Manager, Case Management

Job overview

The Manager, Case Management role is hybrid, with an average of three onsite days per week, and is open to candidates near Madison, WI, or Minnetonka, MN. The full annual salary grade is $88,800–$152,300; the typical hiring range is $88,800–$133,245. Medica is a nonprofit health plan serving members across several states. The manager directs case management and transition-of-care programs, staff, and operational performance. The role coordinates clinical and cross-functional work to support members’ medical, behavioral, and social needs while maintaining quality and regulatory compliance.

What you'll do

• Oversee case management and transition-of-care programs
• integrate work across case management teams
• track productivity and program performance
• supervise and direct staff
• serve as a case management subject matter expert
• coordinate with clinical, claims, provider, pharmacy, and customer service teams
• oversee audits and case quality
• maintain NCQA and regulatory alignment
• develop reporting and recommendations
• support process improvement and staff training.

What we're looking for

Skills & competencies

manager, case management

medica

madison wi

hybrid

full-time

onsite 3 days per week

$88,800–$152,300/year

typical hiring range $88,800–$133,245

case management

transition of care

registered nurse

social work

ncqa compliance

no visa sponsorship

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, dental, and vision
• paid time off and holidays
• paid volunteer time off
• 401(k) contributions
• caregiver services
• and other benefits.

Why this role

Requires an associate’s or bachelor’s degree in nursing with an active unrestricted RN license, or a master’s degree in social work with an active unrestricted independent or advanced practice social worker license. CCM is preferred or must be obtained within two years. Medica does not offer work visa sponsorship.

About the employer

Medica Services Company LLC is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.