RN Director of Care Management

Community Health Systems Professional Services Corporation•Bullhead City, AZ

10d

About The Position

The Director, Care Management oversees the implementation, development, and management of the Care Management and Resource Management programs. The position ensures compliance with regulatory requirements, establishes efficient processes for patient care and discharge planning, and provides leadership to the Care Management team. The Director collaborates with staff, physicians, and community resources to deliver patient-centered care and achieve optimal outcomes. The role provides staff leadership and development, supports departmental scheduling and performance management, and collaborates with hospital leadership on strategy, budgeting, resource allocation, and long-term planning. It monitors expenditures, evaluates technologies, develops policies and procedures, and helps ensure quality, operational efficiency, and regulatory compliance. The Director also collaborates with leadership teams and may work in a staff role when required. This position is located at Western Arizona Regional Medical Center and has day-shift hours. Applicants must be authorized to work in the U.S. for any employer; the position is not eligible for immigration sponsorship now or in the future.

Requirements

Bachelor’s degree in Nursing required.
Three to five years of experience in Care Management required.
Registered Nurse (RN) state licensure in the state of employment or compact state licensure required.
Strong leadership, organizational, and communication skills.
Ability to collaborate with interdisciplinary teams and manage cross-functional relationships.
Ability to foster a positive work environment that promotes teamwork, professionalism, and continuous improvement.
Ability to communicate effectively with leadership, team members, and stakeholders.
Ability to delegate responsibilities and independently manage tasks while meeting established deadlines.
Problem-solving and critical-thinking skills.
In-depth knowledge of industry best practices and regulatory compliance, if applicable.
Proficiency with Google and Microsoft platforms, healthcare software systems, and data analysis tools.

Nice To Haves

Master’s degree preferred.
Three to five years of previous leadership experience preferred.

Responsibilities

Oversee implementation and maintenance of an effective, compliant Care Management program that meets regulatory and accreditation standards.
Provide leadership and direction to staff, ensuring accountability and adherence to responsibilities within each employee’s scope of practice.
Conduct chart reviews to evaluate severity of illness and intensity of services for admissions, continued stays, and discharge planning.
Refer cases that do not meet criteria to the Physician Advisor or Utilization Management Committee and ensure appropriate follow-up.
Identify avoidable days and implement communication systems to address and resolve them.
Coordinate discharge planning and social services functions in compliance with federal and state laws and Joint Commission standards.
Act as a liaison to community agencies, providing resources and services for post-hospital placement and support.
Participate in Patient Care Conferences and Length of Stay meetings to support efficient care delivery and discharge planning.
Provide staff mentorship and professional development opportunities.
Schedule employees to use resources effectively and consult leadership about potential staffing issues.
Conduct performance evaluations, set goals, and provide staff feedback on performance and development.
Collaborate with hospital leadership on departmental strategy, budgeting, resource allocation, and long-term planning.
Monitor expenditures to support cost-effective service delivery.
Evaluate and implement technologies to enhance operational efficiency.
Develop and implement departmental policies, procedures, and protocols to optimize quality and efficiency.
Ensure compliance with relevant regulatory bodies and participate in accreditation processes, audits, and inspections as applicable.
Follow established quality-control practices to ensure accuracy, consistency, and safety.
Work with leadership teams to coordinate and improve service delivery, and stay informed about industry advancements, technologies, and regulatory changes.
When required, work in a staff role and fulfill the duties and competencies established for that job.
Perform other duties as assigned; maintain regular and reliable attendance; and comply with all policies and standards.