Director, Case Management/UM Services

Responsible for providing leadership, oversight and ongoing operations of Utilization Management, Complex Case and Disease Management. Ensures processes, systems and outcomes are in compliance with the National Committee on Quality Assurance (NCQA), the state of Wisconsin contract, Meta Star, OIG and another other governing bodies. Works collaboratively with (Executive Director, the program managers and medical directors to ensure best practice standards and guidelines are implemented for the Utilization, Complex Case and Disease Management programs to allow for consistency and the highest level of service. This position serves as a member of the leadership team for Children’s Community Health Plan.

To view the full description, select the link below and search on term 28887.

Position Description »