Nurse Manager - Case Management

About the role

The Case Management Manager oversees hospital-based case management services, promoting patient-centered care and coordinating interdisciplinary collaboration to ensure appropriate and efficient patient management.

Responsibilities

• Serve as a clinical resource for case management staff
• Supervise staff and ensure competency in care planning tools like InterQual
• Monitor quality and documentation standards
• Participate in performance improvement activities
• Manage scheduling and staffing for the case management department
• Generate reports on case management metrics and outcomes
• Control costs without compromising patient safety or care quality
• Advocate for patient rights while respecting cultural and personal values
• Ensure compliance with hospital policies and healthcare regulations

Requirements

• Associate’s Degree in Nursing or Nursing Diploma (Bachelor's degree preferred)
• Current RN licensure
• 3-5 years of clinical nursing experience
• Supervisory or management experience preferred
• InterQual experience and certifications are advantageous

Skills

• Leadership and team supervision
• Clinical expertise in case management
• Strong communication and interpersonal skills
• Knowledge of healthcare regulations and compliance
• Focus on quality improvement and patient outcomes
• Ability to collaborate across interdisciplinary healthcare teams