Apply to Future Opportunities - Clinical Care Manager/Case Manager
Buffalo, New York, United States · Hybrid
$78k–$119k/yr
Senior$226M raised
Position Summary The Registered Nurse, Clinical Care Manager/Case Manager is responsible for developing and maintaining long-term relationships with physicians, physician office staff, and Healthmap members that are enga…
Skills: Case Management, Clinical Operations, Care Coordination, Relationship Management, Critical Thinking
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Apply to Future Opportunities - Clinical Care Manager/Case Manager
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
$78k–$119k/yr
Full-time
bachelor degree, professional certificate
Paid Time Off, Medical, Dental, Vision, Short Term Disability, Long Term Disability
Posted 66d ago
~40 hrs/week
Responsibilities
The Clinical Care Manager coordinates performance improvement activities and care management to improve health outcomes for members in the Kidney Management Program. They act as a liaison between providers and members while educating stakeholders on kidney health and renal replacement therapies.
Requirements
Requires an active RN license, BLS certification, and a bachelor's degree or equivalent experience (6+ years RN, 3+ years case management). Candidates must have a valid driver's license and be willing to travel up to 15% within their assigned region.
Full job description
Position Summary
The Registered Nurse, Clinical Care Manager/Case Manager is responsible for developing and maintaining long-term relationships with physicians, physician office staff, and Healthmap members that are engaged in Healthmap’s Kidney Management Program through coordinating performance improvement activities and care management to improve health outcomes.
Responsibilities
Act as a liaison between Healthmap, provider practices and Healthmap members to ensure positive engagement and performance with our program(s)
Develop new provider/partner business relationships that serve as means to better Healthmap provider and member engagement and manage assigned caseload
Identify opportunities to improve health outcomes for Healthmap Solutions members based on provider specific data
Incorporate education and communication on Best Practice sharing, process improvement in provider workflows, Kidney Health Management interventions and HEDIS/STAR measures for identified areas of provider low performance
Identify opportunities to educate provider offices on topics related to Chronic Kidney Disease, End Stage Renal Disease, Renal Replacement Therapies, etc.
Partner with physicians/physician staff to identify Healthmap Solutions members that would benefit from Care Navigation support, conduct outreach, and engage members in program
Educate Healthmap members on kidney health, related co-morbid conditions, and renal replacement therapy
Serve as Healthmap member advocate, utilize community resources and programs, and serve as liaison between the member, the member’s support network, treating physician, and ancillary providers to assist members in meeting individualized goals
Accountable for individual and departmental metrics and key performance indicators as identified by the organization
Ensure timely and successful delivery of reports to internal and external stakeholders
Maintain thorough documentation of all provider meetings/interactions and member interactions for consistency and coordination and in compliance with National Committee for Quality Assurance (NCQA) standards
Ensure Healthmap policies and procedures are followed and complies with HIPAA privacy laws and all other federal, state, and local regulations
Perform other related duties as assigned
Requirements
Bachelor’s degree required; 6+ years of RN experience including 3+ years in case management may be considered in lieu of degree
Active, unrestricted RN license required
Basic Life Support (BLS) certification required for all field roles (within 30 days of hire)
3+ years of progressive experience in healthcare services, clinical operations, quality, or care management
3 years of experience in care gap closure or care coordination activities, including those in an outpatient or hospital setting preferred
Prior experience building and managing relationships with health care providers or patients preferred
Proof of valid and unrestricted driver’s license required; this position requires regular travel within assigned region to support practices
Must reside in one of the assigned states
Must comply with organization policies for health screening and immunizations, including but not limited to:
Current Tuberculosis (TB) test or current chest X-ray
Proof of immunizations (e.g., Hepatitis B, MMR, Varicella, COVID-19, Influenza)
Participation in annual health and wellness screenings
Skills
Excellent verbal, written and presentation skills
Interpersonal skills to develop and maintain strong internal and external relationships
Ability to multitask, prioritize, and create solutions in a fast-paced environment
Demonstrated leadership skills and ability to create and maintain a positive work environment
Strong critical thinking and analytical skills
Ability to foster strong employee engagement among the team
Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint
Moderate Travel, up to 15%, across your assigned region.
Compensation range: $78,000- $119,000 (dependent on specific market/region as well as experience of the candidate selected).
Benefits: Competitive: Paid Time Off, Medical, Dental, Vision, Short Term/Long Term Disability, 401K with match and other voluntary benefits as elected.
Proving there is a path to better health for kidney patients!
Industry
Hospitals and Health Care
Company size
201-500 employees
Founded
2007
Headquarters
Tampa, FL
LinkedIn followers
27,207
Total funding
$226M
Healthmap Solutions (Healthmap) is an NCQA-accredited kidney population health management company. Healthmap uses advanced technology, clinical expertise, and complex care management to improve the lives of people living with kidney disease. Healthmap also helps healthcare providers and payers achieve the value-based results they need. Our company is a diverse and growing organization committed to our clients, the patients we support, and our employees. We are champions for better health, for those who need us most.
Notice: Protect Yourself from Recuitment Scams
Please note that Healthmap Solutions will NEVER request your credit card information, send you a check, or ask for any form of payment in relation to employment with our organization. All legitimate hiring communications from Healthmap Solutions will come from our official website, verified LinkedIn profiles, or company email addresses.
Emails from Healthmap Solutions’ recruiters will ALWAYS end with “@healthmapsolutions.com.” Before sharing information, confirm that your contact is a legitimate recruiter by reviewing their official LinkedIn profile and company email, or by contacting Healthmap Solutions at 800-441-4259 or [email protected]. Our organization will not extend an offer unless you have previously applied for the position through our website www.healthmapsolutions.com and have participated in an interview process. We will never ask for sensitive information unless you have participated in an interview process and it is being used for background check purposes. If you suspect any recruitment fraud, please contact Healthmap Solutions at 800-441-4259 or [email protected].
Offices: 4631 Woodland Corporate Boulevard, Tampa, FL 33614, US · #48 PR State Road 165, City View Plaza, Building I, Suite 401, Guaynabo, PR 00968, US
Kidney Health ManagementMedical Cost ManagementClose Care GapsQuality ReportingRisk AdjustmentRevenue OptimizationHealthcare AnalyticsPopulation HealthClinical Data Exchangeand Financial Data Exchange
How many Social Services jobs are open in Buffalo, NY right now?
There are currently 361 open social services positions in Buffalo, NY listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Social Services roles in Buffalo, NY?
Companies currently hiring include Dayforce, Elderwood, DePaul, Caz Recovery, Community Action Organization of Western New York, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Social Services jobs in Buffalo, NY?
Yes — 24 of the 361 open social services positions offer remote or hybrid work (1 remote, 23 hybrid).
How do I apply for Social Services jobs in Buffalo, NY?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.