Social Work Case Management Leader (Clinical Ops)

Highmark Health; Carson City (NV); Remote; USD 94,000 - 151,000; Full time

Job summary

Highmark Inc. is seeking a senior leader to guide a team of licensed social workers delivering case management services. You will oversee daily operations, ensure clinical quality and regulatory compliance, and drive performance against engagement and care outcomes.

You will manage staffing, training, and cross-functional collaboration, advancing enterprise initiatives and optimizing care delivery while maintaining high staff engagement in a remote or dispersed work environment.

Qualifications

• Master's Degree in Social Work or related field.
• Minimum 5 years of health-related clinical work experience.
• Minimum 3 years of management or project leadership experience.

Responsibilities

• Oversee daily operations of the department and staff.
• Ensure clinical quality, member outcomes, and regulatory compliance.
• Lead cross-functional teams to implement strategic initiatives.
• Monitor metrics and drive continuous improvement.
• Provide coaching and professional development to staff.

Skills

Leadership

Communication

Digital tools

Virtual leadership

Process improvement

Team development

Education

Master's Degree - Social Work

MS in Social Work (preferred)

B.S. in related field

Tools

Microsoft Office

Job description

Highmark Inc. is seeking a senior leader to guide a team of licensed social workers delivering case management services. You will oversee daily operations, ensure clinical quality and regulatory compliance, and drive performance against engagement and care outcomes.

You will manage staffing, training, and cross-functional collaboration, advancing enterprise initiatives and optimizing care delivery while maintaining high staff engagement in a remote or dispersed work environment.