Manager of Clinical Care Coordination, DME Respiratory

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.

With over 15 years of experience, we are the trusted market leader in Home Health, Durable Medical Equipment, and Home Infusion Services. If you are passionate about inspiring, motivating, and leading teams this opportunity could be for you and we want to hear from you!

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

Full time team members competitive compensation package, include but not limited to:

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


• Paid Federal Holidays


• 16+ days of PTO


• Employer paid life insurance


• 401K with employer contribution


• Wellness program with reward incentives


• Employee recognition and reward programs

The Manager of Clinical Care Coordination, DME Respiratory is responsible for leading clinical care coordination and utilization management functions for the Durable Medical Equipment (DME) division, with a primary focus on CPAP, non-invasive ventilation (NIV), and invasive ventilator services. This role ensures timely, compliant, and medically appropriate authorization decisions in accordance with CMS turnaround time (TAT) requirements for both urgent and standard requests.
The Manager provides clinical and operational leadership over referral intake, clinical review, authorization decision-making, and provider coordination to ensure optimal patient outcomes, regulatory compliance, and efficient resource utilization. This position collaborates closely with Medical Directors, providers, vendors, and internal stakeholders to support high-quality, cost-effective care delivery.

What You Will Be Doing

• Leadership & Team Management: Provides leadership, direction, and oversight to Clinical Care Coordination and Utilization Management staff supporting DME services. Responsible for recruitment, onboarding, training, performance management, coaching, disciplinary actions, and compensation reviews. Ensures staff consistently meet productivity, quality, compliance, and turnaround time benchmarks.


• DME Clinical Oversight (CPAP, NIV, Invasive Ventilators): Oversees clinical review and authorization workflows for DME respiratory services, including CPAP, BiPAP, non-invasive ventilation, and invasive ventilators. Ensures clinical documentation supports medical necessity, appropriate level of care, and alignment with evidence-based guidelines and payer requirements.


• Utilization Management Oversight & CMS TAT Compliance: Directs utilization management activities to ensure timely UM reviews and determinations in accordance with CMS, state, and contractual turnaround time requirements for urgent and standard requests. Monitors TAT performance, escalates risks, and implements corrective actions to maintain compliance.


• Medical Necessity Review & Decision-Making: Ensures accurate application of medical policies, benefit plans, and clinical criteria when making coverage determinations. Oversees appropriate referral of complex or non-standard cases to the Medical Director in accordance with departmental protocols. Monitors approval, denial, and overturn rates to ensure defensible, compliant decisions.


• Resource Allocation & Operational Efficiency: Allocates staff and resources to meet operational demands while maintaining clinical quality and regulatory compliance. Oversees workload distribution, staffing models, and workflow optimization to support timely service delivery within budgetary constraints.

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.