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Care Management Service Line Leader (Director of Care Management)

Austin

Homeward is rearchitecting the delivery of health and care in partnership with communities everywhere, starting in rural America. Today, 60 million Americans living in rural communities are facing a crisis of access to care. In the U.S. healthcare system, rural Americans experience significantly poorer clinical outcomes. This trend is rapidly accelerating as rural hospitals close and physician shortages increase, exacerbating health disparities. In fact, Americans living in rural communities suffer a mortality rate 23 percent higher than those in urban communities, in part because of the lack of access to quality care.

Our vision is care that enables everyone to achieve their best health. So, we’re creating a new healthcare delivery model that is purpose-built for rural America and directly addresses the issues that have historically limited access and quality. Homeward supports Medicare-eligible beneficiaries by partnering with health plans, providers, and communities to align incentives – taking full financial accountability for clinical outcomes and the total cost of care across rural counties.

As a public benefit corporation and Certified B Corp™, Homeward’s mission and business model are aligned to address the healthcare, economic, and demographic challenges that make it challenging for rural Americans to stay healthy. Our Homeward Navigation™ platform uses advanced analytics to connect members to the right care and local resources that address social determinants of health and improve holistic health outcomes. Since many rural communities lack adequate clinical capacity, Homeward also employs care teams that supplement local practices and reach people who cannot otherwise access care.

Homeward is co-founded by a leadership team that defined and delivered Livongo’s products, and backed most recently by a $50 million series B co-led by Arch Ventures and Human Capital, with participation from General Catalyst for a total of $70 million in funding. With this leadership team and funding, Homeward is committed to bringing high-quality healthcare to rural communities in need.

The Opportunity

The Care Management Service Line Leader will oversee the strategic direction, operations, and performance of Homeward’s Care Management Service Line. This leader will ensure effective care coordination, member engagement, and alignment with organizational goals, including optimal population health outcomes, cost efficiency, and member satisfaction. The role requires a deep understanding of care management frameworks, team leadership, and leveraging technology to enhance scalability and efficiency.


What You'll Do

Service Line Leadership and Performance Management:

  • Oversee all aspects of the Care Management Service Line, ensuring alignment with Homeward’s value-based care objectives.
  • Define and monitor key performance indicators (KPIs) to measure success, including clinical outcomes, member engagement, and operational efficiency.
  • Manage and mentor a team of care managers, ensuring consistent performance across all markets and adherence to established care protocols.

Care Management Operations:

  • Develop and implement standardized care management workflows, tools, and resources to support high-quality, consistent member care.
  • Ensure high-risk and rising-risk members receive personalized care plans, addressing clinical and non-clinical needs.
  • Oversee transitions of care, including ER diversions and post-discharge follow-ups, to reduce (re)admissions and improve continuity of care.
  • Implement strategies to engage members effectively, improving adherence to care plans and self-management practices.

Integration with Other Service Lines:

  • Collaborate across central and market teams, including other service lines, to deliver comprehensive, coordinated care.
  • Partner with clinical teams to align care management activities with overall patient care goals and medical loss ratio (MLR) objectives.

Technology and Process Optimization:

  • Leverage technology, including EMR systems and data analytics, to optimize care management workflows and identify high-need members.
  • Implement automation and other scalable tools to reduce manual effort and improve efficiency.
  • Ensure care management tools and workflows are adaptable to evolving clinical and operational needs.

Partnership Development and Member Advocacy:

  • Build partnerships with external providers, community organizations, and health plan partners to enhance care coordination and access to resources.
  • Advocate for members by ensuring care management processes are patient-centered and culturally appropriate.

Skills and Competencies

  • Expertise in care management frameworks, chronic disease management, and transitions of care.
  • Strong leadership and team management skills to oversee a distributed workforce.
  • Proficiency in leveraging EMR systems and data analytics to support care management.
  • Strategic problem-solving skills to design and implement scalable workflows.
  • Excellent communication and relationship-building abilities to collaborate across teams and with external partners.
  • Deep understanding of population health strategies, including addressing Social Determinants of Health (SDoH).

What Else?

  • Bachelor’s degree in Nursing, Healthcare Administration, Public Health, or a related field (Master’s preferred).
  • Active RN or other clinical license preferred but not required.
  • 5+ years of experience in care management, care coordination, or case management, with at least 2 years in a leadership role.
  • Experience working in value-based care or population health management.

WOW Factor

  • Certification in Care Management (e.g., CCM, ACM, or equivalent).
  • Experience managing care management teams in rural or underserved populations.
  • Familiarity with automation and technology platforms to optimize care management processes.

What Shapes Our Company

  • Deep commitment to one another, the people and communities we serve, and to care that enables everyone to achieve their best health
  • Compassion and empathy
  • Curiosity and an eagerness to listen
  • Drive to deliver high-quality experiences, clinical care, and cost-effectiveness
  • Strong focus on sustainability of our business and scalability of our services, to maximize our reach and impact
  • Nurturing a diverse workforce, with a wide range of backgrounds, experiences, and points of view
  • Taking our mission and business seriously, but not taking ourselves too seriously– having fun as we build!

Benefits

  • Competitive salary and equity grant
  • Comprehensive benefits package including medical, dental & vision insurance with 100% of monthly premium covered for employees
  • Unlimited Paid Time Off
  • Company-sponsored 401k plan


The base salary range for this position is $120,000 - $160,000 annually. Compensation may vary outside of this range depending on a number of factors, including a candidate’s qualifications, skills, location, competencies and experience. Base pay is one part of the Total Package that is provided to compensate and recognize employees for their work at Homeward Health. This role is eligible for an annual bonus, stock options, as well as a comprehensive benefits package.

At Homeward, a diverse set of backgrounds and experiences enrich our teams and allow us to achieve above and beyond our goals. If you have yet to gain experience in the areas detailed above, we hope you will share your unique background with us in your application and how it can be additive to our teams.

Homeward is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Homeward is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.

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