Director of Care Management, Nurse Practitioner (Pediatric/PICU)

Key Responsibilities

• Lead, mentor, and manage the inpatient RN Case Management team.
• Develop and implement departmental goals, policies, and best practices.
• Oversee patient admissions, referrals, care coordination, and discharge planning.
• Evaluate incoming referrals to determine clinical appropriateness and rehabilitation needs.
• Collaborate with physicians, nursing leadership, social work, patient access, and other interdisciplinary teams to optimize patient flow.
• Analyze referral trends, patient length of stay, utilization data, and discharge barriers to enhance patient care and organizational performance.
• Build and maintain relationships with referring healthcare organizations and providers.
• Aid in developing strategies to improve patient throughput while maintaining high standards of clinical care.
• Participate in departmental planning, performance improvement initiatives, and leadership meetings.
• Ensure compliance with regulatory standards and organizational policies.

Required Qualifications

• Master of Science in Nursing (MSN).
• Active Nurse Practitioner license (or ability to obtain licensure in the hiring state before employment).
• Previous experience working in a pediatric healthcare setting.
• Prior Pediatric Intensive Care Unit (PICU) experience.
• Strong leadership, communication, and interdisciplinary collaboration skills.
• Experience coordinating patient care across the continuum.

Preferred Qualifications

• Previous leadership or management experience in Case Management or Care Coordination.
• Experience with electronic medical record (EMR) systems.
• Quality Improvement or Performance Improvement project experience.
• PRI and Screen Certification is a plus.

Compensation & Benefits

• Competitive salary based on experience.
• Leadership differential.
• Comprehensive medical, dental, and vision insurance.
• Retail plan with employer contribution.
• Paid Time Off (PTO) and paid holidays.
• Professional development and leadership training opportunities.
• Career advancement within a collaborative healthcare environment.