, and strong organizational skills.</li></ul>
Program Support &amp; Compliance<ul><li>
Identify high‑risk members and ensure they are added to the registry or flagged in the EHR, demonstrating strong data accuracy and attention to detail.</li><li>
Monitor care plan adherence, evaluate effectiveness, and adjust plans as needed using quality‑improvement principles and analytical skills.</li><li>
Maintain accurate, timely documentation and meet productivity expectations, including a minimum of 30 schedules per day, supported by effective time‑management and prioritization abilities.</li><li>
Attend all required ECM trainings, webinars, and meetings, applying continuous learning and change‑management skills to daily practice.</li><li>
Provide feedback to support ongoing improvement of the ECM program using critical thinking and process‑improvement tools.</li><li>
Ensure all services are delivered in accordance with Medi‑Cal Managed Care Plan (MCP) guidelines, demonstrating regulatory awareness and compliance discipline.</li><li>
Use Microsoft Office (Word, Excel, PowerPoint) and other systems effectively to support documentation, reporting, and communication.</li><li>
Handle all Protected Health Information (PHI) in full compliance with HIPAA; public or shared spaces may not be used for work at any time.</li><li>
Follow BLE Health&rsquo;s password and data‑security protocols, including secure storage, device protection, and regular password updates.</li><li>
Limit personal tasks and errands to designated break and lunch periods to maintain productivity and workflow integrity.</li></ul>
Qualifications
Required<ul><li>
Valid California driver&rsquo;s license, active auto insurance, and a clean driving record</li><li>
Reliable personal vehicle and ability to drive within a 20‑mile radius of your local service area as needed.</li><li>
Be able to visit hospitals, member homes, and community locations as needed to support field‑based Enhanced Care Management services.</li><li>
Negative TB test and current CPR certification prior to hire.</li><li>
Successful completion of a Live Scan fingerprint/background check.</li><li>
Ability to consistently meet daily productivity expectations.</li></ul> 
Preferred<ul><li>
Associate or bachelor&rsquo;s degree in health science, social services, or a related field.</li><li>
Experience as a Social Worker, LVN, or in case management.</li><li>
Familiarity with CalAIM, Enhanced Care Management (ECM), or Medi‑Cal managed care programs.</li></ul>
 Benefits
Immediate Benefits<ul><li>
Mileage reimbursement provided per applicable state and federal guidelines.</li></ul>
Benefits After 90‑Day Probationary Period<ul><li>
Free life insurance.</li><li>
401(k) eligibility after 1,000 hours of service.</li></ul></div>

LEAD CARE MANAGER (Metro LA Coverage)

The W Group

<div>
 Lead Case Manager &ndash; Sanford Manor
 
 
 Schedule: Monday through Friday 9am-5pm
 
 
 Excellent Benefits
 
 
 <ul>
 <li>
 Supportive Management
 </li>
 <li>
 Immediately Available
 
 
 
 </li>
 </ul>
 
 Sanford Manor
 
 , part of
 
 The W Assisted Living Management Company
 
 , is seeking a compassionate, organized, and motivated
 
 Lead Case Manager
 
 to join our team. This is a hands-on leadership role responsible for coordinating resident services and supporting a small case management team, with a strong focus on resident satisfaction, smooth admissions/discharges, and clear documentation.
 
 
 What You&rsquo;ll Do
 
 
 <ul>
 <li>
 Lead and support a team of 2 Case Managers (workflow oversight, guidance, and daily coordination)
 </li>
 <li>
 Maintain firm adherence to each resident&rsquo;s Bill of Rights and advocate for resident-centered care
 </li>
 <li>
 Maintain meaningful communication with residents, families, care providers, and community partners to ensure continuity of care
 </li>
 <li>
 Coordinate admissions/re-admissions from the community, hospitals, nursing homes, and other settings
 </li>
 <li>
 Support resident assessments and service planning to meet resident needs and facility requirements
 </li>
 <li>
 Collaborate with a multidisciplinary team (administration, nursing, social services, and outside providers)
 </li>
 <li>
 Ensure clear, timely, and accurate documentation in accordance with facility policies and regulations
 </li>
 <li>
 Identify barriers to care, escalate concerns appropriately, and help drive solutions that improve outcomes and satisfaction
 
 
 
 </li>
 </ul>
 
 Qualifications / Requirements
 
 
 
