Top 344 Director of case management Jobs in Maryland

Director Case Management
MedStar Health —Columbia, MD
- $120,702 - $238,222 a year
- Full-time
- Nursing
- RN License
- 5 years
Case Management Supervisor
Interfaith Works —Rockville, MD
- $90,000 - $100,000 a year
- Email
- Hybrid work
- Mid-level
- Psychology
- Human resources
- AD&D insurance
- Paid holidays
Quick Apply
Patient Experience Advisor
Press Ganey —Annapolis, MD
- $81,000 - $115,000 a year
- Online Application
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
Director of Case Management
CAN —Catonsville, MD
- $80,000 a year
- Full-time
- Management
- Ability to walk for extended periods
- Office
- Health insurance
- Dental insurance
Quick Apply
14h
Clinical Medical Review Nurse (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $67,320 - $133,705 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
- 401(k)
Quick Apply
12d
Senior Director, Quality Improvement
University of Maryland Medical System —Baltimore, MD
- Full-time
- RN License
- 3 years
- Master's degree
Hybrid Clinical Supervisor/BCBA - Federal Hill
Helping Hands Family —Baltimore, MD
- $100,000 - $115,000 a year
- Hybrid work
- Background check
- Clinic
- Supervising experience
- Continuing education credits
- Health insurance
Quick Apply
Emergency Medicine Medical Director | Productivity Incentive Available!
Sound Physicians —Frederick, MD
- $225 - $240 a day
- Full-time
- BC/BE
- Patient care
- US work authorization
- Flexible schedule
HYBRID Mental Health Therapist - RL Counseling Group
RL Counseling Group —Westminster, MD
- $68,000 - $78,000 a year
- Full-time
- Hybrid work
- Adults
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
5d
Hybrid Clinical Supervisor/BCBA - Lanham - $10,000 sign on bonus
Helping Hands Family —Lanham, MD
- $100,000 - $120,000 a year
- Hybrid work
- Background check
- Clinic
- Supervising experience
- Continuing education credits
- Health insurance
Quick Apply
LCSW-C Therapist
Chesapeake Health Care —Salisbury, MD
- $65,000 - $75,000 a year
- Full-time
- Mid-level
- 3 years
- Master's degree
- Health insurance
- Dental insurance
Quick Apply
Therapist
Chesapeake Health Care —Salisbury, MD
- $65,000 - $75,000 a year
- Full-time
- Background check
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Clinical Supervisor - Suitland - $10,000 sign on bonus
Helping Hands Family —Suitland, MD
- $100,000 - $120,000 a year
- Background check
- Clinic
- Supervising experience
- Continuing education credits
- Health insurance
Quick Apply
Clinical Supervisor (LCSWC or LCPC)
BTST Services —Frederick, MD
- $75,000 - $85,000 a year
- 8 hour shift
- Hybrid work
- Experience working with individuals with disabilities
- 5 years
- Clinic experience
- Paid training
- Disability insurance
Quick Apply
10d
Medical Director for First Responder Care - Psychiatrist (Full Time)
The Recovery Village —Upper Marlboro, MD
- From $350,000 a year
- Full-time
- Medicine
- Psychiatry
- Addiction Medicine
- Health savings account
- Dental insurance
Quick Apply
Medical Director - Psychiatrist (Part Time)
The Recovery Village —Upper Marlboro, MD
- From $200 an hour
- Part-time
- Medicine
- Psychiatry
- Addiction Medicine
Quick Apply
Clinical Supervisor (LCSWC or LCPC)
BTST Services —Baltimore, MD
- $75,000 - $85,000 a year
- 8 hour shift
- Hybrid work
- Experience working with individuals with disabilities
- 5 years
- Clinic experience
- Paid training
- Disability insurance
Quick Apply
10d
Clinic Director, BCBA
Big Dreamers ABA —Salisbury, MD
- $100,000 - $120,000 a year
- Part-time
- Hybrid work
- Clinic experience
- Mid-level
- Clinic
- Continuing education credits
- Paid holidays
Quick Apply
4d
Registered Nurse Case Manager - In Person Position
Helena's House —Upper Marlboro, MD
- $75,000 - $80,000 a year
- Full-time
- Background check
- CPR Certification
- Nursing
- Health insurance
- Dental insurance
Quick Apply
Clinical Supervisor (LCSWC or LCPC)
BTST Services —Hagerstown, MD
- $75,000 - $85,000 a year
- 8 hour shift
- Hybrid work
- Experience working with individuals with disabilities
- 5 years
- Clinic experience
- Paid training
- Disability insurance
Quick Apply
10d

