Job Description

Description

A Register Nurse Clinical Manager in COPE Health Solutions is a registered nurse who bridges clinical practice with administrative leadership. The RN oversee the daily operations of a ECM clinical team, managing nursing and social work staff, coordinating patient care, and ensuring compliance with healthcare regulations with the ECM Team. Work closely across departments to achieve stated organizational and contractual goals.

Key Responsibilities

· Staff Management: Interview, hire, onboard, and evaluate direct care clinicians. Create staff schedules and assign personnel to patient cases.

· Quality Assurance: Monitor patient care for safety and quality. Conduct audits to ensure charting and clinical documentation comply with regulatory agencies (e.g., Medicare, state departments).

· Operations & Budgeting: Develop and oversee departmental budgets, manage inventory of medical supplies, and step in to provide direct patient care during emergencies.

· Patient & Interdisciplinary Collaboration: Address concerns from patients and their families and act as a liaison between the nursing staff and upper management. Collaborates with interdisciplinary care team members to address member care needs, participates in case reviews to assess ECM case acuity, and contributes to the development and implementation of appropriate care management strategies to ensure quality, coordinated care.

· Schedule and manage weekly ICT meetings with team members: Coordinates and facilitates regular case presentations and member success stories for each ECM team to encourage interdisciplinary collaboration, clinical learning, and the dissemination of best practices.

· Reviews Comprehensive Member Assessments: Reviews comprehensive member a to ensure accuracy, timely completion, regulatory compliance, and alignment with ECM program standards and individualized care plan.

· Clinical Office Hours: Attends and actively participates in required clinical office hours with contracted health plans to support care coordination, clinical collaboration, and program compliance.

Required Qualifications

· Licensing & Education: An active, unrestricted Registered Nurse (RN) license. Master of Science in Nursing (MSN) or higher.

· Experience: 5 to 10 years of clinical nursing experience, with previous leadership or supervisory experience. Experience in Care Management and supervision of CM team

· Certifications: Basic Life Support (BLS) and CPR are standard requirements, along with specialty certifications (CCM)

Ideal Skills

· Leadership: Ability to manage, mentor, and inspire nursing teams in high-pressure environments.

· Communication: Excellent interpersonal skills for conflict resolution and collaborating with physicians and administrators.

· Data & Tech Proficiency: Strong analytical skills and familiarity with Electronic Medical Record (EMR) systems and performance tracking

· Care Coordination: Experience developing and implementing individualized care plans and coordinating services across providers, health plans, specialists, and community-based organizations.

Benefits:

As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/.

About COPE Health Solutions COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit CopeHealthSolutions.com.

To Apply:

To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/. 

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