Director, Case Management

The Health Plan (THP); Wheeling (WV); On-site; USD 120,000 - 150,000; Full time

Job summary

The Health Plan (THP) seeks a Director of Case Management to lead and manage all aspects of clinical program management, providing oversight and assessment to ensure the delivery of quality, member-driven care across the care continuum.

The director ensures compliance with regulatory and accreditation standards while coordinating with the VP of Clinical Services, the Director of Utilization Management, and other medical leadership to advance population health initiatives.

Job description

The Director of Case Management provides leadership, management, oversight, and assessment of all aspects of clinical program management and is responsible for ensuring quality provision of member driven care continuum programs while ensuring delivery of essential services that address the total health care needs of The Health Plan members. The Director of Case Management works collaboratively with the VP of Clinical Services, Director of Utilization Management, AVP of Population Health and the Medical Directors, as well as other interdisciplinary team leaders to plan, organize, coordinate, develop the vision, perform implementation and measure the outcome of all population health driven, care continuum programs based on both governmental and non-governmental lines of business to ensure compliance to the requirements of all regulatory and accreditation bodies relevant to clinical management.