Director, Case Management

Job overview

The Director, Case Management role is onsite in Wheeling, WV, with an 8:00 a.m.–5:00 p.m. schedule and a 40-hour workweek. Compensation is not specified. The director oversees clinical program management and care continuum programs for The Health Plan members.

What you'll do

• Oversee medical and care continuum operations
• supervise managers and supervisors
• develop staff training
• review department processes and policies
• build management reporting and outcome metrics
• ensure programs meet regulatory, accreditation, and quality requirements
• lead program integration with provider health systems
• and collaborate with clinical leadership on organizational initiatives.

What we're looking for

Skills & competencies

director of case management

wheeling wv

the health plan of west virginia

registered nurse

clinical program management

care continuum

population health

managed care

regulatory compliance

ncqa

8:00 a.m.–5:00 p.m.

40-hour workweek

ohio or west virginia rn license

Work arrangement

• Weekend coverage required

Why this role

Requires an active, unencumbered Ohio or West Virginia multistate registered nurse license, at least five years of clinical experience, and two years in management; a Bachelor of Science in Nursing is required or must be obtained within two years of hire.

About the employer

The Health Plan of West Virginia Inc is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.