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Director Case Management

MedStar Health -
Columbia, MD

Apply Now

Job Details

Full-time
$120,702 - $238,222 a year

Qualifications

Cost management
Staff supervision
Case assessment
Team supervision
Managed care organization experience
Expense management
CMS
Compliance audits & assessments
ROI
Managing patients as a nurse case manager
CMS regulatory compliance
Bachelor's degree
Health insurance knowledge
Cost analysis
Utilization management
Resource utilization in healthcare
Data-driven problem-solving
Bachelor's degree in nursing
Medicaid regulations
Medicaid
Cross-functional collaboration
Clinical data analysis
Cross-functional team management
Maternal health (public health)
Data analytics technologies
Senior leadership

Full Job Description

About this Job: General Summary of Position
The Director of Case Management provides strategic and operational leadership for the health plan's enterprise case management function across two health plans under a centralized clinical operations model. The Director of Case Management (DCM) is responsible for the operational functions the Case Management team including the direct supervision coaching and counseling of staff. The DCM will direct and coordinate the Case Management operations staff with specific focus on Person Centered Enrollee Care and the Enrollee Continuum of Care models. This role designs standardizes implements and optimizes care management programs to improve quality outcomes enhance enrollee experiences reduce avoidable utilization and ensure regulatory compliance. The Director of Case Management (DCM) oversees case management activities that may include behavioral health utilization management and care management functions and serves as a liaison to government and other regulatory agencies as well as internal departments. The Director monitors staff and program performance compares results against goals recommends improvements and decisions aligning with expected outcomes. The Director supports Managers managing case management coordination and care management staff. The Director ensures adherence of case management programs across markets while addressing unique state-specific regulatory and population needs partners closely with Utilization Management Pharmacy Quality Population Health Equity and Provider Relations to drive enterprise clinical performance.

Primary Duties and Responsibilities

Leads the enterprise case management strategy across both health plans ensuring alignment with clinical quality and financial goals.
Develops and manages the field-based activities of the Case Management Assessment Team (CMAT) of RN Field Case Managers to ensure person-centered enrollee care and strict contractual compliance.
Oversees and ensures the timely execution of Case Management activities related to Enrollee Discharge Planning Transitions of Care special benefit operations (for example transportation and personal care services) Behavioral Health Case Management and Special Population Services (for example unhoused enrollees and pediatric case management).
Establishes and maintains a monitored reporting cadence (for example reports and dashboards) for enrollees in case management that include annual assessments critical incidents special populations behavioral health and transitions of care coordination efforts.
Ensures dashboard oversight for the production and validation of case management activities including standardized goals and scorecards to support contractual compliance and both individual and health plan case management performance.
Standardizes case management policies workflows and documentation practices across markets while maintaining state-specific regulatory compliance.
Monitors and improves member engagement rates including outreach success care plan completion and sustained participation. Ensure seamless integration between Case Management and Utilization Management to reduce fragmentation and duplication of effort.
Partners with Pharmacy leadership to coordinate care for members utilizing high-cost or specialty medications.
Collaborates with Quality Improvement teams to close gaps in care and improve HEDIS and other performance metrics.
Develops strategies to reduce avoidable emergency department visits and hospital readmission through proactive care coordination.
Monitors medical expense impact and total cost of care trends related to care management interventions.
Establishes and monitor key performance indicators (KPIs) including engagement rates readmission rates care plan timeliness and staff productivity while driving measurable outcomes.
Ensures compliance with state Medicaid agencies CMS NCQA and contractual requirements across both health plans deploying corrective action plans where applicable.
Supervises and develops manager and supervisors ensuring strong leadership cascade and accountability within a centralized structure.
Designs and optimizes centralized staffing models and caseload distribution to ensure efficiency and effectiveness. Establish RE's/Reasonable Expectancy targets for the assigned work.
Drives continuous process improvement initiatives using data analytics and performance insights.
Partners with Finance and Actuarial team to evaluate the ROI of care management programs.
Supports value-based payment and alternative payment models aligning case management strategies with provider performance incentives.
Provides executive-level reporting and strategic recommendations to the VP of Clinical Operations and senior leadership.
Champions a culture of member-centered culturally competent care coordination that improves health equity and outcomes across both markets.

