Manager Of Case Management
About The Position
The Case Management Manager is responsible for the daily operational leadership of the Case Management Department, including staffing, workflow oversight, patient progression, discharge planning, staff performance, regulatory compliance, and departmental performance outcomes. Reporting to the Director of Case Management, the Manager ensures consistent execution of case management processes. The role provides direct supervision, coaching, workflow management, clinical-operational support, and performance oversight for assigned CM staff. The Manager collaborates with physician advisors/medical directors, case management, clinical operations, revenue cycle, payer relations, quality, compliance, and other stakeholders to support timely, accurate, evidence-informed case management decisions and appropriate stewardship of healthcare resources.
Requirements
- Bachelor of Science in Nursing (BSN) required or an equivalent qualification consistent with organizational policy
- Current Ohio State Board of Nursing license required
- Prior formal leadership experience is required
- Two or more years of supervisory or management experience in case management is preferred
- Five or more years of progressive case management/discharge planning in an acute care environment is preferred, or a closely related clinical management function
- Knowledge of case management, discharge planning, and transitions of care principles
- Understanding of Medicare, Medicaid, managed care, and commercial payer requirements
- Knowledge of regulatory and accreditation requirements affecting case management and discharge planning
- Demonstrated skills in people leadership, coaching, performance management, conflict resolution, and change management
- Proficiency in operational analytics, KPI interpretation, root-cause analysis, and process improvement
- Strong interdisciplinary communication skills, with the ability to collaborate effectively with nursing, physicians, physician advisors, payers, revenue cycle, and leadership
- Demonstrated professional nursing judgment, ethical practice, confidentiality, and appropriate stewardship of healthcare resources
Nice To Haves
- Master's degree in Nursing, Healthcare Administration, Business Administration, Public Health, or a related field preferred
- Certified Case Manager (CCM) certification preferred
- Accredited Case Manager (ACM) certification preferred
Responsibilities
- Daily operational leadership of the Case Management Department
- Staffing, workflow oversight, patient progression, discharge planning
- Staff performance, regulatory compliance, and departmental performance outcomes
- Direct supervision, coaching, workflow management, clinical-operational support, and performance oversight for assigned CM staff
- Collaboration with physician advisors/medical directors, case management, clinical operations, revenue cycle, payer relations, quality, compliance, and other stakeholders
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Manager
