Remote Social Work Case Management Lead

Highmark Health; Phoenix (AZ); Remote; USD 94,000 - 151,000; Full time

Job summary

Highmark Inc. seeks a clinical operations leader to guide a team of licensed clinical professionals delivering social work case management services to a defined member panel with varying health needs and clinical requirements.

The role focuses on clinical quality, member outcomes, regulatory compliance, workforce development, and strategic initiatives. Responsibilities include daily operation oversight, staffing, training, ensuring engagement targets and outcomes, and coaching to achieve

Qualifications

• Master's Degree in Social Work or related field required.
• MS in Social Work preferred.
• License/certification as social worker or related licensure is required or preferred.

Responsibilities

• Leads a team of licensed clinical professionals delivering social work case management.
• Ensures regulatory compliance, quality outcomes, and member engagement targets.
• Oversees staffing, scheduling, coaching, and performance management.
• Provides clinical leadership and ensures evidence-based social work practices.

Skills

Written and verbal presentation skills

Clinical platforms & digital tools

Virtual leadership

Healthcare cost awareness

Project management

Education

Master's Degree - Social Work or related field

MS in Social Work preferred

Job description

Highmark Inc. seeks a clinical operations leader to guide a team of licensed clinical professionals delivering social work case management services to a defined member panel with varying health needs and clinical requirements.

The role focuses on clinical quality, member outcomes, regulatory compliance, workforce development, and strategic initiatives. Responsibilities include daily operation oversight, staffing, training, ensuring engagement targets and outcomes, and coaching to achieve