Director of Care Management, Medicaid

Join to apply for the Director of Care Management, Medicaid role at Morgan Consulting Resources, Inc. - Healthcare Executive Search 1 day ago Be among the first 25 applicants Join to apply for the Director of Care Management, Medicaid role at Morgan Consulting Resources, Inc. - Healthcare Executive Search Get AI-powered advice on this job and more exclusive features. Morgan Consulting Resources, Inc. - Healthcare Executive Search provided pay range This range is provided by Morgan Consulting Resources, Inc. - Healthcare Executive Search. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $145,000.00/yr - $165,000.00/yr Direct message the job poster from Morgan Consulting Resources, Inc. - Healthcare Executive Search Principal & Executive Search Consultant @ Morgan Consulting Resources | Elite Certified Recruitment Expert (ECRE) Morgan Consulting Resources, Inc. has been retained by Community Health Plan of Washington to conduct the search for an experienced Director of Care Management, Medicaid . This is a remote position with periodic travel to the home office in Seattle. About Community Health Plan of Washington For nearly 30 years, Community Health Plan of Washington (CHPW) has been providing quality health care to Washington families and supporting their choices for health care. CHPW’s coverage is geared toward a model of care that treats the whole person and fosters trust, compassion, respect, and equality. Mission: “Our mission is to deliver accessible managed care services that meet the needs and improve the health of our communities, and make managed care participation beneficial for community-responsive providers. We work for patients, and we work to help providers better serve those patients. About the Director of Care Management, Medicaid Reporting to the Senior Director of Care Management, the Director of Care Management, Medicaid is responsible for the direction and coordination of care management activities to manage the care of the member over the continuum of care, including both physical and behavioral health services, for the Medicaid line of business. Position Responsibilities Oversees assigned programs, including development, audits, quality monitoring, and reporting Defines strategies for identifying and managing high-risk members Designs processes and goals for medical and behavioral health care management Partners with internal teams to analyze program effectiveness and guide interventions Leads development and analysis of care management metrics tied to organizational goals Identifies opportunities for improvement based on clinical and service data analysis Skilled in designing and launching new programs and teams Proven ability to lead large teams and drive results through others Experienced in testing and implementing innovative solutions for special populations Strong understanding of managed care components and their integration Applies quality improvement methods to enhance processes Creates a positive work environment with feedback and staff development Required Qualifications Bachelor’s degree in nursing or a master’s degree in social work RN or LSWAA or LSWAIC in the state of WA, as applicable Case Management Certification (CCM or ACM or C-ASWCM or CMGT-BC) 5+ years progressive experience working with medical or behavioral case management 7+ years progressively responsible management experience in the areas of case management or population health or disease management Compensation and Benefits The Director of Care Management, Medicaid is eligible for a 15% annual incentive target based on company, department, and individual performance goals. The base pay offered will consider internal equity and may vary depending on the candidate’s job-related knowledge, skills, and experience among other factors. Expected pay range of $145,000-$165,000. Explore CHPW’s full benefits at Seniority level Seniority level Director Employment type Employment type Full-time Job function Job function Management Industries Hospitals and Health Care, Public Health, and Health and Human Services Referrals increase your chances of interviewing at Morgan Consulting Resources, Inc. - Healthcare Executive Search by 2x Sign in to set job alerts for “Director of Care” roles. We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr Morgan Consulting Resources, Inc. - Healthcare Executive Search