Manager – Care Management

Beth Israel Lahey Health

. Manage and implement BILHPN care management programs for eligible risk patients, including post acute, ambulatory, care transitions, quality, chronic care, and innovative programs .

Posted 11/3/2026full-timeWakefield • Massachusetts • United StatesMid-LevelSenior💰 $120,000 - $150,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing care management programs, including population health strategies and case management transitions. Possesses strong leadership skills in staff development, program implementation, and collaboration with healthcare providers.

Highest-signal resume keywords

Population Health ManagementCare Management Program DevelopmentClinical Licensure (RN, LICSW, LCSW)Supervisory ExperienceMicrosoft Applications Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care ManagementQuality Measure Gap ClosureDisease Management ProgramsAnalytic SkillsSystems Building SkillsFiscal ManagementHuman Resources ManagementPhysician RelationsAmbulatory Care ManagementPost Acute Care

Soft Skills

Excellent Communication SkillsProfessional DemeanorOrganizational SkillsFlexibilityResults Oriented

Tools & Technologies

EMRs (Epic, ECW, OMR, Medi-tech, Athena, Arcadia)Web-Based Applications

Certifications & Qualifications

Bachelor's DegreeClinical Licensure (RN, LICSW, LCSW)

Industry Keywords

Managed CareACOCommunity NursingOutpatient Case ManagementCapitated Managed Care InfrastructureContinuous Quality Improvement

About the role

Key responsibilities & impact

Manage and implement BILHPN care management programs for eligible risk patients, including post acute, ambulatory, care transitions, quality, chronic care, and innovative programs
Collaborate on population health management strategies and program development and implementation
Recruit, hire, manage, evaluate, and provide education for care management staff, including nurses, social workers, patient engagement coordinators, and community health navigators
Coordinate staffing and assignments with BILHPN clinical excellence, Local Care Unit, and primary care leadership
Align team activities with BILHPN strategic priorities and clinical and financial program goals
Develop programs and approaches for case management and transitions between care settings
Coordinate with hospital, post acute, community care management representatives, provider groups, payers, risk units, and primary care offices
Oversee payer and provider group agreements and case management using specified registries and web applications
Ensure required performance measures and programmatic integrity are achieved and maintained
Work with PCPs to coordinate care for identified risk patients and members
Develop payer-organization relationships, participate in responses to new contracts and contract changes, and develop programs with health plan nurse case managers
Monitor care management and disease management trends and recommend new programs
Direct daily employee work activities and conduct hiring, termination, corrective action, and performance reviews
Assist in planning, monitoring, and managing the department’s functional-area budget

Requirements

What you’ll need

Bachelor’s degree required
Clinical licensure as a RN, or LICSW / LCSW
5-8 years related work experience within Population Health, Ambulatory focused Care Management
5-8 years related work experience within ACO, and/or managed care or commercial payors
1-3 years supervisory/management experience
Strong development, analytic and systems building skills
Experience with physician relations, systems and procedures, capitated managed care infrastructure, continuous quality improvement, human resources management, and fiscal management
Excellent written and verbal communication skills
Professional demeanor and ability to deal with physicians, senior management, and local industry
Ability to serve as a spokesperson and leader of the integration process
Strong clinical background
Experience in managed care, community nursing, outpatient case management, post acute care, quality measure gap closure, and disease management programs
Leadership experience in program and/or staff development
Advanced skills with Microsoft applications, including Outlook, Word, Excel, PowerPoint or Access, and other web-based applications
Experience working within EMRs: Epic, ECW, OMR, Medi-tech, Athena, Arcadia
Ability to function as a facilitator; organized, flexible, results oriented, detail-oriented, and able to deal with ambiguity
Must be vaccinated against influenza as a condition of employment

Benefits

Comp & perks

Influenza vaccination required as a condition of employment
Equal Opportunity Employer/Veterans/Disabled