Clinical Care Coordination Manager

Integrated Home Care Services, Inc.

. Oversee referral management and approval of home health care, DME, or infusion services .

Posted 10/15/2026full-timeRemote • Florida • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Utilization Management and Regulatory Compliance, ensuring efficient resource utilization and exceptional patient care. Proven leadership in healthcare settings with strong skills in Clinical Documentation Review and Interdisciplinary Collaboration.

Highest-signal resume keywords

Utilization ManagementRegulatory ComplianceLeadership ExperienceClinical Documentation ReviewInterdisciplinary Collaboration

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Utilization ManagementCase ManagementMedical Necessity CriteriaRegulatory ComplianceClinical Documentation Review

Soft Skills

LeadershipProblem-SolvingDecision-MakingCommunicationInterpersonal Skills

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft PowerPoint

Certifications & Qualifications

RN License

Industry Keywords

Home Health CareDMEInfusion ServicesCMSNCQAURACCorporate Compliance Program

About the role

Key responsibilities & impact

Oversee referral management and approval of home health care, DME, or infusion services
Ensure efficient resource utilization, medically necessary services, regulatory compliance, and exceptional patient care
Review clinical documentation
Streamline workflows
Collaborate with interdisciplinary teams
Implement utilization management strategies to enhance operational efficiency and cost-effectiveness

Requirements

What you’ll need

Bachelor's degree in Nursing (BSN), Healthcare Administration, or a related field
Minimum of 3–5 years of experience in utilization management, case management, or a related healthcare setting
At least 2 years of leadership or supervisory experience in a healthcare environment
Strong understanding of utilization management, medical necessity criteria, and regulatory compliance (e.g., CMS, NCQA, URAC)
Required to uphold compliance principles as outlined in the Code of Conduct and related policies
Actively supports and participates in mandatory Corporate Compliance Program training initiatives annually or as required
Proficient in Microsoft products (Word, Excel, PowerPoint)
Excellent leadership, problem-solving, and decision-making abilities
Strong communication and interpersonal skills for cross-functional collaboration
RN-LICENSE listed under Licenses & Certifications

Benefits

Comp & perks

Medical, Vision, Dental
Short- and Long-term insurance
6+ Days of Holidays Pay
17 days of PTO
Employer paid life insurance
401K with employer contribution
Wellness program with reward incentives
Employee recognition and reward programs
Comprehensive paid training program