Community Care Nurse Manager

Highlights

• Oversees 10–12 Registered Nurses
• No patient caseload — pure leadership, operations, and program management
• Hybrid flexibility once fully trained — some weeks 2–3 days onsite, some fully remote
• Stable, high-performing team — no turnover in the last 3 years
• 6-week structured onboarding with weekly 1:1s with the Director

About the Organization

This mission-driven, multi-site health organization has provided high-quality, community-centered care to diverse patient populations for more than 40 years. Serving pediatric, adult, and maternal populations across multiple clinical sites, the organization is deeply committed to health equity, workforce development, and value-based care delivery.

The Role

The Community Health Nurse Manager provides clinical and operational leadership within the Population Health Department, overseeing a comprehensive community-based care management program. The role ensures effective care coordination for patients enrolled in value-based and publicly funded care models, while maintaining compliance with all regulatory and contractual requirements.

This is a leadership and operations role — there is no patient caseload. Day-to-day, you'll be the operational backbone of a strong, tenured nursing team, serving as a clinical resource, quality driver, and strategic partner to the Director of Population Health.

You'll lead an interdisciplinary team of 10–12 staff including RN Care Managers, Behavioral Health Care Managers, and Community Health Workers — collaborating closely with a newly hired Community Health Worker Manager who works in conjunction with this role.

What a Typical Week Looks Like

• Attending bi-monthly meetings with other ACOs to stay current on trends, standards, and collaboration opportunities
• Reviewing provider referrals and determining patient eligibility, then assigning them to the appropriate RN
• Meeting regularly with the Director to review KPI performance and program progress
• Serving as a clinical resource for RNs — advising on complex cases and recommending next steps
• Conducting chart audits to ensure quality and compliance
• Reporting up to leadership on program outcomes and operational metrics
• Ensuring staff are trained and up to date on policies, workflows, and contract requirements

Key Responsibilities

• Oversee daily operations of the community health care management program, ensuring compliance with regulatory and delegated-program requirements
• Develop, implement, and refine care management workflows in response to contract changes, audits, and performance reviews
• Monitor program performance using population health metrics, dashboards, and reports to assess caseloads, engagement, and outcomes
• Use data insights to drive quality improvement, operational efficiency, and effective resource utilization
• Provide supervision, coaching, chart audits, and performance evaluations for staff
• Partner with Population Health leadership on quality initiatives, staff development, and program reporting
• Facilitate clinical rounds and participate in interdisciplinary care planning forums
• Manage staffing operations including hiring, onboarding, scheduling, and coverage planning

Technology

• Athena — primary EHR/clinical platform
• Arcadia — population health analytics and reporting

Onboarding & Schedule

• 6-week structured onboarding — weekly 1:1 meetings with the Director to learn the organization, team, and workflows; focused on bridging any knowledge gaps
• Onsite requirement: Primarily onsite while training; once fully ramped, flexibility to work remotely most days with onsite presence required for key meetings — some weeks 2–3 days onsite, others fully remote

Must-Haves

This role requires someone who:

• Understands KPIs and can track, report on, and drive performance against them
• Has working knowledge of MassHealth regulations and can implement and advocate when programs or workflows don't align
• Understands the complexity of the patient population served — including social determinants, gaps in community services, and how cultural factors influence health outcomes and care engagement
• Familiarity with ACO (Accountable Care Organization) structures and value-based care models is strongly preferred
• Can navigate a community where significant service gaps exist and bring creative, equity-centered solutions

Qualifications

• Bachelor's degree in Nursing and active RN licensure (required)
• Case Management certification (preferred)
• 3–5 years of leadership experience in community health, care management, or population health
• Experience working with Medicaid or complex patient populations
• Proven ability to lead interdisciplinary teams and collaborate with clinical and community partners