RN Director of Care Management

Community Health Systems•Bullhead City, AZ

10d•Onsite

About The Position

The RN Director of Care Management oversees the implementation, development, and management of the Care Management and Resource Management programs. The Director ensures compliance with regulatory and accreditation requirements, establishes effective processes for patient care and discharge planning, and provides leadership to the Care Management team. The role collaborates with staff, physicians, community resources, and hospital leadership to deliver patient-centered care and achieve optimal outcomes. The Director leads departmental staffing and professional development, supports strategic planning and budgeting, monitors expenditures, and develops policies and procedures to improve quality and operational efficiency. The position also supports regulatory compliance, quality assurance, audits, inspections, and accreditation activities. The Director may work in a staff role when required and must fulfill the duties and competencies established for that role. This position is based at Western Arizona Regional Medical Center and follows a day shift schedule. Applicants must hold RN licensure in the state of employment or compact state licensure and be authorized to work in the United States; immigration sponsorship is not available now or in the future.

Requirements

Bachelor’s degree in Nursing required.
Registered Nurse licensure in the state of employment or compact state licensure required.
3–5 years of experience in Care Management 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 work effectively with others, delegate responsibilities, and independently manage tasks while meeting deadlines.
Problem-solving and critical-thinking skills.
In-depth knowledge of industry best practices and regulatory compliance, if applicable.
Strong organizational and time-management skills.
Proficiency with Google and Microsoft platforms, healthcare software systems, and data analysis tools.
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.

Nice To Haves

Master’s degree preferred.
3–5 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 duties 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.
Liaise with community agencies to provide 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 leadership, mentorship, and professional development opportunities for departmental staff.
Schedule employees to ensure effective use of resources and consult with 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 improve quality and efficiency.
Ensure compliance with relevant regulatory bodies and participate in audits, inspections, and accreditation processes as applicable.
Follow quality control practices that support accuracy, consistency, and safety.
Work with leadership teams to coordinate and improve service delivery, while staying current with industry advancements, technologies, and regulatory changes.
Work in a staff role when required and fulfill the associated duties and competencies.
Maintain regular and reliable attendance and comply with organizational policies and standards.
Perform other duties as assigned.