Manager, Acute Care Management

About the role

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.

Responsibilities

• Direct and oversee daily care coordination and case management operations, including workload distribution, staff assignments, census management, productivity standards, and escalation processes.
• Lead, develop, and manage assigned staff, including recruitment, onboarding, coaching, performance management, corrective action, succession planning, and employee engagement activities.
• Directly supervise staff and is responsible for hiring, onboarding, coaching, productivity management, performance evaluations, corrective action, employee development, workforce planning, and team engagement activities.
• Provide operational oversight of care coordination activities to support effective transitions of care, discharge planning, complex case management, and member-centered service delivery.
• Establish, monitor, and evaluate operational and quality performance metrics, identifying trends and implementing actions to improve outcomes, service levels, productivity, and efficiency.
• Ensure compliance with regulatory, contractual, accreditation, and organizational requirements through audits, documentation reviews, staff education, corrective action planning, and ongoing monitoring.
• Partner with Medical Directors, providers, hospitals, vendors, and cross-functional business partners to address operational challenges, resolve escalated issues, and support care coordination objectives.
• Develop, implement, and maintain policies, procedures, workflows, training materials, and operational documentation to promote consistency, quality, and operational effectiveness.
• Lead continuous improvement initiatives through analysis of operational data, identification of opportunities, implementation of solutions, and adoption of innovative technologies and best practices.
• Prepare and communicate operational reports, analyses, and recommendations to leadership regarding performance, staffing, quality outcomes, compliance activities, and program effectiveness.
• Serve as a subject matter expert for care coordination operations and foster a culture of collaboration, accountability, inclusion, innovation, and service excellence.
• Supervise/Manage Others (i.e. hires, performance reviews, corrective action, etc.)

Requirements

• Active, unrestricted Registered Nurse (RN) license strongly preferred.
• Certified Case Manager (CCM) certification or equivalent case management certification preferred.
• Licensed Vocational Nurse (LVN) candidates with extensive experience in case management, care coordination, transitions of care, utilization management, or population health management will also be considered.
• Demonstrated expertise in managing complex member populations, interdisciplinary care coordination, and healthcare resource navigation is highly desirable.
• 3-5 years of healthcare, care management, case management, utilization management, or related experience preferred.
• 2-3 years of leadership experience with direct people management responsibilities preferred.
• Experience leading clinical operations, care coordination, case management, or related healthcare programs.
• Managed care, Medicare Advantage, health plan, hospital, medical group, IPA, SNF, or post-acute care experience.
• Clinical Operations Management – Knowledge of care management, care coordination, utilization management, regulatory requirements, and healthcare delivery models.
• Performance & Metrics Management – Ability to analyze operational data, productivity metrics, quality indicators, and trends to drive performance and continuous improvement.
• Process Improvement & Workflow Optimization – Ability to evaluate operational processes, identify opportunities for improvement, develop solutions, and implement sustainable changes that improve efficiency and outcomes.
• Knowledge of care coordination, case management, healthcare operations, and applicable regulatory requirements.
• Skill in analyzing operational data, metrics, and performance indicators to support decision-making and continuous improvement.
• Ability to develop, implement, and improve workflows, processes, and operational practices to achieve departmental and organizational objectives.

Qualifications

• Active, unrestricted Registered Nurse (RN) license.
• Certified Case Manager (CCM) certification or equivalent case management certification.
• Licensed Vocational Nurse (LVN) candidates with extensive experience in case management, care coordination, transitions of care, utilization management, or population health management.
• Demonstrated expertise in managing complex member populations, interdisciplinary care coordination, and healthcare resource navigation.
• 3-5 years of healthcare, care management, case management, utilization management, or related experience.
• 2-3 years of leadership experience with direct people management responsibilities.
• Experience leading clinical operations, care coordination, case management, or related healthcare programs.
• Managed care, Medicare Advantage, health plan, hospital, medical group, IPA, SNF, or post-acute care experience.
• Clinical Operations Management – Knowledge of care management, care coordination, utilization management, regulatory requirements, and healthcare delivery models.
• Performance & Metrics Management – Ability to analyze operational data, productivity metrics, quality indicators, and trends to drive performance and continuous improvement.
• Process Improvement & Workflow Optimization – Ability to evaluate operational processes, identify opportunities for improvement, develop solutions, and implement sustainable changes that improve efficiency and outcomes.
• Knowledge of care coordination, case management, healthcare operations, and applicable regulatory requirements.
• Skill in analyzing operational data, metrics, and performance indicators to support decision-making and continuous improvement.
• Ability to develop, implement, and improve workflows, processes, and operational practices to achieve departmental and organizational objectives.

Skills

• Leadership skills
• Collaboration and teamwork
• Problem-solving and critical thinking
• Communication and interpersonal skills
• Project management
• Operational oversight
• Quality assurance
• Regulatory compliance
• Continuous improvement
• Workforce planning
• Employee engagement

Benefits

Annual employee bonus program
Robust Wellness Program
Generous paid-time-off (PTO)
Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday
Excellent 401(k) Retirement Saving Plan with employer match and contribution
Robust employee recognition program
Tuition reimbursement
Opportunity to become part of a team that makes a difference to our members and our community every day!

Pay

Base salary range: $92,400 to $133,671 annually

Schedule

Mostly Remote - Employees who reside outside the local area are expected to work remotely and travel to SCAN's headquarters approximately once per month for in-person meetings, team collaboration, training, and other business needs. SCAN's headquarters is currently located in Long Beach, California, and is expected to relocate to Cerritos, California, in 2027.