Case Management Director Remote Jobs

Partner with us to oversee patient cases through the authorization journey, ensuring effective communication and expedited access to care while navigating complex payer processes and providing support...

Shape the future of healthcare by leading medical management and quality improvement initiatives. Collaborate with clinical teams to enhance patient outcomes and ensure compliance with regulatory stan...

Lead utilization management efforts by reviewing complex Home Health authorization requests, ensuring evidence-based decision-making, and collaborating with interdisciplinary teams to optimize patient...

Lead a remote case management initiative that empowers members in managing complex health concerns while collaborating with multi-disciplinary teams to enhance their overall wellness and access crucia...

Innovate your career by leading extensive Prior Authorization governance strategy across diverse populations. Drive enterprise decision-making and improve operational efficiency through strategic coll...

Join a team that's driving operational excellence in Workforce Management for 24/7 crisis services. Lead forecasting and dynamic scheduling to ensure optimal staffing levels, enhancing support for cha...

Join a team that leads strategic oversight for Epic clinical applications, driving operational excellence and member-specific support while fostering continuous improvement in service delivery and tea...

Tackle the complexities of care coordination to empower members with behavioral and physical health challenges. Engage effectively within a multidisciplinary team to enhance member satisfaction and ou...

Drive comprehensive case management for members with complex health needs, ensuring tailored care plans and coordinated services that address both medical and social determinants of health, fostering...

Lead the charge in enhancing services at a men's shelter by collaborating with staff and residents, developing community resources, and providing crucial crisis intervention to promote stability and w...

Shape the future of Medicare Advantage care management by leading a dedicated team focused on improving outcomes for members with complex needs. Drive quality and compliance while enhancing integrated...

Empower the future of clinical care by leading a multidisciplinary team to ensure quality patient experiences and support strategic initiatives aimed at enhancing care delivery. Collaborate and innova...

Join us to drive the improvement of mental health treatment through effective care management and utilization review. Collaborate with care teams to enhance patient outcomes in both inpatient and outp...

Transform behavioral health care by leading a dedicated team, delivering exemplary clinical services, and nurturing clinician growth to foster meaningful patient connections and improve outcomes...

Drive clinical leadership in behavioral health, overseeing management processes and quality improvement initiatives to enhance patient care, optimize utilization strategies, and ensure compliance with...

Elevate healthcare standards by guiding medical policy and coding within a collaborative team. Leverage your expertise to enhance client relationships, improve payment accuracy, and drive strategic in...

Grow your career as you lead provider data management efforts, overseeing projects, staff, and operations. Collaborate closely with internal departments to ensure accurate provider contracts while enh...

Revolutionize patient care by overseeing clinical activities and provider performance in a dynamic office practice. Collaborate with leadership to ensure budget management and implement cost-effective...

Drive excellence in clinical quality operations by managing a diverse network of practitioners, ensuring adherence to policies and performance targets, while providing strategic oversight and coaching...

Drive CaseWorthy’s strategic enterprise relationships, collaborating with C-suite stakeholders to enhance account success. Lead negotiations, retention strategies, and coaching for Account Managers, e...

Join a team that's dedicated to improving patient care through comprehensive management of medical and behavioral health needs. Collaborate with providers and members to create actionable care plans t...

Shape the future of healthcare utilization management by leading the Concurrent Review team, enhancing care quality, and optimizing operational efficiency while ensuring compliance with industry stand...

Engineer patient-centered care by conducting medical case reviews and consultations. Leverage clinical expertise in collaboration with a diverse team to ensure evidence-based treatments. Enjoy a suppo...

Drive excellence in accounts payable operations by managing a team, ensuring policy compliance, and enhancing process efficiencies while fostering vendor relationships and overseeing payment accuracy...

Lead the charge in optimizing patient treatment through rigorous utilization management. Collaborate with multidisciplinary teams while ensuring compliance with clinical standards and healthcare regul...