Job Description

Industry: Healthcare / Health Services - Nursing / LPNs / LVNs

Job Category: Medical / Health

Position Overview:

A leading healthcare facility is seeking an experienced and innovative Director of Case Management to head our interdisciplinary team. This key role provides an opportunity to influence patient care coordination, enhance resource utilization, and drive quality outcomes in an evolving healthcare environment.

Key Responsibilities:

• Oversee and optimize case management and social work operations within the facility.
• Lead initiatives to reduce denials and improve approval rates.
• Foster strong relationships with physicians, hospitalists, and emergency department staff.
• Implement and manage weekly educational programs for staff development.
• Drive continuous improvements in length of stay metrics and other performance indicators.
• Integrate social workers into the case management team to ensure comprehensive patient care.
• Develop and implement strategies to address challenges in Intermediate Care.
• Collaborate with corporate teams on utilization reviews and ensure alignment with best practices.

Qualifications:

• Current California RN license.
• Minimum of a BSN (Bachelor of Science in Nursing).
• At least 3 years of experience in clinical case management and utilization review.
• Strong leadership and communication skills.
• Current BLS (Basic Life Support) certification.
• Previous hospital experience is required.

What We Offer:

• Competitive salary and a comprehensive benefits package.
• The opportunity to lead a department supported by a strong foundation of full-time staff.
• Support from a recently promoted Case Management Manager.
• Opportunities for professional development and growth.
• The chance to make a significant impact on patient care and hospital operations.

Skills and Certifications:

• Hospital Experience
• Leadership Experience
• Case Management/Utilization Review Experience

Compensation:

• Base Salary: $119,000 to $166,715 USD annually
• Employment Type: Full-time
• Benefits: Full benefits package offered
• Relocation Assistance: Possible for the ideal candidate
• Commission: Not applicable
• Bonus Eligible: No
• Overtime Eligible: No
• Interview Travel Reimbursed: No

This role is ideal for a seasoned nursing professional with a passion for case management and a drive to lead and inspire a team in delivering exceptional patient care.