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Manager Of Case Management Jobs in Reston, VA (NOW HIRING)

Inova

Director, Case Management

Leesburg, VA · On-site

The Director of Case Management leads and coordinates key strategic development and functional services to support department objectives and organizational goals. Maintains effective and responsive ...

Inova

Director, Case Management

Leesburg, VA · On-site

$130K - $211K/yr

The Director of Case Management leads and coordinates key strategic development and functional services to support department objectives and organizational goals. Maintains effective and responsive ...

Inova

Manager Case Management

Falls Church, VA

$21.25 - $27.50/hr

Inova Fairfax Hospital is looking for a dedicated Experienced Manager Case Management to join the ... Currently, only 8.5% of hospitals in the nation hold Magnet designation and Inova Fairfax Hospital ...

Encompass Health

Case Management Director

Aldie, VA

As the Director of Case Management at Encompass Health, you have the unique opportunity to lead a team and make a profound impact on the lives of individuals within your local community. This role ...

MedStar Health

Case Management Assistant

Washington, DC · On-site

$18.70 - $32.72/hr

... Case Manager and supervisor immediately. Qualifications: * High School Diploma or GED. * 1-2 years of experience in a healthcare environment preferred. * Previous directly related healthcare ...

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Manager Of Case Management information

See Reston, VA salary details

$14

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How much do manager of case management jobs pay per hour?

As of Jul 5, 2026, the average hourly pay for manager of case management in Reston, VA is $23.88, according to ZipRecruiter salary data. Most workers in this role earn between $20.00 and $25.77 per hour, depending on experience, location, and employer.

What is the highest paid case manager?

The highest paid case managers are often those with advanced certifications, extensive experience, and specialized skills in healthcare or legal settings. Senior-level case managers or those working in high-demand industries can earn salaries exceeding $80,000 annually, with some reaching over $100,000 depending on location and employer.

What is a case management manager?

A case management manager oversees the coordination and delivery of services to clients, ensuring that individual needs are met efficiently. They typically supervise case managers, develop care plans, and ensure compliance with organizational policies, often requiring strong organizational and communication skills. This role is common in healthcare, social services, and insurance industries.

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

AspectManager Of Case ManagementCase Manager
CredentialsOften requires a bachelor's degree in healthcare or social services, with some roles preferring a master's degree; certifications like CCM are commonTypically requires a bachelor's degree; certifications like CCM or CMC are advantageous but not always mandatory
Work EnvironmentSupervises teams, manages case coordination, and develops policies within healthcare or social service organizationsDirectly interacts with clients to assess needs, develop care plans, and coordinate services
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, clinics, social service agencies

The Manager Of Case Management oversees teams and manages case processes, focusing on administrative and strategic tasks. In contrast, a Case Manager works directly with clients to provide personalized care and support. Both roles require relevant certifications and operate within healthcare or social service settings, but their responsibilities differ in scope and focus.

What is the salary of a case manager in the US?

The average salary of a case manager in the US is approximately $50,000 to $65,000 per year, depending on experience, location, and work setting. Salaries can vary based on certifications, such as Certified Case Manager (CCM), and the complexity of cases managed.

What jobs make $3,000 a day?

High-level executive roles such as CEOs, CFOs, and certain specialized surgeons can earn $3,000 or more per day, often due to large company revenues or high-demand expertise. Additionally, some highly experienced consultants, investment bankers, and trial lawyers may reach this level through billable hours or performance bonuses, especially in industries with significant financial stakes.
What are popular job titles related to Manager Of Case Management jobs in Reston, VA? For Manager Of Case Management jobs in Reston, VA, the most frequently searched job titles are:
What job categories do people searching Manager Of Case Management jobs in Reston, VA look for? The top searched job categories for Manager Of Case Management jobs in Reston, VA are:
What cities near Reston, VA are hiring for Manager Of Case Management jobs? Cities near Reston, VA with the most Manager Of Case Management job openings:
Manager Of Case Management jobs near you
Director Case Management

Director Case Management

MedStar Health

Washington, DC • On-site

Full-time

Posted 4 days ago

Medstar Health rating

7.8

Company rating: 7.8 out of 10

Based on 238 frontline employees who took The Breakroom Quiz

133rd of 877 rated healthcare providers

Job description

About the Job
Unit Highlights
Key Responsibilities
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
  1. Leads the enterprise case management strategy across both health plans, ensuring alignment with clinical, quality, and financial goals.
  2. Develop and manage 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
  3. Oversee and ensure 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).
  4. Establish and maintain 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
  5. Ensure 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
  6. Standardizes case management policies, workflows, and documentation practices across markets while maintaining state-specific regulatory compliance.
  7. 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.
  8. Partners with Pharmacy leadership to coordinate care for members utilizing high-cost or specialty medications.
  9. Collaborates with Quality Improvement teams to close gaps in care and improve HEDIS and other performance metrics.
  10. Develops strategies to reduce avoidable emergency department visits and hospital readmission through proactive care coordination.
  11. Monitors medical expense impact and total cost of care trends related to care management interventions.
  12. Establishes and monitor key performance indicators (KPIs) including engagement rates, readmission rates, care plan timeliness, and staff productivity, while driving measurable outcomes
  13. Ensures compliance with state Medicaid agencies, CMS, NCQA, and contractual requirements across both health plans, deploying corrective action plans where applicable
  14. Supervises and develops manager and supervisors, ensuring strong leadership cascade and accountability within a centralized structure.
  15. Design and optimize centralized staffing models and caseload distribution to ensure efficiency and effectiveness. Establish RE's/Reasonable Expectancy targets for the assigned work
  16. Drives continuous process improvement initiatives using data analytics and performance insights.
  17. Partners with Finance and Actuarial team to evaluate the ROI of care management programs.
  18. Supports value-based payment and alternative payment models, aligning case management strategies with provider performance incentives.
  19. Provides executive-level reporting and strategic recommendations to the VP of Clinical Operations and senior leadership.
  20. Champions a culture of member-centered, culturally competent care coordination that improves health equity and outcomes across both markets.

Education
  • Nursing, Social Work, or related healthcare field accredited School of Nursing required.
  • Nursing (MSN), Public Health (MPH), Healthcare Administration (MHA), Business Administration (MBA), or related field preferrred

Experience
  • 8-10 years Progressive experience in managed care or health plan operations required.
  • 5-7 years Leadership experience in case management, care coordination, or population health management required.
  • Leadership experience in case management, care coordination, or population health management required.
  • Experience leading multi-market or centralized teams preferred.
  • Proven track record of improving quality outcomes, reducing avoidable utilization, and managing medical expense trends.
  • Experience with regulatory audits (state Medicaid agencies, CMS) and NCQA accreditation processes.
  • Experience implementing risk stratification tools and data-driven care models.
  • Prior experience collaborating with Utilization Management, Pharmacy, Quality, and Provider Relations functions.

KSA'S
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.
Licensure
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 required
(RN strongly preferred)
LCSW- License Clinical Social Worker -Multi-state licensure or eligibility for licensure in Maryland and DC required
CCM - Certified Case Manager- Certified Case Manager (CCM) or other nationally recognized case management certification required
This position has a hiring range of
USD $120,702.00 - USD $238,222.00 /Yr.

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About Medstar Health

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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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