Director of Care Management

Job Description:

The Montana Market Director of Care Management is responsible for providing leadership and administrative oversight to ensure effective coordination of patient services across multidisciplinary teams and throughout the continuum. The Director collaborates closely with Medical Staff, Nursing, Clinical Services, and Revenue Cycle leadership to promote high-quality patient care, achieve financial objectives, and support leadership development. In this role, the Director is operationally responsible for a broad range of case management services, including complex care management, social work, transition planning, behavioral health, and care coordination. These services may be delivered in various settings, including acute care, emergency departments, ambulatory clinics, and home-based environments.

Reporting to a member of senior leadership, the Director position is accountable for designing, implementing, and managing longitudinal care strategies that ensure seamless transitions across care settings. Leads initiatives and partnerships that ensure patients receive the right care, at the right time, from the right provider, in the most appropriate setting—optimizing health outcomes and cost-effectiveness.

Along with offering a chance to work in a stable, strong, mission-based environment, this role provides the opportunity to experience the Mountain West’s diverse culture and incredible landscapes. You’ll be able to explore abundant outdoor recreational opportunities, including skiing, hiking, and fishing, as well as stunning national parks and forests, all within hours of where you’ll call home. Becoming a part of the Intermountain team means gaining a family and finding a place to plant your roots. 

Benefits are one of the ways we encourage health for you and your family. Our generous package includes medical, dental, and vision coverage. But health is more than a well-working body: it encompasses body, mind, and spiritual well-being. To that end, we’ve launched a Healthy Living program to address your holistic health. Healthy Living includes financial incentives, digital tools, tobacco cessation, classes, counseling, and paid time off. We also offer financial wellness tools and retirement planning. 

With this position, you are eligible to participate in an annual pay-for-performance opportunity (“AP4P”). This plan enables Intermountain Health to provide leaders with an additional performance compensation opportunity. The AP4P opportunities are calculated as a percentage of your base salary. Awards are paid out based on attainment of selected Intermountain Health Board-approved goals. 

The ideal candidate will reside in or relocate to Billings, MT and travel to Butte (St. James) and Miles City (Holy Rosary), along with period enterprise travel (Salt Lake City). To show our commitment to you and assist with your transition into our organization, we may offer a sign-on and/or a relocation bonus when applicable. 

Essential Functions

• Oversees strategic planning, day-to-day operations, and standards of care. Promotes efficient, fiscally responsible, effective, safe, and compassionate care.
• Accountable for fiscal management, including budget development, cost center analysis, and ongoing monitoring to ensure alignment with organizational goals.
• Models professionalism and fosters a supportive environment. Leads workforce planning efforts focused on recruitment, retention, staffing, development, and succession planning. 
• Oversees human resource functions including interviewing, hiring, onboarding, training, and performance management which may include corrective action and termination.
• Facilitates coordinated clinical and non-clinical care in collaboration with interdisciplinary teams and providers to enhance patient outcomes. 
• Partners with physicians to achieve clinical, operational, financial, and service excellence.
• Ensures processes and programs support patient satisfaction and service quality goals.
• Builds community relationships and promotes the integration of community resources to enhance the overall patient experience.
• Ensures compliance with regulatory agencies regarding discharge planning, conditions of participation and care management.

Skills

• Care Management & Social Work
• Leadership & Strategic Planning
• Patient Satisfaction
• Nursing & Care Coordination
• Budgeting
• Communication
• People Management
• Collaboration
• Community Outreach
• Regulatory Requirements

#LI-EXECRC

Minimum Qualifications

• Current 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).
• Care Management Certification within 24 months of hire or promotion.
• Demonstrated management experience in Care Management or related area.
• Demonstrated experience in hospital or ambulatory case management, social work, or related areas requiring knowledge of the current healthcare environment, healthcare regulatory matters and healthcare reimbursement.
• Demonstrated knowledge and oversight of government regulations, contractual requirements, and NCQA accreditation standards. 

Preferred Qualifications

• If an RN, Master of Science in Nursing (MSN) from an accredited institution must be obtained within four (4) years of hire or promotion.
• Professional experience working in an integrated delivery system that includes a health plan.
• Experience in directing other clinical areas, collaborating with physicians, and developing clinical strategies, implementing operational efforts, and measuring outcomes.
• Experience evaluating technology solutions to support care management functions.
• Experience with developing collaborative relationships with payors to address healthcare needs across the continuum.
• Experience in a role requiring strategic thinking and planning skills and the ability to develop proposals, pilots, and projects from conception to implementation.

Physical Requirements

• Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with providers, colleagues, customers, patients/clients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
• May have the same physical requirements as those of clinical or patient care jobs when the leader takes clinical shifts.

• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing, and reading signs, traffic signals, and other vehicles.

Location:

Holy Rosary Hospital, Intermountain Health St Vincent Regional Hospital

Work City:

Billings

Work State:

Montana

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

$58.62 - $90.48

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.