Care Management Director

Intermountain Healthcare Inc.; Murray (UT); Hybrid; USD 140,000 - 170,000; Full time

Benefits offered by this job

Sign-on bonus

Relocation assistance

AP4P Plan

Job summary

Select Health in Murray, UT, seeks a Care Management Director to guide design and execution of care management programs across lines of business. You will lead interdisciplinary teams, enhance patient care coordination, and drive high-quality, cost-effective care aligned with best practices.

You will shape strategy, support technology and workflow advances, and foster accountability and compassionate service.

Qualifications

• Active RN license or LCSW license in state of practice.
• BSN or MSW from an accredited institution (degree verification required).
• Leadership experience in managed care, including Utilization Review, Care Management, or related clinical operations.

Responsibilities

• Oversees strategic planning, daily operations, and standards of care to ensure efficient, safe, and fiscally responsible service delivery.
• Applies data-driven evaluation to monitor performance and guide improvements.
• Builds community partnerships to ensure access to resources and coordinated care.
• Coordinates clinical and non-clinical care with interdisciplinary teams for optimal outcomes.
• Ensures compliance with regulatory, accreditation, and contractual standards.
• Leads in ensuring members receive the right care, at the right time, in the right setting, while supporting medical necessity, quality, and cost-effective utilization of benefits.
• Improves tools, systems, and workflows for medical management efficiency and member satisfaction.
• Leads workforce planning, recruitment, retention, staffing, leadership development, and succession planning.
• Manages budgets, cost analysis, medical expense trends, and aligns with financial goals.
• Models professionalism and fosters accountability, collaboration, and continuous improvement.
• Oversees care management and utilization review across multiple lines of business and regions.
• Oversees HR functions including hiring, onboarding, training, performance management, and disciplinary actions.
• Partners with physicians and leaders to achieve clinical, operational, financial, and service excellence.
• Strengthens partner relationships to support service utilization, contracts, and joint programs.
• Supports high risk and complex members' medical, behavioral, and social needs through holistic, person-centered care addressing barriers such as Social Determinants of Health.
• Supports patient satisfaction, quality outcomes, and service excellence, including care transitions.

Skills

Leadership

Strategic Planning

Communication

Health plan

Utilization review

Care Management

Social Work

Performance management

Change management

Patient Satisfaction

Nursing & Care Coordination

Budgeting

Collaboration

Regulatory Requirements

Microsoft Office

Education

RN license or LCSW license

BSN or MSW degree

Tools

Microsoft Office

Job description

The Care Management Director (also referred to as the Healthy Connections Director) is a clinical leader that oversees the design, execution, and optimization of specified care management programs and functions for all lines of business at Select Health.

This role ensures high quality, cost effective care through data driven evaluation, regulatory compliance, and alignment with industry best practices. The Director oversees interdisciplinary teams, guides patient care coordination, develops care management protocols, and strengthens collaboration with providers, payers, and internal partners.

Additional responsibilities include shaping care management strategy, supporting technology and workflow advancements, and fostering a culture of quality, accountability, and compassionate service. As a clinical and operational leader, this position drives strategic planning, endorses key performance indicators, promotes efficient resource use, and ensures programs support positive patient outcomes, service excellence, and organizational performance.

Essential Functions

• Oversees strategic planning, daily operations, and standards of care to ensure efficient, safe, and fiscally responsible service delivery.
• Applies data-driven evaluation to monitor performance and guide improvements.
• Builds community partnerships to ensure access to resources and coordinated care.
• Coordinates clinical and non-clinical care with interdisciplinary teams for optimal outcomes.
• Ensures compliance with regulatory, accreditation, and contractual standards.
• Leads in ensuring members receive the right care, at the right time, in the right setting, while supporting medical necessity, quality, and cost-effective utilization of benefits.
• Improves tools, systems, and workflows for medical management efficiency and member satisfaction.
• Leads workforce planning, recruitment, retention, staffing, leadership development, and succession planning.
• Manages budgets, cost analysis, medical expense trends, and aligns with financial goals.
• Models professionalism and fosters accountability, collaboration, and continuous improvement.
• Oversees care management and utilization review across multiple lines of business and regions.
• Oversees HR functions including hiring, onboarding, training, performance management, and disciplinary actions.
• Partners with physicians and leaders to achieve clinical, operational, financial, and service excellence.
• Strengthens partner relationships to support service utilization, contracts, and joint programs.
• Supports high risk and complex members' medical, behavioral, and social needs through holistic, person-centered care addressing barriers such as Social Determinants of Health.
• Supports patient satisfaction, quality outcomes, and service excellence, including care transitions.

Skills

• Leadership & Strategic Planning
• Communication
• Health plan functions
• Utilization review
• Care Management & Social Work
• Performance management
• Change management
• Patient Satisfaction
• Nursing & Care Coordination
• Budgeting
• Collaboration
• Regulatory Requirements
• Microsoft expertise

Location

This position is hybrid and will require regular in-office time at Select Health's main campus in Murray, Utah. Additional travel may be required occasionally.

Minimum Qualifications

• Active Registered Nurse (RN) license or Licensed Clinical Social Worker (LCSW) license in state of practice.
• Bachelor of Science in Nursing (BSN) OR Master of Social Work (MSW) from an accredited institution (degree verification required).
• Leadership experience in managed care, including Utilization Review, Care Management, or related clinical operations, with ability to develop programs, direct teams, and collaborate with physicians and interdisciplinary partners.
• Three years of clinical experience plus HMO/UM experience in a health plan or integrated delivery system.
• Experience with financial analysis, reporting, and operational evaluation, preferably in managed care.
• Demonstrated skill in strategic planning, problem‑solving, developing clinical strategies, and implementing operational improvements.
• Excellent verbal, written, interpersonal, and presentation communication skills.

Preferred Qualifications:

• Care Management Certification
• Proven ability to build payer relationships, evaluate technology solutions, and support cross‑continuum care strategies.
• Strong knowledge of healthcare regulations, reimbursement, contractual requirements, and NCQA standards.

Additional Information

Pay offers are determined by prior years of relevant experience within the established pay range.

In addition to the annual salary, to show our commitment to you and assist with your transition, we may offer a sign‑on and relocation bonus when applicable. With this position, you are eligible to participate in the Annual Pay for Performance (AP4P) Plan.

Physical Requirements

Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able