Senior Level Director of Case Management Jobs
Senior level director of case management jobs place experienced professionals in charge of program strategy, care coordination outcomes, and the clinical or administrative teams that carry them out. Openings concentrate in Healthcare & Medical Services, Biotechnology & Pharmaceuticals, and Insurance, with a mix of on-site, hybrid, and remote positions available, and employers like Revolution Medicines, CIP, and Gallagher hiring at this level now.
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Showing 5 of 11+ Senior Level Director of Case Management jobs
INTRODUCTION
At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose.
Overview
The Vice President of Nurse Case Management and Nurse Triage provides strategic and operational leadership for the organization’s Nurse Case Management (NCM) and Nurse Triage services. This role is accountable for developing and executing the NCM and Nurse Triage strategy, driving consistent clinical and operational practices, optimizing outcomes for injured workers and clients, and ensuring services are delivered in accordance with regulatory, contractual, and organizational requirements.
The Vice President leads the continued evolution of the NCM and Nurse Triage operating model, including nurse triage, field and telephonic case management, clinical quality, workforce strategy, technology enablement, vendor management, performance measurement, and integration with the broader Managed Care organization.
HOW YOU'LL MAKE AN IMPACT
Strategic Leadership
- Develop and execute the national Nurse Case Management and Nurse Triage strategy in alignment with overall Managed Care and organizational objectives.
- Establish the future-state operating model for NCM and Nurse Triage, including nurse triage, field, telephonic, and specialty case management services.
- Identify opportunities to expand NCM and Nurse Triage capabilities, improve clinical outcomes, enhance the client experience, and drive profitable growth.
- Partner with Claims, Sales, Account Management, Legal, Compliance, Finance, IT, and other Managed Care functions to advance strategic priorities.
- Represent Nurse Case Management and Nurse Triage in executive, client, and cross-functional discussions.
Clinical & Operational Oversight
- Provide executive oversight of NCM operations, ensuring consistent service delivery, clinical quality, productivity, and appropriate utilization of resources.
- Provide executive oversight and operational leadership for Nurse Triage services, including staffing, coverage, clinical protocols, timely response, documentation, escalation, and coordination with Claims and Nurse Case Management.
- Establish standardized workflows, clinical protocols, documentation expectations, escalation processes, and performance standards for NCM and Nurse Triage.
- Promote effective coordination among injured workers, employers, adjusters, treating providers, and other stakeholders, including seamless handoffs from Nurse Triage to Claims and Nurse Case Management.
- Drive effective return-to-work strategies and appropriate medical management through NCM, and timely assessment and guidance to the appropriate level of care through Nurse Triage, while maintaining focus on the needs of the injured worker.
- Monitor NCM caseloads and capacity, Nurse Triage call volumes and response times, staffing, service levels, and emerging performance trends across both services.
Quality, Compliance & Risk
- Establish a strong clinical governance and quality assurance framework for Nurse Case Management and Nurse Triage.
- Ensure NCM and Nurse Triage operations are aligned with applicable state-specific requirements, professional nursing standards, client requirements, and organizational policies.
- Partner with Legal and Compliance to identify and mitigate clinical, regulatory, and operational risk.
- Oversee quality audits, documentation standards, Nurse Triage protocol adherence and escalation reviews, corrective-action initiatives, and continuous-improvement activities across NCM and Nurse Triage.
- Maintain appropriate safeguards around clinical decision-making and scope of practice.
Financial & Business Performance
- Own NCM and Nurse Triage operational performance and contribute to revenue, expense, profitability, and budget objectives.
- Develop staffing and capacity models for NCM and Nurse Triage that balance service quality, growth, productivity, coverage, and financial performance.
- Monitor key performance indicators and identify opportunities to increase efficiency without compromising clinical quality.
- Support development of pricing models, business cases, client solutions, and new NCM and Nurse Triage offerings.
