Director of Case Management - Full Time Days

Employment Type: Full-time
Relocation Assistance: Available

Our Award Winning Client is a nationally recognized leader in healthcare services, renowned for its commitment to compassionate care and innovative solutions. With a robust portfolio of awards and a presence in multiple states, they continue to redefine excellence in patient-centered healthcare.

Position Summary
The Director of Case Management at Our Award Winning Client plans, organizes, and oversees care coordination activities at their facilities. This role provides strategic direction to case management, including care coordination, utilization review, social services, and discharge planning. Working closely with medical staff and hospital leadership, the Director identifies patient care trends, develops care management programs, and ensures efficient use of medical resources while delivering cost-effective, quality care.

Qualifications
Education, License/Certifications, and Experience

• BSN or LMSW required, MSN preferred, willingness to pursue Masters.
• Minimum 5-7 years’ experience in utilization review, clinical pathways, case management, and disease management required. Supervisory experience preferred.
• Proficiency in medical statistics, data analysis, and reporting.
• Excellent written and verbal communication skills, with the ability to prepare and present statistical data effectively.
• Ability to collaborate effectively across diverse professional backgrounds.

Responsibilities
The Director of Case Management will:

• Manage department operations to optimize patient throughput and reimbursement.
• Lead implementation and oversight of the Utilization Management Plan to improve hospital utilization performance using data-driven strategies.
• Ensure compliance with CMS regulations and hospital policies for medical necessity and revenue cycle processes.
• Facilitate efficient patient transitions and discharge planning to support optimal patient throughput.
• Develop and deliver physician education programs on hospital utilization best practices.
• Oversee management of the post-acute provider network.
• Ensure adherence to state, federal regulations, and TJC accreditation standards.

Skills and Technical Skills

• Proficiency in medical statistics and data analysis.
• Strong knowledge of utilization review, clinical pathways, and disease management.
• Effective leadership and management skills.
• Excellent written and verbal communication abilities.
• Ability to collaborate effectively with diverse teams.

Benefits

• Comprehensive benefits package.
• Full-time employment status.

License/Certification:

• Required: Registered Nurse or LCSW/LMSW license.
• Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy.
• Active RN or LCSW/LMSW license for state(s) covered.
• Preferred: Accredited Case Manager (ACM)

Note: Resumes will be maintained in strict confidentiality until such time as we engage in a detailed discussion regarding a specific opportunity, and both parties mutually agree to proceed. We consistently receive new opportunities every day. Should your professional background closely align with the specific requirements of our client, we will promptly reach out to you to initiate further exploration of potential opportunities.

Job Type: Full-time

Pay: $100,000.10 - $145,000.10 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Relocation assistance
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Application Question(s):

• Can you perform the following physical tasks required for the position: lifting/positioning up to 25 lbs, pushing/pulling up to 25 lbs of force, frequent sitting, moderate standing, walking, reaching, stooping, bending, and demonstrating manual dexterity, mobility, touch, and auditory skills?
• What locations in the USA or states are you interested in?
• 3223708 Have you worked as Director of Case Management recently?
• What type of compensation is desired for a new position?

Education:

• Bachelor's (Required)

Experience:

• Acute hospital case management: 3 years (Required)
• Healthcare leadership: 3 years (Required)
• Acute hospital case management leadership multi-site: 5 years (Required)

License/Certification:

• Registered Nurse or LCSW/LMSW license (Required)
• Active RN or LCSW/LMSW license for state(s) covered (Required)
• Accredited Case Manager (ACM) (Required)

Ability to Commute:

• Rock Hill, SC (Required)

Ability to Relocate:

• Rock Hill, SC: Relocate before starting work (Required)

Work Location: In person