 <ul>
 <li>
 Associate&rsquo;s Degree in Healthcare (required)
 </li>
 <li>
 2+ years of case management experience (assisted living/long-term care preferred)
 </li>
 <li>
 Prior experience in assisted living/adult care/long-term care strongly preferred
 </li>
 <li>
 Strong phone, communication, and follow-up skills with families and care providers
 </li>
 <li>
 Excellent organization, documentation, and time-management skills
 </li>
 <li>
 Ability to lead by example and work cooperatively with a multidisciplinary team
 </li>
 <li>
 Bachelor&rsquo;s degree preferred but not required
 
 
 
 </li>
 </ul>
 
 Benefits
 
 
 
 <ul>
 <li>
 Competitive pay
 </li>
 <li>
 Health benefits offered
 </li>
 <li>
 Paid time off
 </li>
 <li>
 Paid sick time
 </li>
 <li>
 Paid holidays
 </li>
 <li>
 Unlimited employee referral bonuses
 </li>
 <li>
 Growth and development paths specific to your interests
 </li>
 <li>
 Supportive management (open-door policy)
 </li>
 <li>
 Reliable schedule
 
 
 
 </li>
 </ul>
 Why Work at The W Group?
 
 
 The W Group is proud to be one of the largest providers of senior living and adult care in New York State. We&rsquo;re a values-based organization with a culture rooted in collaboration, encouragement, and camaraderie. In this role, you&rsquo;ll have the opportunity to innovate, make an impact, and grow with a company that invests in its people.
</div>

Lead Case Manager

Public Health Management Corporation

<div>PHMC serves as both a direct service provider to individuals, families, and communities across the region and as an intermediary agent &mdash; managing large-scale contracts, government and philanthropic partnerships, and multidisciplinary initiatives that require operational sophistication, strategic leadership, and deep mission alignment.

JOB OVERVIEW:

Lead Medical Case Manager oversees care coordination and provides a full range of support for clients diagnosed with HIV/AIDS at the Care Clinic. The Lead Medical Case Manager reports to the HIV Program Manager.

Responsibilities:
<ul>
<li>Maintain a caseload of people living with HIV/AIDS.</li>
<li>Provide oversight of Medical Case Managers (MCMs) and conduct patient chart reviews.</li>
<li>Conduct MCMs monthly supervisions.</li>
<li>Complete a biopsychosocial assessment and service care goals with each client at the time of intake. Monitor and update service care goals and assessments quarterly in coordination with the interdisciplinary team.</li>
<li>Collaborate with an interdisciplinary team in the evaluation of patient needs and treatment progress.</li>
<li>Maintain contact with clients based on program need, client need, and service care goals.</li>
<li>Documentation of adherence to medical appointments and medical care plan, including HIV medication adherence.</li>
<li>Provide trauma-informed therapeutic support in collaboration with an interdisciplinary team, including crises.</li>
<li>Identify appropriate resources and external support systems to address client needs, including advocating and negotiating linkages to resources.</li>
<li>Available to provide home visits and accompany clients to medical appointments and outside treatment facilities as necessary.</li>
<li>Maintain accurate and timely documentation of all client contacts (using D.A.P. format), forms, and applications in EHR software.</li>
<li>Coordinates and documents Psychosocial Support Groups as required by the Division of HIV Health (DHH).</li>
<li>Assist Program Manager with Quality Improvement Projects as directed by DHH.</li>
<li>Perform analysis and reporting of MCM data as required by DHH.</li>
<li>Provide real-time data support to MCM staff.</li>
<li>Support the assessment of impact and outcomes to improve clinical care and meet reporting obligations.</li>
<li>Contribute as a team member and share in the responsibilities required to maintain operations and serve the mission of PHMC. This includes, but is not limited to, obtaining training, participating in events, flexibility in scheduling, covering the commitments of coworkers when they are unable, and other duties as assigned.</li>
<li>Perform other duties as assigned.</li>
</ul>
Skills:
<ul>
<li>Bilingual/bi-cultural a plus.</li>
<li>Knowledge of community resources helpful.</li>
<li>Strong interpersonal skills.</li>
<li>Strong organizational skills.</li>
</ul>
Experience:
<ul>
<li>One-two years of experience in HIV/AIDS case management services, or related field.</li>
</ul>
Education:
<ul>
<li>Bachelor&rsquo;s Degree required. Degree must be in Social Work, Human Services, Sociology, Psychology, Nursing, Public Health, or a related field from an accredited school. Other degrees may be considered if the candidate has Medical Case Management experience servicing people living with HIV/AIDS</li></ul> 