- Partner with Finance and leadership to establish forecasts and evaluate performance against plan.
Technology & Transformation
- Lead modernization of Nurse Case Management and Nurse Triage through workflow redesign, automation, data, analytics, and technology.
- Provide business leadership for NCM and Nurse Triage platform development and implementation, including triage call management, clinical decision support, documentation, and handoffs, ensuring technology supports clinical workflows rather than simply digitizing legacy processes.
- Champion adoption of new tools and processes across the organization.
- Establish meaningful dashboards and performance measures to improve transparency and facilitate data-driven decisions.
- Identify appropriate opportunities for AI and automation across NCM and Nurse Triage while maintaining clinical oversight and appropriate controls.
Talent & Organizational Leadership
- Lead and develop NCM and Nurse Triage leaders responsible for field case management, telephonic case management, and nurse triage operations.
- Establish clear accountability, leadership expectations, succession planning, and professional development.
- Develop workforce strategies for NCM and Nurse Triage addressing recruitment, retention, geographic coverage, licensing, span of control, specialized clinical capabilities, and triage staffing and coverage.
- Build a culture of accountability, collaboration, continuous improvement, and clinical excellence.
- Develop future leaders and strengthen organizational capabilities as the business grows.
Client & Market Leadership
- Serve as an executive clinical and operational resource for strategic clients and prospects across NCM and Nurse Triage services.
- Participate in client presentations, stewardship meetings, RFPs, implementations, and solution-development activities.
- Translate client needs and market trends into service enhancements and new solutions.
- Partner with Sales and Account Management to articulate the value and measurable impact of NCM and Nurse Triage.
- Support growth of NCM and Nurse Triage into new jurisdictions, client segments, and delivery models.
ABOUT YOU
Required:
- Minimum of 8 years of experience in case management or related field.
- Minimum of 5 years supervisory experience.
- Bachelors degree required.
- Must be able to travel approximately 50% of the time and non traditional work hours.
Preferred:
- Prefer certification in CCM, CDMS, CRRN, COHN, or CRS, etc.
- Significant leadership experience within Nurse Case Management and Nurse Triage, with experience in workers’ compensation, managed care, occupational health, disability management, or a related clinical environment.
- Demonstrated experience leading large, geographically dispersed clinical operations.
- Strong understanding of workers’ compensation clinical management, return-to-work principles, and Nurse Triage assessment, protocols, appropriate care recommendations, and escalation practices.
- Experience managing financial and operational performance.
- Demonstrated ability to lead organizational change and large-scale process improvement.
- Strong executive communication, client presentation, and relationship-management skills.
- Ability to operate effectively across clinical, operational, financial, technology, regulatory, and commercial functions.
COMPENSATION AND BENEFITS
At Gallagher, we believe supporting our colleagues goes far beyond the role itself.
- Competitive compensation
- Comprehensive benefits programs designed to support your well-being
- Career development opportunities and ongoing learning
- A collaborative, people-first culture with accessible leadership
- The opportunity to do meaningful work with global reach and local impact
At Gallagher, we are dedicated to building an inclusive and authentic workplace. If your past experience doesn’t align perfectly, we encourage you to join our Talent Community to stay connected to additional career opportunities. At times, we will consider transferable skills from previous roles. Gallagher is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled)
INTRODUCTION
At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose.
Overview
The Vice President of Nurse Case Management and Nurse Triage provides strategic and operational leadership for the organization’s Nurse Case Management (NCM) and Nurse Triage services. This role is accountable for developing and executing the NCM and Nurse Triage strategy, driving consistent clinical and operational practices, optimizing outcomes for injured workers and clients, and ensuring services are delivered in accordance with regulatory, contractual, and organizational requirements.
The Vice President leads the continued evolution of the NCM and Nurse Triage operating model, including nurse triage, field and telephonic case management, clinical quality, workforce strategy, technology enablement, vendor management, performance measurement, and integration with the broader Managed Care organization.
