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Case Management Director Jobs in Silver Spring, MD

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 services to all shelter residents. This position will supervise the Case Managers at the Westside ...

Inova

Manager Case Management

Falls Church, VA

$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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Case Management Director information

See Silver Spring, MD salary details

$46.5K

$127.8K

$206.2K

How much do case management director jobs pay per year?

As of Sep 6, 2026, the average yearly pay for case management director in Silver Spring, MD is $127,786.00, according to ZipRecruiter salary data. Most workers in this role earn between $101,300.00 and $146,300.00 per year, depending on experience, location, and employer.

What does a case management director do?

As a case management director, you typically work in a hospital or healthcare facility, ensuring that the patient care meets organizational standards. Duties in a case management director role involve overseeing a team of case managers, guiding and training personnel, developing policies and procedures for the work, establishing and adhering to budgets, communicating with physicians and nurses, providing educational resources to patients, and managing related in-facility projects and patient outreach. Responsibilities can also include analytical tasks such as producing and evaluating reports, tracking department progress, reviewing treatment plans and goals, and providing feedback to case managers.

What does a case management director do?

A Case Management Director oversees the case management department within a healthcare facility, ensuring that patients receive coordinated and effective care. They manage a team of case managers, develop care policies, and collaborate with physicians and other healthcare professionals to optimize patient outcomes. Their responsibilities also include monitoring compliance with regulations, improving care transition processes, and managing department budgets. Ultimately, the Case Management Director plays a crucial role in enhancing patient satisfaction and the efficiency of healthcare delivery.

What are the key skills and qualifications needed to thrive as a case management director, and why are they important?

To thrive as a Case Management Director, you need a comprehensive background in healthcare, social work, or nursing, often supported by a bachelor's or master's degree and relevant licensure such as RN or LCSW. Familiarity with case management software, electronic health records (EHRs), and certifications like ACM or CCM is highly valued. Leadership, strategic thinking, and strong communication skills help drive team performance and coordinate care effectively. These competencies are crucial for ensuring optimal patient outcomes, regulatory compliance, and efficient resource management across healthcare settings.

What are some common challenges faced by case management directors, and how can they effectively address them?

Case Management Directors often encounter challenges such as coordinating multidisciplinary teams, managing caseloads efficiently, and ensuring compliance with evolving healthcare regulations. To address these issues, strong communication and leadership skills are essential, as is staying up to date with regulatory changes and best practices in care coordination. Building collaborative relationships across departments and implementing data-driven strategies can help streamline processes and improve patient outcomes.

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

AspectCase Management DirectorCase Manager
CredentialsRelevant certifications (e.g., CCM, ACM), bachelor’s or master’s degree in healthcare or social servicesRelevant certifications (e.g., CCM), bachelor’s degree in related field
Work EnvironmentHealthcare facilities, insurance companies, social service agencies, overseeing teamsHospitals, clinics, community agencies, directly working with clients
ResponsibilitiesOverseeing case management programs, strategic planning, staff supervisionAssessing client needs, developing care plans, coordinating services

The main difference is that a Case Management Director oversees the entire program and manages staff, while a Case Manager works directly with clients to coordinate care. The director has broader responsibilities and strategic oversight, whereas the case manager focuses on individual client needs.

Is case management a good career?

A career as a case management director involves overseeing case managers and coordinating services in healthcare, social services, or legal settings. It requires strong organizational, communication, and leadership skills, often supported by relevant certifications and a background in the field. The role offers opportunities for advancement and meaningful work helping clients access resources and support.

What is a case management director?

A case management director is a healthcare or social services professional responsible for overseeing case management programs, coordinating services for clients, and ensuring compliance with regulations. They typically manage staff, develop policies, and utilize case management software to improve client outcomes. Strong leadership, communication skills, and relevant certifications are often required.
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Case Management Director jobs near you

Director Case Management

MedStar Health

Columbia, MD • On-site

Full-time

Re-posted 22 days ago

Medstar Health rating

7.8

Company rating: 7.8 out of 10

Based on 241 frontline employees who took The Breakroom Quiz

136th of 898 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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