Case Management Director

Job Details

This Jobot Job is hosted by: Bri Dodson

Responsibilities

• Provide leadership and direction to the case management team, fostering a culture of collaboration, excellence, and patient-focused care.
• Develop and implement effective case management programs, including utilization review, resource management, and patient advocacy.
• Ensure compliance with all CMS regulations and other applicable laws and guidelines related to case management.
• Collaborate with interdisciplinary teams to create and implement strategies aimed at reducing the length of stay and readmissions.
• Conduct clinical documentation reviews to ensure accuracy, compliance, and optimal reimbursement.
• Develop and manage departmental budgets, ensuring effective resource management.
• Drive continuous quality improvement initiatives, setting and monitoring key performance indicators (KPIs) and implementing necessary changes to improve patient care and outcomes.
• Foster staff development through training, mentorship, and performance evaluations.
• Collaborate with senior leadership to align case management strategies with organizational goals and objectives.
• Stay abreast of the latest developments, advancements, and trends in healthcare administration to ensure the organization's competitive edge.

Qualifications

• Bachelor's degree in Nursing, Healthcare Administration, or a related field. A Master's degree will be an added advantage.
• A minimum of 3 years of experience in case management, with at least 2 years in a leadership role.
• Demonstrated experience in care coordination, patient advocacy, length of stay management, interdisciplinary collaboration, and regulatory compliance.
• Thorough understanding of CMS regulations, hospital operations, and clinical documentation review.
• Proven track record in resource management, quality improvement, staff development, and healthcare administration.
• Excellent leadership and team management skills, with the ability to motivate and inspire a high-performing team.
• Strong analytical and problem-solving skills, with the ability to make informed decisions quickly.
• Exceptional communication skills, both written and verbal.
• Proficiency in using healthcare information systems and software.
• Current state licensure as a Registered Nurse (RN) or equivalent, preferred.
• Certified Case Manager (CCM) or equivalent certification, preferred.

About the Role

Live where history meets opportunity in one of Virginia's most charming and fast-growing communities

Benefits

Competitive compensation and comprehensive benefits package. Professional development and leadership growth opportunities. Supportive culture focused on teamwork, compassion, and innovation. Make a meaningful impact on patients, families, and the broader community.