Clinical Program Manager, Care Navigation
New
C
CarewellHealthcare
United StatesFull-TimeManager
Salary not disclosed
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Job Details
- Experience
- 3–5+ years in care navigation, case management, care coordination, or closely related patient-facing roles
- Required Skills
- EHRHIPAA
Requirements
- Active Nurse Licensure Compact (NLC) multistate license
- LVN preferred; RN considered for candidates with leadership experience
- Medicare billing expertise including minute-by-minute, time-based documentation
- 3-5+ years in care navigation, case management, or care coordination
- Demonstrated ability to deliver remote care management
- Proven track record leading or supervising clinical teams
- Comfortable navigating social determinants of health (SDOH)
- Working understanding of Medicare regulations, HIPAA, and state telehealth compliance
- Track record implementing quality improvement processes
- Experience evaluating and implementing EHRs or related clinical systems
Responsibilities
- Design and implement care navigation workflows, SOPs, clinical standards, and program parameters
- Lead hiring for multidisciplinary team including advocates, CHWs, and clinical staff
- Manage performance, mentor, and coach a multidisciplinary clinical team
- Evaluate, select, and implement care management technology, EHR platforms, and digital tools
- Ensure regulatory compliance with Medicare billing requirements, HIPAA, and telehealth laws
- Develop reporting frameworks for clinical outcomes, quality metrics, and compliance
- Deliver hands-on care navigation services to a limited caseload during launch
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