Group Director Case Management

Location : Modesto, CA

Salary : $150-200K Signing Bonus Performance Bonus Paid Relocation

Overview :

Lead and execute the strategic case management plan across multiple hospitals. Serve as a leader, mentor, and subject matter expert on case management regulations and standards, overseeing hospital utilization, transition management, and operational management.

Key Responsibilities :

• Lead hospital case management and utilization review
• Set goals aligning with strategic plans
• Manage internal and external audits
• Drive process improvements and compliance with CMS, ISO 9001, IATF 16949, ISO 14001, EPA, and OSHA standards
• Ensure accurate revenue cycle processes and patient throughput
• Train and mentor case management staff

Requirements

Qualifications :

• Bachelor’s degree in Business, Nursing, Health Care Administration, or Master's in Social Work
• 5 years of acute hospital case management or healthcare leadership
• RN or LCSW/LMSW license required
• Advanced degree and Accredited Case Manager (ACM) preferred
• Strong organizational, communication, critical thinking, and problem-solving skills

Benefits

Benefits :

• Comprehensive health, dental, vision, and behavioral health coverage
• Paid time off and long/short-term disability coverage
• 401(k) with match, employee stock purchase plan, flexible spending accounts
• Tuition and student loan assistance, certification support
• Life insurance, supplemental health plans, legal counseling, and employee discounts

Apply now to join a top healthcare organization and lead innovative case management solutions!