Manager, Social Work Case Management

Highmark Health

. Lead a team of licensed clinical professionals delivering social work case management services .

Posted 10/9/2026full-timeUnited StatesMid-LevelSenior💰 $94,200 - $151,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in clinical leadership, social work practices, and regulatory compliance while effectively managing team performance and operational efficiency. Proficient in developing policies, driving performance metrics, and enhancing member experiences through evidence-based interventions.

Highest-signal resume keywords

Licensed Social Worker (LSW)Licensed Clinical Social Worker (LCSW)Licensed Professional Counselor (LPC)Licensed Marriage and Family Therapist (LMFT)Clinical Leadership

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Social Work Case ManagementPsychosocial AssessmentsInterventionsRegulatory CompliancePerformance MetricsBudget ManagementOrganizational Change InitiativesHealthcare Cost DriversProject ManagementStaff Development

Soft Skills

Written and Verbal Presentation SkillsInterpersonal SkillsConsensus-Building SkillsFlexibilityCoaching and Development

Tools & Technologies

Clinical PlatformsWorkflow TechnologiesReporting ToolsDigital Engagement SolutionsMicrosoft Office

Certifications & Qualifications

Master's Degree in Social Work or Related FieldCurrent State RN LicensureMulti-State Licensure through eNLC

Industry Keywords

Healthcare Service SystemMember AdvocacyQuality MeasuresMember SatisfactionInternal and External Audits

About the role

Key responsibilities & impact

Lead a team of licensed clinical professionals delivering social work case management services
Oversee clinical quality, member outcomes, regulatory compliance, workforce development, and business performance
Manage daily unit operations, including staffing and scheduling
Make hiring and termination decisions, coach and develop staff, recognize performance, and manage productivity
Plan, organize, staff, direct, and control department operations
Develop and implement policies and programs and potentially manage budgets
Develop tactical plans, drive performance, and achieve targets with leadership
Provide clinical leadership and oversight for evidence-based social work practices, psychosocial assessments, interventions, and member advocacy
Ensure quality and consistency of member assessments, care plans, interventions, and documentation
Serve as a clinical resource and escalation point for complex psychosocial cases
Support staff development through assessment, coaching, education, and professional development
Review performance metrics and implement continual service improvements
Lead or participate in departmental and interdepartmental workgroups
Identify cost savings opportunities
Prepare for, participate in, and respond to internal and external audits
Monitor and improve engagement rates, care plan completion, program outcomes, quality measures, member satisfaction, and cost of care
Ensure compliance with internal policies, CMS requirements, state and local regulations, and social work standards
Collaborate with Health Plan Operations, Provider Relations, Client Management, and other departments to improve member experiences

Requirements

What you’ll need

Master's Degree - Social Work or Social Welfare, Counseling, Psychology, Public Health, Public Healthcare administration or other clinically relevant field
5 years of health-related clinical work experience
3 years' management, supervisory, team lead and/or project leadership experience
Required: Licensed Social Worker (LSW), Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), or Current State RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC)
Written and verbal presentation skills
Skills in positively influencing others with respect and compassion
Proficiency with clinical platforms, workflow technologies, reporting tools, and digital engagement solutions
Ability to use emerging technologies, including AI-enabled tools
Understanding of healthcare cost drivers and the broader healthcare service system
Proficient computer skills, including Microsoft Office products
Ability to lead a remote and/or geographically dispersed workforce through effective virtual leadership practices
Excellent interpersonal and consensus-building skills
Flexibility in a high-performing team environment
Excellent organizational, time management, and project management skills
Ability to handle multiple priorities in a fast-paced environment
Experience leading organizational change initiatives
0%–25% travel requirement