Director Care Management

CommonSpirit Health•Lakewood, CO

3d•Onsite

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 director supervises and coordinates Case Management Services across acute, rehabilitation, and outpatient settings, including staff education, hiring, performance management, and mentoring. The role also manages the departmental budget and productivity, coordinates Utilization Management committees and reports, serves as a clinical resource, and acts as a community liaison with external agencies, providers, and medical staff. The successful candidate brings extensive care management leadership experience, a strong understanding of utilization review and discharge planning, financial management skills, and the ability to lead, mentor, and collaborate with diverse stakeholders to support quality-focused patient outcomes. The director hires, coaches, mentors, and provides ongoing performance feedback; oversees case manager assignments in light of census and patient needs; reviews operations and work habits to improve processes; oversees continuous or performance improvement activities focused on processes and cost containment, including length-of-stay management; uses statistical tools to review utilization management patterns and length of stay; serves as a liaison for compliance activities related to utilization management; and is responsible for budget planning.

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.
Extensive leadership experience in care management.
Strong financial management skills.
Ability to lead, mentor, and collaborate effectively with diverse stakeholders.

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, considering assignments, census, and patient needs.
Review Case Management operations and work habits on an ongoing basis to improve processes.
Oversee quality or performance improvement activities focused on process improvement and cost containment, including length-of-stay management.
Use statistical tools to review utilization management patterns and length of stay.
Serve as a liaison for compliance activities associated with utilization management.
Lead the budget planning process and manage the departmental budget and productivity.
Supervise and coordinate Case Management Services across acute, rehabilitation, and outpatient settings, including staff education, hiring, performance management, and mentoring.
Coordinate Utilization Management committees and reports.
Serve as a clinical resource and community liaison with external agencies, providers, and medical staff.
Coordinate care management across the acute care continuum, including case management, utilization review, care coordination, discharge planning, and social work.