Manager of Clinical Care Coordination

Who we are:

IHCS provides an Integrated Delivery System in the home setting, which includes, DME, Respiratory, Home Health and Home Infusion services. IHCS has a select network of Medicare and/or Medicaid Certified and Accredited providers to respond to the needs of our patients – 24/7. We operate with the sole intent of providing the highest quality in-home care services that improve and enhance the daily living for our patients, where our patients are #1

Our delivery model is trusted by national Managed Care Organizations (MCOs), physicians and patients, positioned with over two decades of expertise as the market leader in value-based Home Health, Durable Medical Equipment, and Home Infusion Services. We currently serve over 2 million lives throughout the nation and the Commonwealth of Puerto Rico.

Join our team as we strive for excellence through teamwork delivering high quality care to our patients through Exceptional Customer Service, Proven Outcomes, and Seamless Care.

Offering a competitive compensation package, including but not limited to;

• Medical, Vision, Dental, Short- and Long-term insurance


• 6+ Days of Holidays Pay


• 15+ days of PTO


• Employer paid life insurance


• 401K with employer contribution


• Wellness program with reward incentives


• Employee recognition and reward programs

What you will be doing:

The Manager of Clinical Care Coordination is responsible for overseeing the referral management and approval of home health care services, DME or infusion services to ensure efficient resource utilization, medically necessary services, regulatory compliance, and exceptional patient care. This role involves reviewing clinical documentation, streamlining workflows, collaborating with interdisciplinary teams, and implementing utilization management strategies to enhance operational efficiency and cost-effectiveness

Qualifications:

• 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.

Willingness to participate in on-call rotations, including weekends and holidays.

Join our team as we strive for excellence through teamwork, where our patients are #1!

IHCS is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.