Clinical Operations Lead - Care Manager

City/State: Nyack, New York Department: Care Management Work Shift: Day Work Days: MON-FRI, ALTERNATING WEEKENDS AND HOLIDAYS Scheduled Hours: 8:30 AM-5 PM Scheduled Daily Hours: 8 HOURS Hours Per Pay Period: 40 Pay Rate/Range: $125,000+   Job Summary The Clinical Operations Lead – Case Management is an advanced practice Registered Nurse responsible for coordinating patient care progression, discharge planning while exercising independent clinical and operational judgment.

This role functions as a designated lead for assigned unit(s) and is accountable for driving patient throughput, reducing length of stay, and ensuring timely, safe transitions of care. In addition to direct patient care coordination responsibilities, the Case Management Lead serves as a Queue Owner for assigned Case Management Assistant (CMA) workstreams. The role provides functional oversight of CMA workflow through real-time prioritization, assignment, and redistribution of tasks based on clinical acuity, discharge urgency, and patient readiness for discharge.

The Case Management Lead ensures that time-sensitive activities such as authorizations, transportation arrangements, and post-acute coordination are executed efficiently to support patient flow and prevent discharge delays. The Case Management Lead monitors CMA task completion, quality, and adherence to workflow standards, providing ongoing feedback and contributing structured input into performance evaluations based on observed work output.

The role is accountable for the effective operation of assigned work queues, including timely resolution of barriers and alignment of task prioritization with clinical milestones. This position collaborates closely with physicians, nursing, and interdisciplinary teams, leading or co-leading discussions related to care progression and discharge readiness. The Case Management Lead exercises independent judgment to resolve complex patient flow challenges and escalates system-level barriers as needed.

This role also participates in structured hiring panel processes for Case Management staff and contributes to the development and optimization of workflow systems and operational processes. Essential Functions C. Job Specific Contacts The Clinical Operations Lead maintains regular interaction with a broad range of internal and external stakeholders to coordinate patient care, facilitate discharge planning, and ensure efficient workflow execution.

General Contacts: (Internal) • Physicians and Advanced Practice Providers (APPs) • Nursing staff (unit-based RNs, charge nurses, leadership) • Case Management team members • Case Management Assistants (CMAs) – for workflow direction, task prioritization, and performance feedback • Social Work / Care Coordination staff • Utilization Review staff • Finance / Revenue Cycle (as needed for authorization or coverage issues) • Quality and Performance Improvement teams • Hospital leadership and department management (External) • Post-acute care providers (Skilled Nursing Facilities, Acute Rehab, Long-Term Care) • Home care and hospice agencies • Durable Medical Equipment (DME) providers • Transportation vendors • Insurance companies / payers for authorization and coordination of services • Patients and families / caregivers Financial & Throughput Accountability • Actively manages patient throughput by monitoring and influencing geometric mean length of stay (GMLOS) and actual length of stay (LOS) to ensure alignment with clinical benchmarks and organizational targets • Identifies and addresses avoidable days and delays in discharge through proactive care coordination and workflow optimization • Utilizes clinical judgment and operational oversight of CMA workflow to prioritize tasks that directly impact discharge readiness and reduce excess days • Collaborates with physicians, utilization review, and revenue cycle teams to ensure appropriate level of care determinations and timely progression of care • Contributes to hospital finan