PHMC is an E-Verify and Equal Opportunity Employer</div>

Lead Medical Case Manager

HCA Florida Ocala Hospital​

<div><h5 class="jobSectionHeader">Introduction</h5>
Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Lead Case Manager today with HCA Florida Ocala Hospital.<h5 class="jobSectionHeader">
Benefits</h5>
HCA Florida Ocala Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing 
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock 
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance. 
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more 
</li><li>
Consumer discounts through Abenity and Consumer Discounts 
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships 
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships) 
</li><li>
Colleague recognition program 
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul> 
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location. 
Come join our team as a Lead Case Manager. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative care to ensure optimum outcomes. The CM provides, coordinates, and directs care specific to the needs of each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates efforts within the Rehabilitation team.
What you will do in this role:<ul><li>
You will provide program orientation to patients/families/caregivers. Orientation will include the case manager's role, Rehab philosophy, and continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process, and rights and responsibilities.</li><li>
You will act as the coordinator of patient/family/caregiver education. You will promote the participation of the patient/family/caregiver in team discussions related to plans, goals, and status. This will be conducted through Family Conferences and other interactions.</li><li>
You will ensure the implementation of the patient's treatment plan that supports the patient's strengths, abilities, needs, and preferences. You will facilitate the involvement of the patient throughout the rehabilitation process.</li><li>
You will document the findings of the Discharge Planning Evaluation (DPE) and psychosocial assessments. You will communicate the social, financial, or discharge needs and preferences of the patient/family/caregiver.</li><li>
You will assume accountability for promoting consistent, positive patient interactions that advance the agenda of unparalleled patient service.</li></ul><h6 class="jobSectionHeader"> 
What qualifications you will need:</h6><ul><li>
Florida RN license and/or approved multistate RN license required. Compact license holders have 60 days to obtain the Florida license after relocation.</li><li>
BLS-AHA Provider issued card required within 30 days of start</li><li>
Registered Nurse Diploma</li><li>
Associates Degree in Nursing or Diploma in Nursing required</li><li>
Bachelor&rsquo;s Degree in Nursing preferred</li><li>
Three years of nursing experience in acute care setting is required</li><li>
Case Management experience preferred</li></ul> 
HCA Florida Ocala Hospital is a 323-bed facility. We are located in the heart of Ocala, Florida. Our hospital is a part of Ocala Health. Our facility is an ACS Level I Trauma Center. We are the region's only Comprehensive Stroke Center. We are committed to patient-centered care! We offer a host of quality and award-winning services. Our services include orthopedic, cardiovascular, emergency, and neurological care, robotic and weight loss surgery, and rehabilitation services.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. 
&quot;The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Lead Case Manager opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Vynca

<div>Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs. 
 
We&rsquo;re more than just a team; we're a close-knit community. Our shared commitment to caring for each other and those we serve is what sets us apart. Guided by our unwavering core values: Excellence, Compassion, Curiosity, and Integrity, we forge paths of success together. Join us in this transformative movement where you can contribute to making a profound difference every day. 
 
At Vynca, our mission is to provide comprehensive care for more quality days at home.<h1 class="jobSectionHeader">
About the job</h1>
We're seeking an exceptional Case Manager (internal title: Lead Care Manager (LCM)) to join our Enhanced Care Management (ECM) team. Under the direction of the Director of Enhanced Care Management, ECM Clinical Manager and/or ECM Program Manager, the LCM serves as the client&rsquo;s primary point of contact and works with all their providers such as doctors, specialists, pharmacists, social services providers, and others to make sure everyone is in agreement about the client&rsquo;s needs and care. The LCM manages client cases, coordinates health care benefits, provides education and facilitates member access to care in a timely and cost-effective manner. The LCM collaborates and communicates with client&rsquo;s caregivers/family support persons, other providers and others in the Care Team in order to promote wellness, recovery, independence, resilience, and member empowerment, while ensuring access to appropriate services and maximizing member benefit.
 
