Director of Inpatient Case Management

Medical University of South Carolina•Orangeburg, SC

About The Position

Reporting directly to the System Executive Director of Case Management, the Director of Case Management leads the strategy, administration, and daily operations of the Case Management program across assigned areas, including discharge planning, social work, and clinical case management. The role ensures high-quality, patient-centered, cost-effective coordination of care across the continuum, while maintaining regulatory compliance and advancing organizational performance goals. The Director serves as a key liaison among interdisciplinary teams, executive leadership, and external partners. Other duties may be assigned.

Requirements

Bachelor’s degree in nursing or a master’s degree in social work.
At least 5 years of experience in case management, discharge planning, or a related field.
At least 2–3 years of leadership or management experience.
Active South Carolina RN or Social Work licensure.
Strong organizational, time-management, and problem-solving skills.
Excellent interpersonal, organizational, written, and verbal communication skills.
High attention to detail and the ability to take initiative and exercise sound judgment independently.
Ability to collaborate with multidisciplinary teams and anticipate needs.
Ability to perform the physical functions described in the posting, including frequent standing, sitting, and walking; continuous use of hands and legs and fine motor functions; and occasional lifting and carrying of up to 15 pounds.
Ability to work indoors continuously and outdoors in all weather and temperature extremes infrequently.
Ability to deal effectively with stressful situations.

Nice To Haves

Master’s degree in healthcare or a related field.
Certification in Case Management (CCM or ACM).

Responsibilities

Direct, plan, and oversee daily operations of local case management services across the continuum of care, in alignment with system policies, procedures, and models of care.
Use Case Management and Post Acute Care dashboards to monitor and analyze performance indicators, identify trends, and assist with patient placement and discharges.
Collaborate with system and division leaders on performance-improvement initiatives to reduce barriers and enhance care coordination.
Ensure effective discharge planning processes are in place seven days per week.
Partner with Utilization Management and clinical teams to optimize patient flow and length of stay.
Support budget development, financial performance monitoring, and resource allocation.
Identify and implement strategies to optimize cost efficiency while maintaining quality.
Oversee high-cost resource utilization.
Lead operational-improvement initiatives aligned with system priorities.
Collaborate with Case Management, Social Work, and clinical teams to proactively identify and manage complex patients.
Facilitate interdisciplinary case reviews and barrier-resolution meetings.
Ensure timely progression of care and transitions between care settings.
Partner with post-acute providers, state agencies, and community organizations to expedite safe discharges.
Ensure compliance with CMS Conditions of Participation and related regulatory requirements for hospitals participating in Medicare.
Ensure compliance with South Carolina Code Regulations § 61-17.1000.1013 concerning patient discharge planning and safe transitions of care.
Ensure adherence to applicable accreditation standards.
Collaborate with the System Educator of Case Management on FCL audits and timely corrective-action-plan submissions.
Track and analyze key performance metrics.
Demonstrate and promote adherence to MUHA Standards of Professional Behavior.
Provide leadership and oversight of interdisciplinary teams; may oversee subordinate leaders and/or mid-level providers involved in discharge planning.
Provide leadership oversight and timely follow-up on local operational, patient-care, staff, and physician concerns, ensuring resolution or escalation as needed.
Recruit, develop, mentor, and evaluate staff to build high-performing teams.
Promote accountability, collaboration, and professional development.
Lead change-management and standardization efforts across departments.