Minimal Qualifications
Education

Bachelor's degree Nursing Social Work or related healthcare field required and
Master's degree Nursing (MSN) Public Health (MPH) Healthcare Administration (MHA) Business Administration (MBA) or related field preferred

Experience

8-10 years Progressive experience in managed care or health plan operations. required and
5-7 years Leadership experience in case management care coordination or population health management. required and
Demonstrated experience overseeing complex case management programs in Medicaid managed care strongly preferred. required and
Experience leading multi-market or centralized teams preferred. required and
Proven track record of improving quality outcomes reducing avoidable utilization and managing medical expense trends. required and
Experience with regulatory audits (state Medicaid agencies CMS) and NCQA accreditation processes. required and
Experience implementing risk stratification tools and data-driven care models. required and
Prior experience collaborating with Utilization Management Pharmacy Quality and Provider Relations functions. required

Licenses and Certifications

RN - Registered Nurse - State Licensure and/or Compact State Licensure Active unrestricted clinical license; Multi-state licensure or eligibility for licensure in Maryland and DC.(RN strongly preferred) Upon Hire required or
LCSW- License Clinical Social Worker Multi-state licensure or eligibility for licensure in Maryland and DC Upon Hire required or
other licensed clinicians may be considered Upon Hire required and
CCM - Certified Case Manager Certified Case Manager (CCM) or other nationally recognized case management certification Upon Hire required

Knowledge Skills and Abilities

Strong knowledge of state Medicaid CMS NCQA and contractual requirements related to case management and care coordination.
Deep understanding of population health management social determinants of health and risk-based care models.
Financial acumen with the ability to interpret PMPM trends total cost of care data and ROI analysis.
Expertise in care transitions complex case management maternal health behavioral health integration and high-risk population management.
Ability to lead organization change within a centralized clinical operations model.
Strong analytical skills with the ability to translate data into actionable strategy.
Excellent executive-level communication and presentation skills.
Proven ability to build high-performing teams and drive accountability.
Skilled in cross-functional collaboration and stakeholder engagement.
Demonstrated commitment to culturally competent member-centered care.
Proficiency with care management platforms electronic health records and reporting tools.

This position has a hiring range of : USD $120,702.00 - USD $238,222.00 /Yr.

Apply Now

Refine Your Search

director of case management jobs in maryland

Director Case Management

Case Management Supervisor

Patient Experience Advisor

Director of Case Management

Clinical Medical Review Nurse (Remote)

Senior Director, Quality Improvement

Hybrid Clinical Supervisor/BCBA - Federal Hill

Emergency Medicine Medical Director | Productivity Incentive Available!

HYBRID Mental Health Therapist - RL Counseling Group

Hybrid Clinical Supervisor/BCBA - Lanham - $10,000 sign on bonus

LCSW-C Therapist

Therapist

Clinical Supervisor - Suitland - $10,000 sign on bonus

Clinical Supervisor (LCSWC or LCPC)

Medical Director for First Responder Care - Psychiatrist (Full Time)

Medical Director - Psychiatrist (Part Time)

Clinical Supervisor (LCSWC or LCPC)

Clinic Director, BCBA

Registered Nurse Case Manager - In Person Position

Clinical Supervisor (LCSWC or LCPC)

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