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Director Aetna Case Management Jobs (NOW HIRING)

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Director, Case Management

Houston, TX · On-site

\n \n \n \n \n The Director of Case Management is responsible and accountable for the implementation of the case management program at the local level. The components\/roles of the inpatient case ...

Offshore Staffing

Director, Case Management

Houston, TX · On-site

The Director of Case Management is responsible and accountable for the implementation of the case management program at the local level. The components/roles of the inpatient case management program ...

HiredFirst

Director Case Management

Nashville, TN · On-site

$109K - $135K/yr

A Director of Case Management opportunity is available in Nashville, TN. This leadership role oversees all operational aspects of hospital case management, bringing executive-level direction to care ...

Offshore Staffing

Director, Case Management

Houston, TX · On-site

The Director of Case Management is responsible and accountable for the implementation of the case management program at the local level. The components/roles of the inpatient case management program ...

HiredFirst

Director Case Management

Bradenton, FL · On-site

$109K - $164K/yr

A Director of Case Management opportunity is available in Bradenton, FL. This leadership role oversees all operational aspects of hospital case management, bringing executive-level direction to care ...

Protouch Staffing

Director Case Management

Las Vegas, NV · On-site

$135K - $202K/yr

Director of Case Management - Las Vegas, NV Job Type: Permanent Job Schedule: Full-Time | Days | Rotating Weekends Compensation: Pay+ 17.5% incentive bonus Sign-On Bonus: $10,000 Relocation ...

VSV WINS INC

Director - Case Management

Las Cruces, NM · On-site

Director Case Management Location: Las Cruces, NM Employment Type: Full-Time Salary Range: As per Exp. Position Summary We are seeking a dynamic and experienced Director of Case Management to lead ...

Novant Health

$120 - $160/hr

What We Offer The Director of Case Management provides operational leadership for all acute care case management activities across the system. Acts as a thought partner to strategize and collaborate ...

Posted today

Novant Health

Director Case Management

Charlotte, NC · On-site

What We Offer The Director of Case Management provides operational leadership for all acute care case management activities across the system. Acts as a thought partner to strategize and collaborate ...

Novant Health

Director Case Management

Wilmington, NC · On-site

$140 - $210/hr

What We Offer The Director of Case Management provides operational leadership for all acute care case management activities across the system. Acts as a thought partner to strategize and collaborate ...

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Director Aetna Case Management information

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$45K

$123.6K

$199.5K

How much do director aetna case management jobs pay per year?

As of Sep 6, 2026, the average yearly pay for director aetna case management in the United States is $123,611.00, according to ZipRecruiter salary data. Most workers in this role earn between $98,000.00 and $141,500.00 per year, depending on experience, location, and employer.

What does a director of Aetna Case Management do?

A Director of Aetna Case Management oversees the case management operations within the organization, ensuring that patients receive appropriate, cost-effective care. They lead teams of case managers, develop and implement care coordination strategies, and ensure compliance with regulations and Aetna's policies. Their role involves collaborating with healthcare providers, monitoring program outcomes, and improving processes to enhance patient health and satisfaction. Additionally, they play a crucial part in managing budgets and aligning case management practices with organizational goals.

What are the key skills and qualifications needed to thrive as a director of Aetna Case Management?

To succeed as a Director of Aetna Case Management, you typically need a bachelor's or master's degree in nursing or a related field, active RN licensure, and extensive experience in case management or care coordination. Familiarity with case management software, utilization review tools, and health plan systems such as Milliman or InterQual is essential. Outstanding leadership, strategic thinking, and effective communication skills set top performers apart in this role. These competencies are crucial for driving quality care outcomes, ensuring regulatory compliance, and leading teams in a complex managed care environment.

How does a director of Aetna Case Management typically collaborate with clinical teams and other departments?

A Director of Aetna Case Management regularly works with interdisciplinary teams, including nurses, social workers, physicians, and administrative staff. They facilitate coordination between departments to ensure members receive comprehensive, timely care and to streamline case management processes. Effective communication and leadership are essential, as the director often leads meetings, sets care management strategies, and resolves complex cases that require input from multiple specialties. Collaboration also extends to working with external providers and vendors to optimize patient outcomes and resource utilization.

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

AspectDirector Aetna Case ManagementCase Manager Aetna
CredentialsTypically requires RN, BSN, or related certifications; leadership experienceRN or relevant healthcare certification; less emphasis on leadership
Work EnvironmentOversees teams, manages programs, strategic planningDirect patient interactions, care coordination, documentation
Employer & Industry UsageUsed in health insurance companies like Aetna for leadership rolesCommon in healthcare settings and insurance companies for direct care roles

The main difference between Director Aetna Case Management and Case Manager Aetna lies in scope and responsibilities. The director oversees teams and strategic initiatives, requiring leadership experience, while the case manager focuses on direct patient care and care coordination. Both roles are integral to Aetna's healthcare management but differ significantly in seniority and scope.

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Director Aetna Case Management jobs near you
Infographic showing various Director Aetna Case Management job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $123,611 per year, or $59.4 per hour.