HOW YOU'LL MAKE AN IMPACT
Strategic Leadership
- Develop and execute the national Nurse Case Management and Nurse Triage strategy in alignment with overall Managed Care and organizational objectives.
- Establish the future-state operating model for NCM and Nurse Triage, including nurse triage, field, telephonic, and specialty case management services.
- Identify opportunities to expand NCM and Nurse Triage capabilities, improve clinical outcomes, enhance the client experience, and drive profitable growth.
- Partner with Claims, Sales, Account Management, Legal, Compliance, Finance, IT, and other Managed Care functions to advance strategic priorities.
- Represent Nurse Case Management and Nurse Triage in executive, client, and cross-functional discussions.
Clinical & Operational Oversight
- Provide executive oversight of NCM operations, ensuring consistent service delivery, clinical quality, productivity, and appropriate utilization of resources.
- Provide executive oversight and operational leadership for Nurse Triage services, including staffing, coverage, clinical protocols, timely response, documentation, escalation, and coordination with Claims and Nurse Case Management.
- Establish standardized workflows, clinical protocols, documentation expectations, escalation processes, and performance standards for NCM and Nurse Triage.
- Promote effective coordination among injured workers, employers, adjusters, treating providers, and other stakeholders, including seamless handoffs from Nurse Triage to Claims and Nurse Case Management.
- Drive effective return-to-work strategies and appropriate medical management through NCM, and timely assessment and guidance to the appropriate level of care through Nurse Triage, while maintaining focus on the needs of the injured worker.
- Monitor NCM caseloads and capacity, Nurse Triage call volumes and response times, staffing, service levels, and emerging performance trends across both services.
Quality, Compliance & Risk
- Establish a strong clinical governance and quality assurance framework for Nurse Case Management and Nurse Triage.
- Ensure NCM and Nurse Triage operations are aligned with applicable state-specific requirements, professional nursing standards, client requirements, and organizational policies.
- Partner with Legal and Compliance to identify and mitigate clinical, regulatory, and operational risk.
- Oversee quality audits, documentation standards, Nurse Triage protocol adherence and escalation reviews, corrective-action initiatives, and continuous-improvement activities across NCM and Nurse Triage.
- Maintain appropriate safeguards around clinical decision-making and scope of practice.
Financial & Business Performance
- Own NCM and Nurse Triage operational performance and contribute to revenue, expense, profitability, and budget objectives.
- Develop staffing and capacity models for NCM and Nurse Triage that balance service quality, growth, productivity, coverage, and financial performance.
- Monitor key performance indicators and identify opportunities to increase efficiency without compromising clinical quality.
- Support development of pricing models, business cases, client solutions, and new NCM and Nurse Triage offerings.
- Partner with Finance and leadership to establish forecasts and evaluate performance against plan.
Technology & Transformation
- Lead modernization of Nurse Case Management and Nurse Triage through workflow redesign, automation, data, analytics, and technology.
- Provide business leadership for NCM and Nurse Triage platform development and implementation, including triage call management, clinical decision support, documentation, and handoffs, ensuring technology supports clinical workflows rather than simply digitizing legacy processes.
- Champion adoption of new tools and processes across the organization.
- Establish meaningful dashboards and performance measures to improve transparency and facilitate data-driven decisions.
- Identify appropriate opportunities for AI and automation across NCM and Nurse Triage while maintaining clinical oversight and appropriate controls.
Talent & Organizational Leadership
- Lead and develop NCM and Nurse Triage leaders responsible for field case management, telephonic case management, and nurse triage operations.
- Establish clear accountability, leadership expectations, succession planning, and professional development.
- Develop workforce strategies for NCM and Nurse Triage addressing recruitment, retention, geographic coverage, licensing, span of control, specialized clinical capabilities, and triage staffing and coverage.
- Build a culture of accountability, collaboration, continuous improvement, and clinical excellence.
