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Care Management Lead

April 29, 2026

About Us A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. Through a combination of in-person home visits, remote coaching and our proprietary digital collaboration app, we provide caregivers with support, guidance, confidence, and connection to resources they need. The Caregivers and families we support stay with Careforth for many years, building lasting relationships along the way. Join us today and live our values: lead with heart, cultivate trust, go beyond. Position Summary Reporting to the Manager, Care Management, the Care Management Lead (CML) is responsible for supporting the clinical quality and compliance of care management services. The CML is the lead escalation point for clinical issue management and support. The CML works with teams to ensure compliance with documentation standards, required regulations, and best practices. The CML will collaborate with the Manager, Care Management and consult with additional clinical and compliance resources to ensure the effective onboarding and ongoing clinical support of care management teams to ensure delivery of high-quality services to consumers and caregivers. The CML creates and maintains a person-centered business culture that fosters commitment, continuous improvement, employee and caregiver engagement, and high performance. What You Will Do <ul><li>Respond to requests from caregivers and consumers and communicate with team members regarding concerns or emerging issues </li><li>Track consumer risk and work with care teams to adjust the plan of care (POC) as appropriate </li><li> Manage the case conference process, facilitating case review as well as discussion of risk mitigation strategies and follow-up </li><li>Resolve and respond to complaints or grievances expressed by consumers or caregivers or their stakeholders </li><li>Drive effective utilization of established best practices and protocols across the team, ensuring compliance with contractual obligations and NCQA accreditation requirements; observe virtual/home visits with care management team members and review documentation for quality </li><li> Coach and mentor care team members and identify individual or team training needs; provide training to new clinical team members and others as needed </li><li>Assist the Manager, Care Management with incident investigations and reporting </li><li> Ensure continuous survey and audit readiness, maintaining compliance with company policies and practices as well as federal/state/local regulations </li><li>May supervise administrative staff </li><li>Perform other projects and duties as assigned</li></ul> What You Will Bring <ul><li>Bachelor’s degree or equivalent, preferably in a health care or social services discipline is required along with a minimum of 4-6 years of experience in case management and care planning for older adults with complex medical conditions and/or individuals with disabilities, preferably in a health care, long-term care, social service or community setting. </li><li> An active RN license in OH or a LSW/LISW</li><li> Demonstrated ability to coach and mentor others </li><li> Working knowledge of case management systems, community service and delivery systems, and Microsoft Office suite </li><li> Ability to travel (usually by automobile) within assigned geographic area; valid driver’s license and automobile insurance is required </li><li> Additional state-specific qualifications may be required</li></ul> You'll Benefit From At Careforth your well-being matters. With flexible schedules, a remote-first culture, and a nationally recognized wellness program, our benefits are designed to help you thrive, both professionally and personally. Discover how we invest in you: <a href="https://careforth.com/careers/#benefits" target="_blank" rel="noopener">https://careforth.com/careers/#benefits</a> The pay range for this position is $61,248- $84,173. The actual wage offered may be lower or higher depending on budget and candidate experience, knowledge, skills, qualifications, and geographic location. Join Our Award Winning Team Founded in Boston, Careforth's caregiver programs and services improve health outcomes, keeping care at home longer. Additionally, our programs provide financial benefit to caregivers and cost savings to state agencies and health plans. At Careforth, we understand the challenges of caregiving and are committed to supporting family caregivers at every turn. Caregivers play a critical role in the future of healthcare—and so can you. Apply now! <iframe title="YouTube video player" src="//www.youtube.com/embed/5Qg-TNswC5I?si=kP0DF25HWDA64SyK" width="560" height="315" frameborder="0" allowfullscreen="allowfullscreen" data-mce-fragment="1"></iframe> For more information, please visit <a href="https://careforth.com/" target="_blank" rel="noopener">www.Careforth.com</a>. Careforth is an Equal Opportunity Employer* <img src="https://seniorlink.icims.com/icims2/servlet/icims2?module=AppInert&action=download&id=130832&hashed=-750713739" alt="" width="157" height="79"> <img src="https://seniorlink.icims.com/icims2/servlet/icims2?module=AppInert&action=download&id=130828&hashed=597855342" alt="" width="88" height="90"><img src="https://seniorlink.icims.com/icims2/servlet/icims2?module=AppInert&action=download&id=56765&hashed=-1080282209" alt="" width="88" height="86"><img src="https://seniorlink.icims.com/icims2/servlet/icims2?module=AppInert&action=download&id=130827&hashed=-1237987505" alt="" width="76" height="91"><img src="https://seniorlink.icims.com/icims2/servlet/icims2?module=AppInert&action=download&id=90984&hashed=411835958" alt="" width="92" height="84"> DISCLAIMER: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. *Careforth supports families with diverse backgrounds and as an equal opportunity employer, we seek employees who reflect the diverse population we serve. Careforth complies with all applicable laws concerning hiring and employment practices and is firmly committed to fostering and maintaining a workplace free from discrimination. We pledge to hire, train, and promote our employees without regard to race, religion, gender, gender identity, genetic information, age, national origin, sexual orientation, disability, veteran status, or any other category protected by applicable law. Careforth strives to create experiences that are accessible and welcoming to everyone, including making <a href="https://careforth.com/" target="_blank" rel="noopener">www.careforth.com</a> and the careers site accessible to any and all users. If you would like to contact us regarding the company’s diversity, equity and inclusion initiatives, inquire about a specific accessibility need or the accessibility of our website, or if you need assistance completing an application process, please contact People & Culture at 866-797-2333.

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...