Care Management (CM) Manager

Kaniksu Community Health is a non-profit, award winning Community Health Center that provides integrated, team-based healthcare in north Idaho. 

Patients consider us their partner in healthcare, over the course of their life and the spectrum of their health needs. From prevention and wellness to medical, dental, and behavioral health. From pediatric to geriatrics, we believe that quality healthcare should be accessible, approachable and affordable for everyone. Regardless of how a patient can pay, or the severity of their concerns, we help find solutions.   We provide access to comprehensive and integrated multi-disciplinary services through the Patient Centered Medical Home model of care. 

But we're not just invested in our patients – we're invested in our people.  We know that our overall success is a combined effort and we therefore strive to provide opportunities for our employees to learn, grow and thrive. We are proud to have built a positive and engaged team with a "family" spirit. Our team members are dedicated and provide a patient centric approach to care and know exactly what we are working on and why, and how their everyday work contributes to successfully achieving this goal.

The benefits of working for KCH include:

• Medical, Dental, Vision, and Life insurance
• Education Assistance and Guided Career Pathways
• 4% 401K employer match
• In-house medical, dental, or behavioral health services
• Year round, affordable on-site childcare at KCH Kid's Club

A Kaniksu Community Health, the Care Management (CM) Manager is not just responsible for providing excellent customer service.  They are committed to providing an excellent patient experience while performing essential clinical or administrative work in a fast-paced, productive environment.  YOU ARE an essential team member charged with assisting patients in managing their care at Kaniksu Community Health. 

Under the direction of the KCH Director of Nursing, Director of Clinical Operations and Medical Staff Providers and as a member of the Kaniksu Community Health Patient Centered Medical Home (PCMH) Team, a typical day might include of a Care Management (CM) Manager might include;

• Maintain a reduced patient panel and provide direct care management services to assigned patients.
• Conduct patient assessments and develop individualized care plans.
• Coordinate care across providers, community resources, and support services.
• Monitor patient progress and outcomes, adjusting interventions as needed.
• Document patient interactions and care plans in accordance with organizational and regulatory requirements.
• Support patients in achieving health goals and improving self-management skills.
• Program Leadership and Operations
• Provide day-to-day leadership and oversight of the Care Management Program.
• Ensure program operations align with organizational objectives, quality standards, and regulatory requirements.
• Monitor program performance metrics and implement process improvements to enhance outcomes and efficiency.
• Develop and maintain policies, procedures, and workflows that support effective care management services.
• Collaborate with clinical and operational leaders to ensure integrated patient care and program success.
• Ensure compliance with all applicable federal, state, payer, and organizational requirements.
• Monitor documentation quality, productivity, and program performance standards.
• Conduct regular audits and quality reviews to identify opportunities for improvement.
• Implement corrective actions and continuous quality improvement initiatives as needed.
• Prepare reports and support accreditation, regulatory, and payer audits.
• Provide supervision, coaching, and support to care management staff.
• Participate in recruitment, onboarding, training, and retention efforts.
• Conduct performance evaluations and provide ongoing feedback to team members.
• Identify training needs and coordinate professional development opportunities.
• Foster a positive, collaborative, and patient-centered team culture.
• Serve as a liaison between care management staff, providers, leadership, and community partners.
• Participate in interdisciplinary meetings and case reviews.
• Communicate program updates, priorities, and performance expectations to team members.
• Support organizational initiatives and strategic goals related to population health and care coordination.

Experience Needed to Land this Gig:

• Bachelor's degree in Nursing, or a related field required. 
• Minimum of three to five years of experience in care management, case management, population health, or a related healthcare setting.
• Minimum of two years of supervisory or leadership experience preferred.
• Experience working with regulatory requirements, quality improvement, and program compliance.
• Current, unrestricted Registered Nurse (RN) or Licensed Practical Nurse (LPN) license in the State of Idaho.
• Certified Case Manager (CCM) or related certification preferred.
• Strong knowledge of care management principles, population health, and care coordination models.
• Understanding of healthcare regulations, quality standards, and compliance requirements.
• Ability to balance direct patient care responsibilities with leadership and administrative duties.
• Strong leadership, coaching, and team development skills.
• Excellent communication, organizational, and problem-solving abilities.
• Proficiency with electronic health records and data reporting systems.
• Ability to analyze performance metrics and implement process improvements

Work Schedule:

Full Time

No. of Hours/week – 40 hours, 4 days/week

This is an onsite position in Sandpoint, Idaho.