- Develop future leaders and strengthen organizational capabilities as the business grows.
Client & Market Leadership
- Serve as an executive clinical and operational resource for strategic clients and prospects across NCM and Nurse Triage services.
- Participate in client presentations, stewardship meetings, RFPs, implementations, and solution-development activities.
- Translate client needs and market trends into service enhancements and new solutions.
- Partner with Sales and Account Management to articulate the value and measurable impact of NCM and Nurse Triage.
- Support growth of NCM and Nurse Triage into new jurisdictions, client segments, and delivery models.
ABOUT YOU
Required:
- Minimum of 8 years of experience in case management or related field.
- Minimum of 5 years supervisory experience.
- Bachelors degree required.
- Must be able to travel approximately 50% of the time and non traditional work hours.
Preferred:
- Prefer certification in CCM, CDMS, CRRN, COHN, or CRS, etc.
- Significant leadership experience within Nurse Case Management and Nurse Triage, with experience in workers’ compensation, managed care, occupational health, disability management, or a related clinical environment.
- Demonstrated experience leading large, geographically dispersed clinical operations.
- Strong understanding of workers’ compensation clinical management, return-to-work principles, and Nurse Triage assessment, protocols, appropriate care recommendations, and escalation practices.
- Experience managing financial and operational performance.
- Demonstrated ability to lead organizational change and large-scale process improvement.
- Strong executive communication, client presentation, and relationship-management skills.
- Ability to operate effectively across clinical, operational, financial, technology, regulatory, and commercial functions.
COMPENSATION AND BENEFITS
At Gallagher, we believe supporting our colleagues goes far beyond the role itself.
- Competitive compensation
- Comprehensive benefits programs designed to support your well-being
- Career development opportunities and ongoing learning
- A collaborative, people-first culture with accessible leadership
- The opportunity to do meaningful work with global reach and local impact
At Gallagher, we are dedicated to building an inclusive and authentic workplace. If your past experience doesn’t align perfectly, we encourage you to join our Talent Community to stay connected to additional career opportunities. At times, we will consider transferable skills from previous roles. Gallagher is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled)
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Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
- Biotechnology & Pharmaceuticals
- Insurance
Senior Level Director of Case Management Jobs: Frequently Asked Questions
How do I get a senior level director of case management job?
Employers at this level look for candidates who have led case management departments, owned quality and compliance outcomes, and built or restructured workflows at scale. Demonstrated experience reducing readmission rates, managing cross-functional teams, and aligning programs with regulatory standards gives candidates a clear edge. Certifications such as CCM or ACM and familiarity with value-based care models strengthen an application considerably.
Which companies hire senior level director of case managements?
Companies hiring senior level director of case managements right now include Revolution Medicines, CIP, and Gallagher, based on current listings on Migrate Mate as of November 2026. Health systems, managed care organizations, behavioral health networks, and large post-acute providers tend to be the most active employers at this level.
Are there remote senior level director of case management jobs?
Yes, though availability varies by organization type and patient population served. About 38% of senior level director of case management openings are remote or hybrid as of November 2026, with utilization management, insurance, and managed care roles offering the most location flexibility compared to hospital-based positions.
What makes a director of case management role senior level?
Senior level roles carry department-wide or enterprise-wide accountability rather than team-level oversight. Expectations include setting strategic direction for care coordination programs, owning performance metrics and accreditation readiness, mentoring managers and clinical leads, and partnering with C-suite stakeholders on operational decisions. The scope is broader, the autonomy greater, and the expectation of independent judgment significantly higher than at mid level.
Which industries hire the most senior level director of case managements?
Senior Level director of case management roles concentrate in Healthcare & Medical Services, Biotechnology & Pharmaceuticals, and Insurance, based on current listings on Migrate Mate as of November 2026. These sectors drive hiring because of their complex patient populations, regulatory compliance requirements, and ongoing pressure to reduce costs while improving care transitions and outcomes.