[Hiring] Manager of Care Management @Prevounce Health

Role Description

The Manager of Care Management leads and optimizes remote care management operations, directly overseeing team leads, care managers, administrative staff, and program workflows across multiple healthcare clinics and partner practices. This position is responsible for driving efficiency, program growth, patient retention, quality standards, and operational compliance across Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Advanced Primary Care Management (APCM) service lines.

The ideal candidate is a hands-on, metrics-driven leader with deep expertise in managing remote teams. You excel at balancing quality with operational performance, managing partner clinic relationships, leading cross-functional alignment, and mentoring care management staff to achieve optimal patient outcomes and strict efficiency benchmarks.

Qualifications

• Clinical / Operational Experience: 3+ years in healthcare management, clinical care management, or remote patient care operations.
• EMR Proficiency: Hands-on experience across multiple major EMR platforms (Epic, Cerner, NextGen, eClinicalWorks, AthenaHealth, AdvancedMD).
• Program Knowledge: Strong understanding of CMS billing requirements and workflows for Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Advanced Primary Care Management (APCM).
• Leadership & Mentorship: Proven track record of managing clinical or care management teams, performance evaluations, and KPI-driven operations.
• Technical Competency: Advanced skills in Google Workspace (Docs, Sheets, Slides, Drive) and data management via spreadsheets.
• Communication & Quality Assurance: Exceptional verbal, written, and patient-coaching communication skills, with expertise in structured clinical documentation and quality auditing.

Requirements

• Leadership & Supervision: Lead, coach, and manage a team of Care Managers and administrative staff. Conduct regular 1:1 meetings, performance evaluations, efficiency monitoring, and team huddles.
• Performance & Efficiency Tracking: Track team and individual performance metrics against efficiency goals (documented hours vs. worked hours, call center metrics, and financial performance).
• Account Oversight: Manage assigned clinic accounts. Serve as an operational contact for clinic practice managers, directors, and physician program champions.
• Workforce Management & Scheduling: Oversee scheduling, coverage plans, and account assignments across primary, secondary, and tertiary support structures.
• SOP & Documentation Standards: Develop, review, and enforce Standard Operating Procedures (SOPs) across RPM, CCM, and APCM programs.
• Quality & Audit Compliance: Conduct chart audits to ensure accurate, audit-ready clinical documentation, accurate time tracking, appropriate protocol applications, and proper use of patient teach-back methods.
• Development & Training: Draft and execute training plans, staff re-trainings, and targeted 1:1 clinical mentorship to elevate documentation standards and clinical judgment.
• Enrollment & Growth Support: Partner with clinic staff to drive dual-enrollment strategies (RPM + CCM/APCM) and manage outreach lists, cold-calling workflows, and in-office enrollment pathways.
• Interdepartmental Alignment: Work closely with Marketing, Logistics, Billing, and Engineering on collaborative projects to meet company-wide goals.
• Meeting Facilitation: Organize and lead monthly department meetings, weekly huddles, and cross-functional syncs.

Benefits

• Professional clinical credential/license (e.g., RN, LPN, BSN, or Certified Medical Assistant) or Master’s in Healthcare Administration / Public Health.
• Bilingual capabilities (English / Spanish) for cross-functional translation and patient outreach initiatives.
• Prior experience in a health-tech, SaaS, or remote patient care.

Core Competencies

• Operational Efficiency & KPI Orientation: Focuses on call volume, documented clinical time, and milestone completion while maintaining exceptional patient care.
• Adaptability & Problem Solving: Rapidly adjusts to clinic workflow changes, EMR updates, and evolving healthcare guidelines.
• Cross-Functional Collaboration: Communicates seamlessly between internal teams and external practice leadership.
• Compassionate Leadership: Balances team accountability with continuous feedback, coaching, and professional growth.