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Value Based Care Manager Jobs in Nevada (NOW HIRING)

UHS

RN Care Manager (Clinic)

Reno, NV · On-site

Responsibilities Prominence Health is a value-based care organization bridging the gap between ... Under the supervision of the Care Management Clinical Program Manager, the RN In-Clinic Care ...

UHS

RN Care Manager (Clinic)

Reno, NV · On-site

$81K - $112K/yr

Responsibilities Prominence Health is a value-based care organization bridging the gap between ... Under the supervision of the Care Management Clinical Program Manager, the RN In-Clinic Care ...

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Value Based Care Manager information

What is a value based care manager?

A Value Based Care Manager is a healthcare professional who oversees the design, implementation, and management of programs aimed at improving patient outcomes while controlling costs. They work to transition healthcare organizations from traditional fee-for-service models toward value-based care models, which reward providers for quality and efficiency. Responsibilities include analyzing data, coordinating care teams, ensuring compliance with regulatory standards, and fostering collaborations to enhance patient care. Their goal is to achieve better patient outcomes, improved patient experiences, and reduced healthcare costs.

How does a value based care manager collaborate with clinical and administrative teams to drive care improvements?

A Value Based Care Manager works closely with both clinical staff (such as physicians, nurses, and care coordinators) and administrative teams to design and implement care models that improve patient outcomes while controlling costs. This typically involves facilitating regular cross-functional meetings, analyzing performance data, and aligning workflows to meet quality and financial targets. The role also requires strong communication skills to ensure all stakeholders understand and are engaged in value-based initiatives, as well as the ability to troubleshoot challenges and share best practices across teams.

What are the key skills and qualifications needed to thrive as a value based care manager, and why are they important?

To thrive as a Value Based Care Manager, you need a solid background in healthcare administration, data analysis, and a strong understanding of value-based care models, often supported by a degree in healthcare or business and relevant experience. Familiarity with population health management tools, electronic health records (EHRs), and healthcare quality metrics is typically required. Strong leadership, communication, and problem-solving skills help drive team performance and foster collaboration across clinical and administrative stakeholders. These skills are crucial for improving patient outcomes, optimizing care delivery, and ensuring financial sustainability in value-based healthcare environments.

What is the difference between Value Based Care Manager vs Care Coordinator?

AspectValue Based Care ManagerCare Coordinator
CredentialsHealthcare-related certifications, experience in care managementOften licensed or certified in nursing or social work
Work EnvironmentHealthcare organizations, insurance companies, value-based programsHospitals, clinics, community health settings
Employer & IndustryHealth plans, healthcare providers, accountable care organizationsHospitals, outpatient clinics, community health agencies

The main difference is that a Value Based Care Manager focuses on developing and managing programs that improve patient outcomes within value-based payment models, while a Care Coordinator primarily manages individual patient care plans and facilitates services. Both roles require healthcare knowledge, but the VBC Manager has a broader strategic and program management focus.

What are popular job titles related to Value Based Care Manager jobs in Nevada?

For Value Based Care Manager jobs in Nevada, the most frequently searched job titles are:

What job categories do people searching Value Based Care Manager jobs in Nevada look for?

The top searched job categories for Value Based Care Manager jobs in Nevada are:

What cities in Nevada are hiring for Value Based Care Manager jobs?

Cities in Nevada with the most Value Based Care Manager job openings:

Value Based Care Manager jobs near you
Infographic showing various Value Based Care Manager job openings in Nevada as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 10% Part Time, and 6% Contract. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution.

DIRECTOR OF VALUE BASED CARE AND POPULATION HEALTH

Carson Tahoe Health

Carson City, NV • On-site

Full-time

Posted 23 days ago

Carson Tahoe Health rating

7.9

Company rating: 7.9 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

US:NV:Carson City Population Health
Full Time Day Shift
Summary
The Director of Value-Based Care & Population Health is responsible for leading Carson Tahoe Health's population health, care coordination, utilization reduction, and value-based care initiatives in support of organizational quality, clinical performance, and financial sustainability goals.
The Director collaborates with physician leaders, case management, utilization review, quality, finance, medical group operations, and executive leadership to improve outcomes under value-based reimbursement models, including Medicare Advantage and risk-based contracts.
This position provides operational leadership for initiatives focused on reducing avoidable utilization, improving care transitions, closing care gaps, supporting risk adjustment efforts, improving patient outcomes, and advancing organizational population health strategies
Qualifications
Required:
  • Bachelor's degree in Healthcare Administration, Business, or related field or equivalent combination of education and experience
  • Ten (10) years experience in population health, risk-based reimbursement experience, value-based care operational leadership experience, care management and utilization management experience or related;
  • Five (5) years progressively responsible experience as program lead, team lead or management
  • Knowledgeable in the areas of health care delivery systems, social determinants of health and health care transformation, and have an understanding of relevant Federal and State regulatory requirements

Preferred:
  • Master's degree in Nursing, Healthcare Administration or related field

Essential Functions
  • Lead operational execution of Carson Tahoe Health's population health and value-based care strategies.
  • Collaborate with Case Management, Utilization Review, Quality, Medical Group Operations, and physician leadership to improve performance under value-based reimbursement arrangements.
  • Support organizational initiatives focused on reducing avoidable admissions, readmissions, emergency department utilization, and total cost of care.
  • Develop and implement programs targeting high-risk and rising-risk patient populations.
  • Monitor population health performance metrics and recommend operational improvements based on organizational data and performance trends.
  • Support care gap closure initiatives and collaborate with ambulatory operations and providers to improve preventive care and chronic disease management outcomes.
  • Partner with Finance and Payer Relations to monitor value-based contract performance and identify opportunities for improvement.
  • Collaborate with Medical Group Operations to support attribution strategies, patient retention efforts, and access initiatives.
  • Support RAF/HCC documentation improvement initiatives in collaboration with physician leadership and ambulatory operations.
  • Facilitate multidisciplinary value-based care workgroups and performance improvement initiatives.
  • Prepare executive-level reports and dashboards related to population health, utilization management, care coordination, and value-based care performance.
  • Monitor emerging trends in population health, Medicare Advantage, value-based reimbursement, and care management practices
  • Perform other duties as assigned.
    • Primary Areas of Accountability:
      • Population Health Strategy
      • Value-Based Care Operations
      • High-Risk Patient Management
      • Care Gap Closure
      • Readmissions Reduction
      • Avoidable Utilization Reduction
      • Care Coordination Initiatives
      • Risk Adjustment Support
      • Medicare Advantage Performance
      • Population Health Analytics
      • Value-Based Care Governance Coordination

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