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Manager, Case Management
Location
United States
Posted
10 days ago
Salary
$75K - $95K / year
Seniority
Mid Level
Job Description
Manager, Case Management
Point C
• Oversee, coach, and manage performance of PCRX clinical staff • Serve as the primary clinical escalation point for operational and workflow issues • Foster a culture of accountability, quality, and continuous improvement • Develop and maintain standardized workflows, policies, and procedures for PCRX clinical activities • Identify inefficiencies and gaps; implement corrective actions and process improvements • Own onboarding, training, and competency validation for PCRX clinical staff • Ensure staff are trained on workflows, tools, documentation standards, and internal guidelines • Monitor clinical quality, documentation consistency, and adherence to internal standards • Support audit readiness and quality review activities • Provide data-informed recommendations to leadership on staffing, workflow, and capacity needs
Job Requirements
- Clinical background in care management, utilization management, pharmacy-related clinical programs, or similar healthcare operations
- 2+ years of clinical leadership or people-management experience
- Strong understanding of clinical workflows, training models, and quality management
- Demonstrated ability to standardize processes and lead operational change
- Excellent communication, organizational, and problem-solving skills
- Experience managing pharmacy-adjacent or medication-focused clinical programs preferred
- Experience scaling clinical operations or maturing start-up operational models preferred
- Familiarity with utilization guidelines, clinical decision support tools, or structured review frameworks preferred
Benefits
- Comprehensive medical, dental, vision, and life insurance coverage
- 401(k) retirement plan with employer match
- Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
- Paid time off (PTO) and disability leave
- Employee Assistance Program (EAP)
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