 
This is a hybrid position that requires traveling throughout the Orange County area up to 5 days per week. Candidates wishing to be considered must reside within a 20 miles radius of the assigned territory due to frequency of travel.
This is a critical role that we're looking to fill as soon as possible.<h1 class="jobSectionHeader"> 
What you&rsquo;ll do</h1>
Hybrid (in-field and remote) care management duties as described below:<ul><li>
Assess member needs in the areas of physical health, mental health, SUD, oral health, palliative care, memory care, trauma-informed care, social supports, housing, and referral and linkage to community-based services and supports</li><li>
Oversees the development of the client care plans and goal settings</li><li>
Offer services where the member resides, seeks care, or finds most easily accessible, including office-based, telehealth, or field-based services</li><li>
Connect clients to other social services and supports that are needed</li><li>
Advocate on behalf of the client with health care professionals (e.g. PCP, etc.)</li><li>
Utilize evidence-based practices, such as Motivational Interviewing, Harm Reduction, and Trauma-Informed Care principles</li><li>
Conduct outreach and engagement activities in order to facilitate linkage to the ECM program and log activity in the Client Relationship Management (CRM) system</li><li>
Evaluate client&rsquo;s progress and update SMART goals</li><li>
Provide mental health promotion</li><li>
Arrange transportation (e.g., ACCESS)</li><li>
Complete all documentation, including outcome measures within the timeframes established by the individual care plans</li><li>
Maintain up-to-date patient health records in the Electronic Medical Record (EMR) system and other business systems</li><li>
Complete monthly reporting to ensure program compliance</li><li>
Attend training as assigned</li></ul><h1 class="jobSectionHeader">
Your experience and qualifications</h1><ul><li>
2+ years experience as a care manager, care navigator, or community health worker supporting vulnerable populations</li><li>
Willing and able to work Monday-Friday 8:30am-5:00pm Pacific Time, both in the field and remotely, with flexibility for potential evenings and weekends.</li><li>
Working knowledge of government and community resources related to social determinants of health</li><li>
Clean driving record, valid driver's license, and reliable transportation</li><li>
Excellent oral and written communication skills</li><li>
Positive interpersonal skills required</li><li>
Must have general computer skills and a working knowledge of Google Workspace, MS Office and the internet</li><li>
Bilingual (English/Spanish), strongly preferred</li></ul>
Additional Information<ul><li>
The hiring process for this role may consist of applying, followed by a phone screen, online assessment(s), interview(s), an offer, and background/reference checks.</li><li>
Background Screening: A background check, which may include a drug test or other health screenings depending on the role, will be required prior to employment.</li><li>
Job Description Scope: This job description is not exhaustive and may include additional activities, duties, and responsibilities not listed herein.</li><li>
Vaccination Requirement: Employees in patient, client, or customer-facing roles must be vaccinated against influenza. Requests for religious or medical accommodations will be considered but may not always be approved.</li><li>
Employment Eligibility: Compliance with federal law requires identity and work eligibility verification using E-Verify upon hire.</li><li>
Equal Opportunity Employer: At Vynca Inc., we embrace diversity and are committed to fostering an inclusive workplace. We value all applicants regardless of race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other protected group under federal, state, or local law.</li></ul></div>

Case Manager

Pair Team

<div><h2 class="jobSectionHeader">About Pair Team</h2> 


At Pair Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we deliver whole-person care - clinical, behavioral, and social - by partnering with organizations deeply connected to the communities we serve.

We're building a care model that empowers clinicians and care teams to do what they do best: provide compassionate, high-impact care. At Pair Team, we leverage AI and automation to reduce administrative burden, streamline coordination, and ensure patients receive timely, personalized support.

Our work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients.

We're one of the largest Enhanced Care Management providers in California and are on track to build the nation's largest clinically integrated network supporting high-need patients. Our model has demonstrated real impact, including a 58% reduction in emergency department visits and a 29% reduction in hospital admissions.

At Pair Team, were not just delivering care - we're building the future of more equitable, community-driven healthcare. 


Our Values
<ul>
<li>Lead with integrity: We keep our commitments and take responsibility for our actions. We are dependable and choose authenticity over perfection.</li>
<li>Embrace challenges: We leave our egos at the door and step forward into discomfort instead of back into safety. We help each other to learn and provide feedback using candor and kindness.</li>
<li>Break through walls: We go the extra mile for our patients, partners and one another, and we run toward hard things. We are resilient in our push for consistent improvement and challenge the status quo.</li>
<li>Act beyond yourself: We build each other up and respect boundaries. We seek first to understand and assume positive intent.</li>
<li>Care comes first: We hold ourselves to the highest standards for our patients. We are relentless in the pursuit of our mission, and ensure that we are taking care of ourselves in order to care for others.</li>
</ul><h3 class="jobSectionHeader">In the News</h3>
<ul><li>Forbes: For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The Most</li>
<li>TechCrunch: Building for Medicaid's regulatory moment with Neil Batlivala from Pair Team</li>
<li>Axios: Pair Team collects $9M for Medicaid-based care</li>
</ul>
<h2 class="jobSectionHeader"> 
About the Opportunity</h2>

Pair Team is building a team of deeply passionate individuals ready to change primary care operations for those who need it most. We are looking for a highly motivated full-time Lead Care Manager who is willing to think creatively and empathically to help our team change the way people access healthcare.

