What are the responsibilities and job description for the Director of Case Management position at hireneXus?
Position: Director of Case Management
Location: Rutherfordton, NC (open to relocation)
Industry: Acute Care Hospital
Reports To: CFO
Travel: Not required
Remote Flexibility: On-site required (not a remote position)
Visa Support: Not offered
Compensation: $105-145k base negotiable sign-on bonus *Competitive, commensurate with experience*
About The Role
Our client, a growing 143-bed acute care hospital located in western North Carolina, is seeking a Director of Case Management to lead and oversee all aspects of Case Management operations. This role plays a critical part in improving care delivery outcomes across the hospital, managing resource utilization, and ensuring effective discharge planning and patient advocacy.
The ideal candidate will bring a strong clinical background in nursing, extensive experience in care coordination, and proven leadership in hospital settings. This is a high-impact role responsible for aligning case management practices with regulatory standards and the organization’s broader strategic goals.
Key Responsibilities
Our client is committed to providing compassionate care through a collaborative, professional team environment. Backed by a joint venture between a nationally recognized academic health system and a major healthcare network, they are transforming healthcare delivery in the region.
Benefits Include
This is an opportunity to make a lasting impact in a tight-knit community hospital while working with a leadership team dedicated to innovation, patient-centered care, and professional growth.
Location: Rutherfordton, NC (open to relocation)
Industry: Acute Care Hospital
Reports To: CFO
Travel: Not required
Remote Flexibility: On-site required (not a remote position)
Visa Support: Not offered
Compensation: $105-145k base negotiable sign-on bonus *Competitive, commensurate with experience*
About The Role
Our client, a growing 143-bed acute care hospital located in western North Carolina, is seeking a Director of Case Management to lead and oversee all aspects of Case Management operations. This role plays a critical part in improving care delivery outcomes across the hospital, managing resource utilization, and ensuring effective discharge planning and patient advocacy.
The ideal candidate will bring a strong clinical background in nursing, extensive experience in care coordination, and proven leadership in hospital settings. This is a high-impact role responsible for aligning case management practices with regulatory standards and the organization’s broader strategic goals.
Key Responsibilities
- Lead the Case Management department, including discharge planning, utilization review, and social work.
- Drive performance improvements across clinical services with a focus on reducing Length of Stay (LOS).
- Collaborate with executive leadership, physicians, and department managers to implement best practices in care management.
- Ensure compliance with CMS, Joint Commission, and other regulatory agencies.
- Oversee and improve the utilization review process and patient transitions across the care continuum.
- Participate in strategic planning and system-wide performance improvement initiatives.
- Educate and mentor staff and physicians on case management standards and payer requirements.
- Analyze care trends and recommend cost-saving and revenue-enhancing initiatives.
- Associate’s Degree in Nursing
- Current RN license in North Carolina or a compact state
- BLS Certification
- CCM Certification (or ability to obtain within the first year of employment)
- Minimum 3 years of clinical experience in acute care or care coordination
- Strong understanding of Medicare/Medicaid admission and review requirements
- Ability to lead, communicate, and make decisions in a high-pressure environment
- Bachelor’s or Master’s Degree in Nursing or related field
- 3 years of management experience
- ACM/ACM-SW certification preferred
- Familiarity with InterQual criteria and government billing regulations
- Initial virtual interview with CFO and divisional management
- On-site panel interview with facility executive leadership, department heads, and potential direct reports
Our client is committed to providing compassionate care through a collaborative, professional team environment. Backed by a joint venture between a nationally recognized academic health system and a major healthcare network, they are transforming healthcare delivery in the region.
Benefits Include
- Competitive Medical, Dental & Vision plans
- 401(k) with employer contribution
- Generous PTO
- Short- & Long-Term Disability
- Life & AD&D Insurance
- HSA/FSA options
- Identity Theft Protection
- Employee Assistance Program (24/7 access)
- Travel & entertainment discounts
This is an opportunity to make a lasting impact in a tight-knit community hospital while working with a leadership team dedicated to innovation, patient-centered care, and professional growth.
