20 Best director of case management jobs (Hiring Now!)

Case Management Analyst (Remote)
CVS Health —Baton Rouge, LA
Bachelor's degree or non-licensed master level clinician with either degree being in behavioral health or human services preferred (psychology, social work,…
$19.52 - $36.78 an hour
Medical Biller
California Health Collaborative —California
Strong attention to detail and accuracy in data entry. Verify Medi-Cal and MCP payments for accuracy and compliance with contracted amounts.
$23 - $25 an hour
Quick Apply
Analyst, Case Management - Must live in Virginia, or surrounding states
CVS Health —Richmond, VA
Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case…
$19.52 - $40.90 an hour
10d
Regional Director of Case Management
St. Mary's Health Care System —Athens, GA
Current Georgia professional registered nursing license or Bachelor’s degree in Social Work or Healthcare Administration required. Must be capable of autonomy.
Estimated: $97.9K - $124K a year
Director of Case Management
Switch4 LLC —San Ramon, CA
Active RN or LCSW/LMSW license for state(s) covered. Must be currently licensed, certified or registered to practice profession as required by law or regulation…
$130,000 - $200,000 a year
Quick Apply
1d
DIRECTOR-CASE MANAGEMENT
Forrest Health —Hattiesburg, MS
Bachelor of Science Degree in Nursing or related health field from an accredited non- online university required.
Estimated: $94.3K - $119K a year
21h
Director of Case Management
Config4: Doug Meyer's Config Site —Matawan, NJ
Must have a BS Degree in a health related field. Works collaboratively to evaluate care through unit rounds and active participation on Performance Improvement…
Estimated: $102K - $130K a year
Associate Director of Case Management
Developmental Pathways Inc —Aurora, CO
Valid Colorado motor vehicle license and proof of motor vehicle insurance. Working knowledge of the intellectual and developmental disability field; the…
Estimated: $51.5K - $65.2K a year
Quick Apply
17h
Market Director of Case Management & Utilization Management
Ascension —Baltimore, MD
Formulate and implement operational strategies and initiatives in the case management program. Provide specialized expertise, ensure resource alignment with…
7h
Director of Case Management
MVK TECH —San Ramon, CA
Active RN or LCSW/LMSW license for state(s) covered. Must be currently licensed, certified or registered to practice profession as required by law or regulation…
$90 - $115 an hour
Quick Apply
21h
Director of Quality (Full Time)
Russell Medical —Alexander City, AL
Supports all departments through a variety of quality education, CMS or payor standard’s interpretation and care implementation.
Estimated: $85.6K - $108K a year
17h
Assistant Director of Home Study and Post Release Services (HSPRS)
McKinley Children's Center —Remote
A Bachelor degree in education, psychology, sociology or other relevant behavior science plus 5 years of progressive employment experience with a social…
$95,000 - $104,000 a year
Quick Apply
Quality Management Coordinator I
Astrana Health —Remote
Handle inbound calls related to grievances/appeals. File correspondence received daily and maintain data in the EZ-CAP/AYCE case module.
$20 - $23 an hour
Quick Apply
Group Director, Case Management
Aloden Inc —Detroit, MI
Active RN license; Certified Case Manager (CCM) certification is a plus. Bachelor's degree in Nursing or related field; Master's degree preferred.
From $128,542.34 a year
Quick Apply
18h
Care Management Associate
CVS Health —New Albany, OH
Provides support services to team members by answering telephone calls, taking messages, researching information, and assisting in solving problems.
$18.50 - $35.29 an hour
Director of Social Services - The Bradley Gardens
The Bradley Gardens —San Jacinto, CA
The primary purpose of your job position is to plan, organize, develop, and direct the overall operation of our facility’s Social Services Department in…
$32 - $35 an hour
Quick Apply
RN-Grievance and Appeals -Fully remote *APPEALS AND GRIEVANCES EXPERIENCE REQUIRED
Campbell Healthcare Solutions LLC —Remote
\*This is an independent contractor role paid on 1099. Prepare and send case files to other teams as needed (e.g. legal, external appeals, state fair hearings,…
$40 an hour
Quick Apply
Director Case Management
Swedish Medical Center —Englewood, CO
Education assistance (tuition, student loan, certification support, dependent scholarships). The Director has oversight for all aspects of daily hospital case…
$117,395.20 - $176,134.40 a year
Quick Apply
11d
Director of Case Management ( RN / RT / MSW / LPN )
Select Specialty Hospital - Dallas/Ft Worth —Plano, TX
Clinical license as a registered nurse or respiratory therapist or master's in social work and minimum three (3) years of medical case management or similar…
Estimated: $91.2K - $116K a year
7d
Restructuring & Turnaround Director - Case Management Services
Alvarez and Marsal —New York, NY
Overseeing pre-filing activities (e.g. data extractions for first-day pleadings, developing plans and reports for pre and post-petition accounts payable, and…
$160,000 - $225,000 a year

I want to receive the latest job alert for director of case management

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Case Management Analyst (Remote)

CVS Health - Baton Rouge, LA

Apply Now

Job Details

Full-time $19.52 - $36.78 an hour

Benefits

Store discount
Employee stock purchase plan
Disability insurance
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Vision insurance
Employee discount
Life insurance

Qualifications

Managed care
Master's degree
Bachelor's degree
Case management
Motivational interviewing
Discharge planning
Child & family counseling
Care plans
2 years
Negotiation
Behavioral health

Full Job Description

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

This is a full-time telework position.

Hours for this role are Monday-Friday 8a-5p CST.

Program Overview:

Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country.

Position Summary/Mission: The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process, The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and

education for members through the use of care management tools and resources.

Fundamental Components

Evaluation of Members: -Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available

internal and external programs/services.

Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.
Coordinates and implements assigned care plan activities and monitors care plan progress.
Enhancement of Medical Appropriateness and Quality of Care: - Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
Identifies and escalates quality of care issues through established channels.
Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.
Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
Helps member actively and knowledgably participate with their provider in healthcare decision-making.
Monitoring, Evaluation and Documentation of Care: - Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Required Experience

2+ years experience in behavioral health, social services or appropriate related field equivalent to program focus

Preferred Experience

Case management and discharge planning experience preferred
Managed Care experience preferred

Education and Certification Requirements

Bachelor's degree or non-licensed master level clinician with either degree being in behavioral health or human services preferred (psychology, social work, marriage and family therapy, counseling) or equivalent experience.

Pay Range

The typical pay range for this role is:

$19.52 - $36.78

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 07/03/2024

Apply Now

director of case management jobs

Case Management Analyst (Remote)

Medical Biller

Analyst, Case Management - Must live in Virginia, or surrounding states

Regional Director of Case Management

Director of Case Management

DIRECTOR-CASE MANAGEMENT

Director of Case Management

Associate Director of Case Management

Market Director of Case Management & Utilization Management

Director of Case Management

Director of Quality (Full Time)

Assistant Director of Home Study and Post Release Services (HSPRS)

Quality Management Coordinator I

Group Director, Case Management

Care Management Associate

Director of Social Services - The Bradley Gardens

RN-Grievance and Appeals -Fully remote *APPEALS AND GRIEVANCES EXPERIENCE REQUIRED

Director Case Management

Director of Case Management ( RN / RT / MSW / LPN )

Restructuring & Turnaround Director - Case Management Services

Job Seeker Tools

Employer Tools

Browse

Stay Connected