Manager, Case Management (Healthcare)

Location: Telecommuter within one of the listed hiring states: Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Maine, Michigan, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, or Wisconsin. The role aligns with PST business hours.

Salary: $89,300–$151,800 national range; $101,900–$173,200 national plus range for higher-cost labor markets, including Western Washington and Alaska. Annual compensation varies by location, market conditions, skills, and experience.

Company

hirify.global is a healthcare organization focused on improving healthcare outcomes and customer experiences.

What you will do

• Execute and implement Clinical Programs strategy and goals in alignment with organizational objectives, laws, regulations, and accreditation standards.
• Supervise Case Managers and lead care management teams, including case management and delegated management oversight.
• Select, train, evaluate, and develop clinical, paraprofessional, and administrative staff.
• Oversee Clinical Programs operations, budgets, performance standards, and productivity.
• Improve processes and systems using quality improvement methodologies and data-driven performance monitoring.
• Maintain operational compliance and cooperative relationships, including compliance with NCQA and OIC requirements.

Requirements

• Current state credential or healthcare licensure permitting independent assessments is required, such as RN, ARNP, LMFT, LICSW, LPC, LMHC, psychologist board certification, dietitian certification, or a related healthcare credential.
• CCM certification is required, or certification must be obtained within 24 months of hire.
• Five years of case management or healthcare experience and three years of management experience are required.
• Experience training clinical and non-clinical staff and managing case management teams.
• Experience with NCQA, URAC, or accreditation review processes.
• Experience with continuous process improvement, creative problem solving, and integrated case management models.

Nice to have

• RN license.
• Master's degree or another advanced degree in a health-related field.
• Advanced training in Motivational Interviewing.
• Experience with LEAN or Synectic methodologies.

Culture & Benefits

• Medical, vision, and dental coverage with low employee premiums.
• 401(k) employer match, pension plan vested after three years, life and disability insurance.
• Paid time off, wellness resources, counseling, stress management, and mindfulness programs.
• Tuition assistance for undergraduate and graduate education.
• Employee recognition programs and a collaborative environment focused on professional growth.