IHP - Clinical Manager of Care Management (RN)

IHP is seeking an experienced Clinical Manager of Care Management to lead and coordinate care management services across a clinically integrated network serving community health centers and their patients. This role is responsible for advancing programs that improve quality, cost, access, and patient experience while supporting value-based care and risk-based contracting initiatives. The Clinical Manager of Care Management will partner with health centers, health plans, vendors, and internal stakeholders to design and implement care management strategies that improve outcomes and support population health goals. This position serves as a clinical resource and strategic leader in care coordination, utilization management, quality improvement, and healthcare transformation initiatives. Key Responsibilities • Lead care management and care coordination programs across the network. • Develop and implement care management strategies supporting population health and value-based care initiatives. • Build partnerships with health plans, health centers, vendors, and key stakeholders. • Identify at-risk populations and develop interventions to improve quality outcomes and reduce costs. • Monitor quality performance metrics and implement action plans to address gaps in care. • Support utilization management activities and collaborate on strategies to improve appropriate utilization. • Provide clinical guidance related to coding, documentation, quality improvement, and care management best practices. • Develop workflows, tools, training, and processes that improve consistency and program effectiveness. • Hire, mentor, and support care management staff and healthcare liaisons. • Support organizational goals aligned with the strategic plan. Minimum Qualifications • Active Registered Nurse (RN) license required. • Minimum five (5) years of clinical experience; six (6) or more years preferred. • Experience in case management, care management, utilization management, population health, quality improvement, or care coordination. • Experience working within healthcare delivery systems, health plans, medical groups, FQHCs, IPAs, ACOs, or value-based care environments. • Strong understanding of care management principles, quality improvement methodologies, healthcare reimbursement, and population health strategies. • Valid driver's license and ability to travel as needed. • Residence within San Diego County required. Knowledge & Expertise • Care Management • Population Health • Utilization Management • Quality Improvement • Value-Based Care • Risk-Based Contracts • Healthcare Reimbursement Models • Health Equity and Social Determinants of Health • HEDIS and Quality Performance Programs • Care Coordination and Patient Engagement • Team Leadership and Program Development • Cross-Functional Collaboration and Stakeholder Management Preferred Qualifications • CCMC or equivalent case management certification. • Experience supporting clinically integrated networks, ACOs, IPAs, FQHCs, or managed care organizations. • Experience with Arcadia or other population health technology platforms. • Experience leading care management teams and developing clinical workflows. • Experience supporting value-based care and risk-based contract performance initiatives. Benefits & Perks We offer a comprehensive and highly competitive benefits package, including: Health & Financial Benefits • 100% employer-paid employee medical coverage and 60% dependent coverage • 100% employer-paid employee dental and vision coverage and 60% dependent coverage • 100% employer-paid life insurance • 100% employer-paid short-term and long-term disability coverage • 403(b) retirement plan with employer match • Health Savings Account (HSA) • Flexible Spending Account (FSA) Paid Time Off & Leave • 14 company-paid holidays annually, including company closure between Christmas Eve and New Year's Day • Paid Time Off (PTO) • Company-paid sick leave • Eight (8) weeks of paid family medical leave Work-Life Balance & Additional Perks • Remote work environment • 9/80 alternate Friday off schedule • Monthly internet stipend • Cell phone stipend Voluntary Benefits • Aflac supplemental insurance • Pet insurance This is a full-time exempt remote position supporting a clinically integrated network and related healthcare programs. Limited travel may be required to support meetings, trainings, and stakeholder engagement activities. Health Center Partners is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability, protected veteran status, or any other characteristic protected by law. Compensation will vary based on location, experience, qualifications, and overall alignment with the position. The posted salary range reflects the full compensation band for the role.