Job Description

Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs – everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals – because we know that health requires care for the whole person. It’s no wonder 98% of patients report being fully satisfied with Upward Health!

Job Title & Role Description:

The Manager, Nursing Operations is responsible for leading a team of remote and field-based nurses, ensuring high-quality care delivery and operational excellence across all Upward Health markets. This role focuses on optimizing workflows, driving performance through data analytics, and implementing best practices to enhance patient outcomes. The Manager collaborates with internal and external partners to improve care coordination, streamline processes, and maintain compliance with healthcare regulations. Success in this role requires strong leadership, strategic problem-solving, and the ability to drive continuous improvement in a fast-paced, evolving healthcare environment.

This position requires a strong clinical background, care management experience, and expertise in data analytics, process improvement, and regulatory compliance. The ideal candidate is a proactive leader who thrives in a fast-paced, high-pressure environment and is passionate about driving operational excellence in nursing care delivery.

Skills Required:

Required:

• Registered Nurse (RN) with an active license in a compact state (or ability to obtain licensure in multiple states).
• 5+ years of nursing experience.
• 3+ years in a leadership role overseeing clinical teams in a healthcare setting.
• Strong background in care transitions, discharge planning, and readmission prevention strategies.
• Expertise in data analytics, performance measurement, and process improvement methodologies.
• Proficiency in electronic health records (EHR).
• Understanding of healthcare regulations, payer requirements, and compliance standards (URAC, NCQA, Medicare/Medicaid guidelines).
• Exceptional leadership, communication, and conflict resolution skills.

Preferred:

• BSN or MSN degree (preferred but not required).
• Certified Case Manager (CCM) or equivalent certification.
• Experience in value-based care models and population health management.
• Knowledge of social determinants of health (SDOH) and community-based care coordination.

Key Behaviors:

Strategic Leadership: 

• Ability to set direction, drive performance, and build high-functioning teams.

Operational Excellence: 

• Strong process orientation with a focus on continuous improvement.

Data-Driven Decision Making: 

• Ability to interpret complex data and translate insights into action.

Collaboration & Influence: 

• Effective cross-functional partnership and stakeholder engagement.

Patient-Centered Approach: 

• Commitment to optimizing care transitions and patient outcomes.

Adaptability & Problem-Solving:

• Thrives in fast-paced, evolving healthcare environments.

Competencies:

Team Management: 

• Proficient in leading teams, managing schedules, and ensuring that staffing levels and team performance align with organizational goals.

Care Transition Expertise: 

• Strong understanding of clinical transitions, including admission, discharge, and readmission avoidance strategies.

Operational Strategy Development: 

• Capable of developing and executing strategic plans to enhance operational effectiveness and improve quality outcomes.

Regulatory Compliance: 

• Knowledgeable in healthcare regulations and policies, ensuring compliance across operational processes.

Performance Management: 

• Skilled in setting performance goals, conducting evaluations, and implementing corrective actions as necessary.

Technology Integration: 

• Comfortable using technology and healthcare management software to enhance operational efficiency and improve patient outcomes.

Conflict Resolution: 

• Ability to manage conflicts and address challenges in a constructive and professional manner

Upward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.

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