Missouri Licensed Care Management Director

Job Summary

Directing the care management team, the full-time Missouri Licensed Care Management Director will develop and assess high-quality, cost-effective healthcare outcomes while overseeing departmental operations and ensuring compliance with regulatory standards in a remote environment.

Key responsibilities

• Directs and evaluates departmental operations, including care management models and staffing, to achieve performance and quality objectives
• Sets goals for the care management team and oversees data and reporting metrics to ensure quality healthcare results
• Develops care management strategies and policies to enhance compliance with regulatory requirements and improve member experiences

Required qualifications

• Bachelor's degree in a relevant field
• 7+ years of related experience, including prior management experience
• Current state's Registered Nurse (RN) license preferred
• Experience in developing and implementing care management policies
• Knowledge of regulatory requirements for federal, state, and NCQA standards