Hiring: Director, Case Management Company: The Health Plan (THP) Location: Wheeling, WV Job Posted Time: 2026-09-10 11:05:43 Target Skills & Keywords : Program Management About the job Experience: •5 years clinical experience. •2 year of hire. Required Skills: •Oversees medical and Care Continuum operations. •Provides direct supervision to the managers and supervisors. •Develops and monitors medical management staff care continuum training program. •Participates on all clinical services committees. •Development and continual review and revision of all care continuum processes, policies and procedures within the department. •Develops and enhances system of management reporting and metrics to be utilized for productivity, adherence, and outcome measurements to provide relevant information on overall effectiveness in care continuum areas. •Ensure department optimizes care continuum work flow efficiencies to meet company objectives •Ensures that all medical care continuum programs are delivered consistent with applicable internal policies and procedures as well as applicable CMS, BMS, NCQA or other regulatory agency requirements. Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!