Social Work Case Management Leader - Clinical Ops & Impact

Highmark Health; Lansing (MI); Remote; USD 94,000 - 151,000; Full time

Job summary

Highmark Inc. is seeking an experienced clinical operations leader to manage a team of licensed social workers delivering case management to a diverse member panel.

You will ensure clinical quality, regulatory compliance, and workforce development while driving enterprise initiatives. You will oversee staffing, training, and performance feedback to achieve engagement targets, care plan completion, and positive member outcomes across a remote workforce.

Qualifications

• Master’s degree in social work or related field is required.
• Minimum 5 years of health-related clinical work experience.
• Minimum 3 years of management, supervision, or project leadership experience.

Responsibilities

• Lead a team of licensed clinical professionals delivering social work case management.
• Ensure clinical quality, member outcomes, and regulatory compliance.
• Oversee staffing, scheduling, and training to hit engagement targets.
• Provide clinical leadership and oversee psychosocial assessments and care plans.
• Monitor performance metrics and drive continuous improvement.

Skills

Clinical leadership

Staff development

Project management

Remote leadership

Communication

Microsoft Office

Data analysis

Education

Master's Degree - Social Work or related field

MS in Social Work

Job description

Highmark Inc. is seeking an experienced clinical operations leader to manage a team of licensed social workers delivering case management to a diverse member panel.

You will ensure clinical quality, regulatory compliance, and workforce development while driving enterprise initiatives. You will oversee staffing, training, and performance feedback to achieve engagement targets, care plan completion, and positive member outcomes across a remote workforce.