We seek a full-time Lead Care Manager to play a critical role in our whole-person, interdisciplinary care model, responsible for directly outreaching and engaging with individuals living with Serious Mental Illness/ Substance Use Disorder, experiencing homelessness, and/or those who have high medical needs. We believe in the power of trust and relationships to successfully engage those who may have never received the kind of whole-health care that Pair Team can provide. 

This position primarily allows for remote work; however, it includes 2-3 times a month on-site visits in the community alongside a fellow PairMate. You can expect to engage in these in-person activities 2-3 times per month, close to your city, while the majority of your duties, approximately 90%, will be performed from your home 

<h3 class="jobSectionHeader">
What You'll Do</h3>
<ul><li>Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals</li>
<li>Use relationship-based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system</li>
<li>Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members</li>
<li>Work with member to identify health/wellness goals and incorporate goals into Health Action Plan/Shared Care Plan</li>
<li>Supports nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks</li>
<li>Collaborates on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager, behavioral health care manager, and nurse practitioner before taking clinical actions</li>
<li>Consistently meet monthly encounter metrics to ensure compliance with health plan regulations</li>
<li>Identify and break down barriers ensuring individuals' continuation with the program</li>
<li>Assists individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups</li>
<li>Coordinate physical care management appointments through collaboration with external and internal providers</li>
<li>Utilize external and internal online platforms to collaborate with team members and carry out daily tasks</li></ul> 

<h3 class="jobSectionHeader">
What You'll Need</h3>
<ul><li>1+ years of general work experience (Case Management preferred)</li>
<li>You are physically located in California
<ul><li>Field Ops requires you to maintain reliable transportation for engagement at clinic, community based organization, and health system partner locations</li>
<li>Virtual Ops requires a quiet, HIPAA compliant and internet connected space</li>
</ul></li><li>Bilingual &ndash; English/Spanish</li>
<li>Strong understanding of cultural fluency</li>
<li>High degree of empathy</li>
<li>Ability to work collaboratively in a multidisciplinary team</li>
<li>An eye for optimization</li>
<li>Organizational skills</li>
<li>Ability to remain patient when faced with adversity</li>
<li>Strong technical skills and comfort with technology innovation, past experience with CRM databases, basic Excel, Word, email, and video conferencing</li>
<li>A valid driver's license and auto liability insurance</li>
</ul><h3 class="jobSectionHeader">Preferred Qualifications:</h3>
<ul><li>Demonstrated professional or personal lived experience working closely with individuals experiencing complex chronic needs, homelessness, or Severe Mental Illness/Substance Use Disorder</li>
<li>2+ years of case management experience</li>
<li>Experience with motivational interviewing</li>
<li>Knowledge of medical terminology</li>
<li>Zest for problem solving, seeking answers, and thinking outside the box</li>
<li>Detail-oriented and organized self-starter who is a rockstar multitasker</li>
<li>Reliable and comfortable in an ever-changing environment</li></ul> 

<h3 class="jobSectionHeader">
Because We Value You</h3>
<ul><li>Salary: $22-$25/hour</li>
<li>Comprehensive health, vision &amp; dental insurance</li>
<li>401k</li>
<li>Monthly $100 work from home expense stipend for your WFH days</li>
<li>Gas reimbursements for your on-site engagement days</li>
Flexible vacation policy <li>- take the time you need to recharge!</li>
<li>We provide all of the equipment needed for the role</li>
<li>Opportunity for rapid career progression with plenty of room for personal growth!</li></ul><div> 
Pair Team is an Equal Opportunity Employer. At Pair Team, we value diversity and strive to provide an inclusive environment for all applicants and employees. All applicants will be considered without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, marital status, age, disability, political affiliation, military service, genetic information, or any other characteristic covered by federal, state, or local law.

Pair Team participates in E-Verify to verify employment eligibility for new hires. 
 
Any offer of employment at Pair Team is conditioned upon passing a pre-employment background check. Following a conditional job offer, candidates will undergo comprehensive employment background checks, including; criminal history, reference checks, and driving records if a role requires vehicle use.

We do not conduct any TA business outside of our @pairteam.com emails. If you're ever concerned about spam or fraudulent activity, please reach out to recruiting@pairteam.com.

Note: Please be aware that while we sincerely appreciate your interest, due to the high volume of requests, we're unable to respond to general position inquiries via email. To apply for a position with us, please submit your application for the role you are interested in. Our team regularly reviews applications and will reach out to candidates whose qualifications align with our current openings listed below. Thank you!</div></div>

Bilingual Case Manager (Remote Flexible, Spanish Speaking)

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