Case Management Director, - uw1vhxdgbn5m

Director of Case Management
About Our Client

Our client is a nationally renowned leader in the healthcare industry, celebrated for its steadfast commitment to excellence and dedication to the communities it serves. Known for its innovative, patient-first philosophy, the organization consistently sets the standard for quality and compassionate care.

Position Overview

The Director of Case Management will oversee and direct the hospital’s case management program, ensuring smooth care coordination, effective utilization management, and seamless discharge planning. This leadership position is critical to optimizing resource allocation, driving quality improvement, and enhancing operational performance across the healthcare system.

Primary Responsibilities
Leadership and Operations

• Lead the Case Management and Social Work teams, providing both strategic direction and operational oversight.
• Ensure compliance with regulatory requirements and organizational policies through accurate documentation and meticulous attention to detail.
• Manage staffing processes, including hiring, scheduling, conducting performance reviews, and payroll management.

Care Management and Coordination

• Partner with physicians and other healthcare providers to develop and execute treatment plans aligned with patients’ care levels.
• Actively engage in Multidisciplinary Rounds to foster effective communication and optimize patient outcomes.
• Oversee discharge planning to ensure patients and families receive appropriate education and resources for a smooth transition.

Performance Improvement and Compliance

• Collaborate with financial and quality teams to drive quality improvement efforts, focusing on metrics such as Avoidable Days and Readmissions.
• Contribute to committees, such as Utilization Review and Revenue Recycle, to enhance resource utilization and operational efficiency.
• Ensure full adherence to Joint Commission, CMS, and other regulatory standards.

Caseload Balancing

• Maintain expertise in case management and assist in patient assignments to ensure equitable workloads and balanced staffing.

Key Qualifications
Education

• Completion of an accredited Registered Nursing (RN) program is required.
• Preferred: Bachelor of Science in Nursing (BSN).

Experience

• At least 2 years of experience in case management, utilization management, discharge planning, or related fields with an emphasis on cost and quality management.
• Preferred: 2–3 years of management experience in a hospital-based environment.

Licenses and Certifications

• Active RN license in Iowa or a valid multistate RN license.
• Mandatory Reporter Certification for Child and Dependent Adult Abuse (Iowa).

Skills and Abilities

• Strong understanding of Medicare regulations, managed care systems, and discharge planning principles.
• Proficiency in performance improvement strategies and payer requirements.
• Exceptional communication and interpersonal skills, with the ability to work effectively across all levels of care.
• Self-motivated with the ability to lead teams and work independently.

Why Join Our Client?

Our client offers a supportive, dynamic workplace where employees are valued and empowered to succeed. Their mission-driven focus on improving community health fosters a culture of integrity, inclusivity, and patient-centered care.

Notice: All applications will be treated with strict confidentiality. If your qualifications meet the criteria for this opportunity, our team will contact you promptly to discuss the next steps. New opportunities arise daily—stay connected for updates!

Job Type: Full-time

Pay: Up to $126,932.00 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):

• uw1vhxdgbn5m What type of compensation is desired for a new position?

Experience:

• Recent Case Management Director: 2 years (Required)
• Recent Utilization managemen: 2 years (Required)
• Recent Hospital- based Nursing: 3 years (Required)

License/Certification:

• RN license in the state of Iowa (Required)

Ability to Commute:

• Ottumwa, IA (Required)

Ability to Relocate:

• Ottumwa, IA: Relocate before starting work (Required)

Work Location: In person

Salary : $126,932