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Assistant Director Case Management Jobs in Washington

MedStar Health

Director Case Management

Columbia, MD · On-site

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 ...

CAN

Director of Case Management

Catonsville, MD · On-site

$80K/yr

Dental insurance Position Overview Provides a full range of direct professional and case management ... Works in conjunction with Shelter Manager and Assistant Manager in shelter matters regarding ...

Interfaith Works

Case Management Supervisor

Rockville, MD · On-site

$90K - $100K/yr

... direct supervision to assigned Case Managers. Conduct regular individual supervision and team meetings. Coach, mentor, and develop staff. Complete performance evaluations. Assist with hiring ...

Interfaith Works

Case Management Supervisor

Rockville, MD · On-site

$90K - $100K/yr

Provide direct supervision to assigned Case Managers. * Conduct regular individual supervision and team meetings. * Coach, mentor, and develop staff. * Complete performance evaluations. * Assist with ...

Interfaith Works

Case Management Supervisor

Rockville, MD · On-site

$90K - $100K/yr

Provide direct supervision to assigned Case Managers. * Conduct regular individual supervision and team meetings. * Coach, mentor, and develop staff. * Complete performance evaluations. * Assist with ...

Shelter House

KHFS - Case Manager

Fairfax, VA

$52K - $56K/yr

Assistant Director of Programs Location: Fairfax, VA FLSA Status: Exempt Salary Range: $52,000-$56 ... Excellent time management and organizational skills * Valid Driver's License * Willingness to work ...

Shelter House

KHFS - Case Manager

Fairfax, VA · On-site

$52K - $56K/yr

Assistant Director of Programs Location: Fairfax, VA FLSA Status: Exempt Salary Range: $52,000-$56 ... Excellent time management and organizational skills * Valid Driver's License * Willingness to work ...

Shelter House

KHFS - Case Manager

Fairfax, VA · On-site

$52K - $56K/yr

Assistant Director of Programs Location: Fairfax, VA FLSA Status: Exempt Salary Range: $52,000-$56 ... Excellent time management and organizational skills * Valid Driver's License * Willingness to work ...

Inova

Manager Case Management

Falls Church, VA · On-site

$21.25 - $27.50/hr

... Management to join the Case Management Team. This role will be Full-Time, Day shift: Monday ... Works proactively with the Clinical Directors for collaboration on discharge. * Assures staffing is ...

Inova Primary Care

Manager Case Management

Falls Church, VA · On-site

$21.25 - $27.50/hr

... Management to join the Case Management Team. This role will be Full-Time, Day shift: Monday ... Works proactively with the Clinical Directors for collaboration on discharge. * Assures staffing is ...

Inova

Manager Case Management

Falls Church, VA · On-site

$174 - $762/day

... Management to join the Case Management Team. This role will be Full-Time, Day shift: Monday ... Works proactively with the Clinical Directors for collaboration on discharge. * Assures staffing is ...

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Assistant Director Case Management information

What is an assistant director case management?

An Assistant Director of Case Management is a healthcare professional who supports the Director of Case Management in overseeing patient care coordination, resource utilization, and discharge planning. They help manage a team of case managers, ensuring that patient care plans are effective, efficient, and follow regulatory requirements. This role often involves collaborating with clinical staff, reviewing patient cases, and helping develop strategies to improve patient outcomes and hospital operations.

What are the key skills and qualifications needed to thrive as an assistant director case management?

To excel as an Assistant Director Case Management, you typically need a background in nursing or social work with a relevant degree and licensure, along with experience in case management and leadership. Familiarity with case management software, electronic health records (EHRs), and knowledge of utilization review and regulatory compliance is essential. Strong leadership, communication, problem-solving, and organizational skills distinguish top performers in this role. These competencies ensure effective team management, regulatory adherence, and optimal patient outcomes within complex healthcare environments.

What are some common challenges faced by an assistant director case management, and how can they be addressed?

Assistant Directors of Case Management often encounter challenges such as balancing administrative responsibilities with direct support to case managers, ensuring compliance with ever-changing healthcare regulations, and managing interdisciplinary communication. These challenges can be addressed by implementing effective training programs, fostering strong collaboration between departments, and staying updated on industry best practices. Regular team meetings and transparent communication can also help in addressing workflow bottlenecks and maintaining high standards of patient care.

What is the difference between Assistant Director Case Management vs Case Manager?

AspectAssistant Director Case ManagementCase Manager
CredentialsTypically requires a bachelor's degree, relevant certifications (e.g., CCM), and experience in healthcare or social servicesUsually requires a bachelor's degree and relevant certifications, but less managerial experience
Work EnvironmentLeads teams in healthcare, social services, or insurance organizationsWorks directly with clients to coordinate services and support
ResponsibilitiesOversees case management teams, develops policies, and ensures complianceManages individual cases, assesses client needs, and coordinates services

The Assistant Director Case Management focuses on supervising teams and strategic planning, while the Case Manager works directly with clients to coordinate care. Both roles require relevant certifications and experience, but the Assistant Director has more leadership responsibilities within healthcare or social service organizations.

What are popular job titles related to Assistant Director Case Management jobs in Washington?

For Assistant Director Case Management jobs in Washington, the most frequently searched job titles are:

What job categories do people searching Assistant Director Case Management jobs in Washington look for?

The top searched job categories for Assistant Director Case Management jobs in Washington are:

What cities in Washington are hiring for Assistant Director Case Management jobs?

Cities in Washington with the most Assistant Director Case Management job openings:

Assistant Director Case Management jobs near you

Director Case Management

MedStar Health

Columbia, MD • On-site

Full-time

Re-posted 9 days ago

Medstar Health rating

7.8

Company rating: 7.8 out of 10

Based on 240 frontline employees who took The Breakroom Quiz

128th of 893 rated healthcare providers

Job description

About the 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.

    What Medstar Health employees say

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    About Medstar Health

    Sourced by ZipRecruiter

    MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.

    Industry

    Health care and social assistance

    Company size

    10,000+ Employees

    Headquarters location

    Columbia, MD, US

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