Director Care Management
About The Position
The Director, Care Management provides overall coordination of care management across the acute care continuum and establishes a comprehensive program encompassing case management, utilization review, care coordination, discharge planning, and social work. The role supervises and coordinates Case Management Services across acute, rehabilitation, and outpatient settings, including staff education, hiring, performance management, and mentoring. The director manages the departmental budget and productivity, coordinates Utilization Management (UM) committees and reports, serves as a clinical resource, and acts as a community liaison with external agencies, providers, and medical staff. Success in this role requires extensive care management leadership experience, knowledge of utilization review and discharge planning, financial management skills, and the ability to lead and collaborate with diverse stakeholders to achieve quality-focused patient outcomes.
Requirements
- Bachelor's degree in Nursing or master's degree in Social Work (LMSW or LCSW).
- Current RN or Social Work license (LMSW or LCSW).
- Five years of experience in Nursing or Social Work, including three years of Case Management experience in a hospital setting.
- Prior supervisory or management experience in Case Management.
- Experience in discharge planning and clinical utilization review.
Nice To Haves
- Master's degree in Nursing, Business, Health Sciences, Case Management, or Public Health.
- Experience in an acute care setting.
Responsibilities
- Hire, coach, mentor, and provide ongoing performance feedback to staff.
- Oversee Case Management assignments in consideration of assignments, census, and patient needs.
- Review Case Management operations and work habits on an ongoing basis to improve processes.
- Oversee CQI or PI activities focused on process and cost containment, including length-of-stay management.
- Use statistical tools to review utilization management patterns and length-of-stay data, and serve as a liaison for compliance activities associated with utilization management.
- Manage the departmental budget planning process.
- Supervise and coordinate Case Management Services across acute, rehabilitation, and outpatient settings.
- Coordinate Utilization Management committees and reports.
- Serve as a clinical resource and community liaison with external agencies, providers, and medical staff.
- Oversee staff education, hiring, and performance management.
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What This Job Offers
Job Type
Full-time
Career Level
Director
