Role Description
The job profile for this position is Nurse Case Management Manager, which is a Band 4 Management Career Track Role.
This role provides high-level oversight, day-to-day guidance, coaching team members, resolving escalated issues, managing conflict resolution, and supporting the consistent achievement of performance goals.
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Accountable for team performance, quality, customer satisfaction, and delivery of high-quality case management and coaching services.
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Partners with internal teams and external stakeholders—including customers, providers, vendors, claims payors, and insurance professionals—to support business initiatives and resolve service delivery concerns.
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Requires sound judgment, strong relationship-building skills, and intermediate technical proficiency.
Qualifications
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Active, unrestricted Registered Nurse (RN) license in a U.S. state or territory.
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High-performing candidate with a proven track record in a supervisor role.
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Intermediate technical proficiency and sound judgment.
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Knowledge of case management and health coaching programs.
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Excellent written and verbal communication skills.
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Demonstrated leadership ability, strategic thinking, and sound judgment in decision-making.
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Working knowledge of quality management principles, standards, and continuous improvement processes.
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Ability to collaborate across teams and build effective relationships with internal and external stakeholders.
Requirements
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One to two years of leadership or management experience in clinical operations, care management, or healthcare services.
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Experience partnering with sales teams and external consultants to support client relationships or business development.
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Experience supporting or participating in clinical audits, customer presentations, or client visits.
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Experience with staff training, onboarding, professional development, or succession planning.
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Knowledge of benefit plan design, insurance operations, claims processing, or healthcare benefits.
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Strong analytical, organizational, research, negotiation, and time-management skills.
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Experience leading or contributing to process improvement initiatives.
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Ability to succeed in a fast-paced, changing business environment.
Benefits
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Annual salary of 92,100 - 153,500 USD / yearly, depending on relevant factors, including experience and geographic location.
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Eligible to participate in an annual bonus plan.
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Comprehensive range of health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
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401(k) plan.
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Company paid life insurance.
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Tuition reimbursement.
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A minimum of 18 days of paid time off per year.
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Paid holidays and leaves of absence.