About this Job: Unit Highlights
Key Responsibilities
The Director of Case Management provides strategic and operational leadership for the health plan's enterprise case management function across two health plans under a centralized clinical operations model. The Director of Case Management (DCM) is responsible for the operational functions the Case Management team, including the direct supervision, coaching and counseling of staff. The DCM will direct and coordinate the Case Management operations staff with specific focus on Person Centered Enrollee Care and the Enrollee Continuum of Care models. This role designs, standardizes, implements and optimizes care management programs to improve quality outcomes, enhance enrollee experiences, reduce avoidable utilization, and ensure regulatory compliance. The Director of Case Management (DCM) oversees case management activities that may include behavioral health, utilization management and care management functions and ...