RN Director Case Management

Healthcare Recruitment Partners•Tampa, FL

About The Position

The RN Director of Case Management leads hospital Case Management operations with executive presence and clinical credibility. The Director builds trust across the leadership team, develops a results-oriented department, manages competing priorities with minimal supervision, and uses change-management skills to sustain improvements. The role offers ownership of all aspects of a hospital Case Management department with organizational support. The position oversees Care Coordination, discharge planning, and Utilization Management. It directs the department’s operating model, staffing, competencies, processes, and performance while partnering with hospital leaders and external organizations to support quality care, regulatory compliance, continuity of care, and effective resource use.

Requirements

  • Registered Nurse (RN) required.
  • Bachelor’s degree required.
  • Director of Case Management experience in an acute hospital setting required.

Nice To Haves

  • Master’s degree in Nursing, Health Administration, or Business Administration preferred.
  • Certification in Case Management (ACM/CCM) preferred.

Responsibilities

  • Provide overall leadership for daily hospital Case Management operations, including Care Coordination, discharge planning, and Utilization Management.
  • Direct and evaluate the Case Management model, staffing, skill mix, onboarding, technology, and staff competencies to meet performance and quality goals.
  • Allocate resources to staff the department effectively and achieve productivity targets.
  • Ensure Care Coordination and discharge-planning processes are timely, high quality, and properly documented.
  • Partner with leadership to achieve established goals.
  • Improve department performance by analyzing data, evaluating processes, and leading sustainable performance improvement.
  • Ensure compliance with organizational policies, standard operating procedures, and external regulatory requirements.
  • Build strong working relationships with C-Level leaders, ancillary service leaders, Ethics and Compliance, and Legal.
  • Coordinate with hospital departments and external agencies to support continuity of care and optimal resource utilization.
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