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Director Aetna Case Management Jobs (NOW HIRING)

Case Management Director Career Opportunity Highly regarded for your Case Management Director expertise Are you an experienced and compassionate healthcare professional with a background in case ...

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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 4, 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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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

Mesa View Regional

Mesquite, NV • On-site

Full-time

Posted 20 days ago


Job description

The Case Management Director is responsible for providing Case Management Director Services and for the development, planning, coordination and administration of the activities of Utilization Review and Resource Management; responsibilities include facility wide direction of quality and cost efficient patient care. This position may provide services to multiple facilities from a daily oversight perspective. The CMD will be responsible for administrative duties as well as all duties associated with a floor case manager. Other duties as assigned.

Bachelor’s Degree in Nursing or an equivalent degree in a related discipline required. Master’s Degree preferred.

Current Nevada RN license. Current BLS. CPHQ preferred.