Director, Case Management

OSI Recruit

Houston, TX • On-site

Full-time

Vision, Life, Retirement, PTO

Re-posted 7 days ago

Job description

\n <\/head>\n \n \n
\n The Director of Case Management is responsible and accountable for the implementation of the case management program at the local level. The components\/roles of the inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning.
\n <\/div>\n
\n The Director is responsible for developing systems and processes for care\/utilization management and discharge planning at the hospital level.  In addition, the Director may be responsible for managing the department's activities related to discharge planning and clinical quality improvement.  The Director evaluates and ensures that hospital resources are used appropriately and effectively.  The Director oversees the collection, analysis and reporting of financial and quality data related to utilization management, quality improvement and performance improvement.  The Director promotes interdisciplinary collaboration, fosters teamwork and champions service excellence.
Principal Accountabilities:<\/b>
\n <\/div>\n
    \n
  • Plans, directs and supervises all aspects of the local level program. <\/span>
    <\/li>\n
  • Facilitates growth and development of the case management program consistent with enterprise wide philosophy and in response to the dynamic nature of the health care environment through benchmarking for best practices, networking, quality management, and other activities as needed.<\/span>
    <\/li>\n
  • Responsible for approving and managing the day to day local level operational budget.<\/span>
    <\/li>\n
  • Assures that revenue, expenses, contribution margin and FTE's meet or exceed budget.<\/span>
    <\/li>\n
  • Prepares and submits budget and related reports.<\/span>
    <\/li>\n
  • Forecasts and accurately projects expenses.<\/span>
    <\/li>\n
  • Takes corrective action to address negative variances.<\/span>
    <\/li>\n
  • Identifies and proposes capital budget items appropriately.<\/span>
    <\/li>\n
  • Identifies and achieves optimal targeted financial outcomes via the inpatient case management process.<\/span>
    <\/li>\n
  • Responsible for departmental personnel functions (hiring, firing, etc.) in conjunction with the Executive Director of Medical Management.<\/span>
    <\/li>\n
  • Writes and conducts annual and interim performance appraisal reviews for the professional and non\-professional staff in department.<\/span>
    <\/li>\n
  • Acts as liaison to facilitate communication and collaboration between all care partners (physicians, hospitalists, community care managers, nurses, community resources, etc.)<\/span>
    <\/li>\n
  • Responsible for leading a high performance team of "system thinkers" who incorporate leadership principles and vision in performing the functions of case management.<\/span>
    <\/li>\n
  • Uses data to drive decisions, plan, and implement performance improvement strategies for case management.<\/span>
    <\/li>\n
  • Oversees the education of physicians, managers, staff, patients and families related to the case management process at the local level.<\/span>
    <\/li>\n
  • Participates in this evolutionary process by constantly identify future needs of current customers and\/or identifying potential new customers.<\/span>
    <\/li>\n
  • Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.<\/span>
    <\/li>\n
  • Promotes individual professional growth and development by meeting requirements for mandatory\/continuing education and skills competency; supports department\-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.<\/span>
    <\/li>\n
  • Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann's service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.<\/span>
    <\/li>\n
  • Other duties as assigned.<\/span>
    <\/li>\n <\/ul><\/span>
    Requirements<\/h3>\n
    \n They must have 5yrs. plus of Case Management Acute Care Hospital Leadership\/Supervisory\/Director Experience.
    \n <\/div>\n
    \n
    \n <\/div>\n
    \n Education: <\/b>Bachelors of Nursing (BSN) or Masters Social Work (MSW); Masters degree preferred
    \n <\/div>\n
    \n
    \n <\/div>\n
    \n Licenses\/Certifications:<\/b>
    \n <\/div>\n
      \n
    • Current and valid license to practice as a Registered Nurse in the state of Texas or
      <\/span><\/li>\n
    • Current and valid Texas license as a Master's Social Worker (LMSW), required
      <\/span><\/li>\n
    • LCSW preferred and Certified Case Manager (CCM), Accredited Case Manager (ACM) or
      <\/span><\/li>\n
    • Fellowship of the American Academy of Case Management (FAACM), required<\/span>
      <\/li>\n <\/ul><\/span>
      Benefits<\/h3>\n
      \n
      <\/span><\/span>\n <\/div>\n
        \n
      • Medical Insurance; Dental Insurance<\/span><\/span><\/span><\/span>
        <\/span><\/li>\n
      • Vision Insurance
        <\/span><\/li>\n
      • Life Insurance
        <\/span><\/li>\n
      • Retirement
        <\/span><\/li>\n
      • Equity
        <\/span><\/li>\n
      • Paid Time Off
        <\/span><\/span><\/span><\/span><\/li>\n <\/ul>\n
        \n What does it mean to truly connect with a patient? You'll find out as part of the Memorial Hermann Health System. Here, you'll have the unique opportunity to utilize the latest technical advances in medicine while also benefiting from our insights into the human aspects of care. You'll serve each patient as an individual, and you'll help develop their own personalized plan of care.
        \n <\/div>\n
        \n
        \n <\/div>\n
        \n Every day, you'll be empowered to do what's best for them while also advancing your own skills. If you want to explore a change in your career, we encourage it. In fact, we celebrate it. Your mentors will guide your growth, your co\-workers will encourage your success and your career will be built the way you want. We invite you to follow your dreams and lead with compassionate care.
        \n <\/div>\n
        \n
        \n <\/div>\n
        \n The Houston Chronicle named us a Top Workplace for the 10th consecutive year. They partnered with Energage to gather survey responses from employees, and ranked companies based on criteria ranging from company values and culture, to leadership and benefits.
        \n <\/div>\n
        \n
        \n <\/div>\n
        \n We rated highly based on our values and the meaningful work we do. We're honored to receive this recognition and inspired to do more for our people.
        \n <\/div><\/span>
        \n <\/body>\n<\/html>

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