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Clinical Program Manager, Care Navigation, US Remote

1 hour, 18 minutes ago
United States
Full-time
Senior
Operations Manager
Project and Program Management
HIPAA
Apply Now
Carewell

Carewell

Carewell provides a comprehensive range of home health products designed for caregivers, offering discreet packaging, 24/7 support, and educational resources to enhance the caregiving experience.

Health Care Providers & Services
51-250
Founded 2017
$5M raised
View All Jobs 3

Description

  • Design and implement care navigation workflows, SOPs, clinical standards, and program parameters from the ground up.
  • Lead hiring for advocates, CHWs, LVNs, and other clinical staff in coordination with leadership and HR.
  • Mentor, manage, and support the performance of a multidisciplinary clinical team.
  • Conduct performance reviews, coaching, and corrective action as needed.
  • Define and implement quality improvement processes to continuously enhance the program.
  • Evaluate, select, and implement care management technology, EHR platforms, and digital tools.
  • Manage vendor relationships, system integrations, and platform optimization.
  • Develop and execute the clinical program budget.
  • Oversee documentation standards, behavioral standards, clinical risk protocols, and escalation pathways.
  • Deliver direct patient care during the launch phase through care navigation, SDOH screening, resource connection, and relationship-building.
  • Build reporting frameworks and deliver outcomes, quality, compliance, and KPI reporting to internal and external stakeholders.

Requirements

  • Active multistate nursing licensure under the Nurse Licensure Compact (NLC), with willingness to obtain licensure in non-NLC states as needed.
  • LVN preferred; RN considered for candidates with demonstrated leadership experience and strong program-building interest.
  • Direct experience with Medicare billing and minute-by-minute, time-based documentation requirements for programs such as CCM, TCM, PCM, CHI, RPM, or similar.
  • 3–5+ years of experience in care navigation, case management, care coordination, or a closely related patient-facing role.
  • Demonstrated ability to provide remote care management and coordinate care via telephonic and digital tools.
  • Proven experience leading, mentoring, or supervising clinical or operational teams.
  • Comfort working with social determinants of health and connecting patients to resources across complex systems.
  • Working knowledge of Medicare regulations, HIPAA, and state telehealth compliance requirements.
  • Track record of implementing quality improvement processes to improve clinical outcomes and operational performance.
  • Experience evaluating, selecting, and implementing care management platforms, EHRs, or related clinical systems.
  • Experience in a startup, pilot program, or ground-up initiative is preferred.
  • Familiarity with value-based care or population health models is preferred.
  • Bilingual ability in Spanish or another relevant language is preferred.
  • CHW certification is preferred.
  • Experience with Motivational Interviewing or trauma-informed care frameworks is preferred.
  • Background in vendor management or platform procurement is preferred.

Benefits

  • Competitive compensation with growth trajectory tied to program expansion.
  • Health, dental, and vision insurance.
  • Short-term disability and life insurance fully employer-sponsored.
  • Long-term disability coverage.
  • Supplemental life insurance available as an employee-sponsored benefit.
  • 401(k) retirement plan.
  • 100% remote work.
  • Generous paid time off plus 6 paid holidays.

Interested in this position?

Apply directly on the company website

Apply Now

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