Manager - Case Management - Gulf Breeze

Baptist Health Care•Gulf Breeze, FL

About The Position

The Manager of Case Management is responsible for the daily operations, leadership, and strategic oversight of the Case Management Department. The position directs and supports case managers, social workers, utilization review staff, and other care coordination personnel in delivering patient-centered care across the continuum. The Manager ensures effective discharge planning, care coordination, utilization management, regulatory compliance, and resource stewardship while promoting quality outcomes, patient satisfaction, and financial performance. The Manager collaborates with physicians, nursing leaders, ancillary departments, post-acute providers, and executive leadership to facilitate safe transitions of care, optimize patient throughput, reduce avoidable delays, and achieve organizational goals. The role is responsible for staff development, performance improvement initiatives, accreditation readiness, and compliance with federal, state, payer, and organizational standards. The Manager serves as a clinical and operational resource and fosters collaboration, accountability, and continuous improvement.

Requirements

Technical diploma/certificate in nursing or an associate degree in nursing.
Four years of nursing experience in a clinical setting such as ICU, PCU, medical-surgical, or emergency care, or three years of critical care nursing experience.
Four years of broad-based nursing experience.
Licensed Practical Nurse license in Florida or an eligible compact state upon hire, or Registered Nurse license in Florida or an eligible compact state upon hire.

Nice To Haves

Bachelor's degree in nursing.
Five years of case management experience in an acute care setting.

Responsibilities

Direct, supervise, and coordinate daily Case Management Department operations, including care coordination, discharge planning, utilization management, and transition-of-care services.
Monitor patient progression and collaborate with interdisciplinary teams to reduce delays in care and discharge, use hospital and community resources efficiently, and support high-quality outcomes.
Oversee compliance with CMS Conditions of Participation, accreditation standards, state regulations, payer requirements, and organizational policies.
Monitor departmental performance indicators, including length of stay, avoidable days, readmissions, observation management, discharge timeliness, and patient satisfaction.
Lead quality improvement initiatives to enhance patient outcomes, operational efficiency, and regulatory compliance; identify potential service problems, implement solutions, and follow through with communication.
Collaborate with physicians, nursing leaders, finance, revenue cycle, and post-acute partners to address barriers to care and transitions.
Ensure appropriate documentation and reporting of case management activities.
Assist with policy development, workflow design, regulatory readiness, and survey preparation.
Maintain departmental operational excellence and ensure quality services are delivered in accordance with applicable policies, procedures, and professional standards.
Manage team members, including orientation, development, evaluation, and monitoring the delivery of quality services.
Participate in recruiting, interviewing, and selecting team members in accordance with policies, guidelines, and applicable laws.
Evaluate team member performance relative to job goals and requirements, coach staff, recommend education programs, and ensure adherence to internal policies and standards.
Manage department finances and ensure proper utilization of organizational financial resources.
Communicate departmental, organizational, and industry information effectively to staff.