Care Management Director

IMH

. Oversee the design, execution, optimization, strategic planning, daily operations, and standards of care for care management programs across all lines of business .

Posted 9/22/2026full-timeMurray • Utah • United StatesLead💰 $60 - $92 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care management, strategic planning, and operational efficiency within healthcare settings, ensuring compliance with regulatory standards and enhancing patient satisfaction. Proven ability to lead interdisciplinary teams, manage budgets, and develop programs that address the needs of high-risk populations.

Highest-signal resume keywords

Active Registered Nurse (RN) LicenseLeadership Experience in Managed CareCare Management CertificationFinancial Analysis and ReportingKnowledge of Healthcare Regulations

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Utilization ReviewCare ManagementStrategic PlanningOperational EvaluationProgram DevelopmentClinical Strategy ImplementationBudget ManagementData-Driven EvaluationInterdisciplinary CollaborationCost-Effective Utilization

Soft Skills

Excellent Communication SkillsInterpersonal SkillsProblem-Solving SkillsPresentation SkillsTeam Leadership

Certifications & Qualifications

Care Management Certification

Industry Keywords

Healthcare RegulationsNCQA StandardsManaged CareHMO/UM ExperiencePayer RelationshipsContractual RequirementsClinical OperationsCommunity PartnershipsHolistic CareQuality Outcomes

About the role

Key responsibilities & impact

Oversee the design, execution, optimization, strategic planning, daily operations, and standards of care for care management programs across all lines of business
Apply data-driven evaluation to monitor performance and guide improvements
Build community partnerships to ensure access to resources and coordinated care
Coordinate clinical and non-clinical care with interdisciplinary teams
Ensure compliance with regulatory, accreditation, and contractual standards
Ensure members receive appropriate care at the right time and in the right setting while supporting medical necessity, quality, and cost-effective utilization
Improve tools, systems, and workflows for medical management efficiency and member satisfaction
Lead workforce planning, recruitment, retention, staffing, leadership development, and succession planning
Manage budgets, cost analysis, medical expense trends, and financial goals
Oversee care management and utilization review across multiple lines of business and regions
Oversee HR functions including hiring, onboarding, training, performance management, and disciplinary actions
Partner with physicians and leaders to achieve clinical, operational, financial, and service excellence
Strengthen partner relationships supporting service utilization, contracts, and joint programs
Support high-risk and complex members' medical, behavioral, and social needs through holistic, person-centered care
Support patient satisfaction, quality outcomes, service excellence, and care transitions

Requirements

What you’ll need

Active Registered Nurse (RN) license or Licensed Clinical Social Worker (LCSW) license in state of practice
Bachelor of Science in Nursing (BSN) or Master of Social Work (MSW) from an accredited institution; degree verification required
Leadership experience in managed care, including Utilization Review, Care Management, or related clinical operations
Ability to develop programs, direct teams, and collaborate with physicians and interdisciplinary partners
Three years of clinical experience plus HMO/UM experience in a health plan or integrated delivery system
Experience with financial analysis, reporting, and operational evaluation, preferably in managed care
Demonstrated skill in strategic planning, problem-solving, developing clinical strategies, and implementing operational improvements
Excellent verbal, written, interpersonal, and presentation communication skills
Care Management Certification (preferred)
Ability to build payer relationships, evaluate technology solutions, and support cross-continuum care strategies
Strong knowledge of healthcare regulations, reimbursement, contractual requirements, and NCQA standards
Compliance with applicable Intermountain policies and expectations
Ability to meet physical requirements, including frequent computer use, communication, and potentially driving requirements

Benefits

Comp & perks

Generous benefits package covering programs supporting wellness, security, connection, and engagement
Potential sign-on bonus
Potential relocation bonus
Eligibility to participate in the Annual Pay for Performance (AP4P) Plan