Strategic Care Management Director

Intermountain Healthcare Inc.; Murray (KY); Hybrid; USD 83,000 - 127,000; Full time

Benefits offered by this job

Sign-on bonus

Relocation bonus

AP4P Pay for Performance

Job summary

Intermountain Health seeks a Care Management Director to oversee care management programs for Select Health. The role guides patient care coordination, develops protocols, and strengthens collaboration with providers, payers, and internal partners.

The position emphasizes quality outcomes, regulatory compliance, and data-driven improvements across multiple lines of business in a hybrid setting at the Murray campus, with travel as needed.

Qualifications

• Active RN or LCSW license in state of practice.
• BSN or MSW from an accredited institution (degree verification required).
• Leadership experience in managed care with 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.

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

Education

BSN

MSW

Tools

Microsoft Office

Job description

Intermountain Health seeks a Care Management Director to oversee care management programs for Select Health. The role guides patient care coordination, develops protocols, and strengthens collaboration with providers, payers, and internal partners.

The position emphasizes quality outcomes, regulatory compliance, and data-driven improvements across multiple lines of business in a hybrid setting at the Murray campus, with travel as needed.