[Hiring] Director of Case Management @Curana Health

Role Description

The Director of Care Management is responsible for leading and overseeing the organization’s care management strategy, operations, and performance across their assigned market(s). This role drives the development of scalable, technology-enabled care models that improve patient outcomes, enhance provider engagement, and optimize operational and financial performance within value-based care frameworks.

Essential Duties & Responsibilities

• Strategic Leadership
  • Develop and execute a comprehensive care management strategy aligned with organizational goals and value-based care initiatives.
  • Lead program design and expansion for Chronic Care Management (CCM), Advanced Primary Care Management (APCM), and related services.
  • Partner with executive leadership to drive innovation, growth, and market expansion.
• Operations & Program Management
  • Oversee day-to-day care management operations across multiple regions and teams.
  • Ensure efficient workflows, standardized processes, and adherence to best practices.
  • Monitor program performance and implement process improvements to enhance quality, efficiency, and scalability.
• Clinical & Quality Oversight
  • Ensure delivery of high-quality, patient-centered care coordination services.
  • Establish and monitor clinical quality metrics, care plan completion rates, and patient engagement outcomes.
  • Ensure compliance with CMS guidelines, regulatory requirements, and internal policies.
• Team Leadership & Development
  • Lead, mentor, and develop multidisciplinary teams including care managers and support staff.
  • Establish clear performance expectations and accountability measures.
  • Drive employee engagement, retention, and professional development.
• Financial & Performance Management
  • Manage program budgets and ensure financial sustainability of care management services.
  • Monitor key performance indicators, including patient enrollment, utilization, and revenue capture.
• Technology & Innovation
  • Drive implementation and optimization of care management platforms, EHR systems, and digital tools.
  • Partner with IT and data teams to develop reporting dashboards and analytics capabilities.
  • Champion AI-enabled and automation solutions to improve efficiency and scalability.
• Stakeholder Engagement
  • Collaborate with providers, clinical leadership, and operational teams to improve care coordination and provider experience.
  • Serve as a key liaison between care management, executive leadership, and external partners.
  • Address provider and operational feedback to continuously improve workflows and communication.

Qualifications

• Proficient computer skills and exhibits knowledge in using various Microsoft Office applications.
• Excellent organizational and time management skills with the ability to prioritize tasks.
• Willingness to travel to local or out-of-state Senior Living Communities.
• Demonstrated strategic thinking with the ability to identify opportunities for process improvement.

Requirements

• Bachelor’s degree in Nursing, Healthcare Administration, Public Health, or related field required.
• Master’s degree (MHA, MBA, MPH, or similar) preferred.
• Minimum 3 years in a supervisory or leadership role.
• Remote position requires a reliable high-speed internet connection.
• Occasional travel to local or out of state Senior Living Communities.