RN Director of Care Management

About the role

Role: Director of Care Management
Location: North Knoxville Medical Center

Schedule

Day Shift

Responsibilities

• Oversees the implementation and maintenance of an effective and compliant Care Management program that meets all regulatory and accreditation standards.
• Provides leadership and direction to staff, ensuring accountability for duties and adherence to roles within their scope of practice.
• Conducts chart reviews to evaluate severity of illness (SI) and intensity of services (IS) for admissions, continued stays, and discharge planning.
• Refers cases not meeting criteria to the Physician Advisor or Utilization Management Committee and ensures appropriate follow-up.
• Identifies avoidable days and implements communication systems to address and resolve them effectively.
• Coordinates discharge planning and social services functions to ensure compliance with federal and state laws and Joint Commission standards.
• Acts as a liaison to community agencies, providing resources and services for post-hospital placement and support.
• Participates actively in Patient Care Conferences and Length of Stay (LOS) meetings to support efficient care delivery and discharge planning.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.
• Provides supervision, mentorship, and professional development for departmental staff; schedules employees; consults on staffing issues; conducts performance evaluations; sets goals and provides feedback.
• Collaborates with hospital leadership on strategic direction, budgeting, resource allocation, and long-term planning; monitors expenditures; evaluates and implements new technologies; develops and implements departmental policies and procedures.
• Ensures compliance with regulatory bodies; oversees accreditation processes; participates in audits, inspections, and quality control practices.
• Works closely with leadership teams to coordinate service delivery; stays current with industry advancements, new technologies, and regulatory changes.
• May work in a staff role when required, ensuring duties are fulfilled while meeting all established competencies.

Qualifications

• Bachelor's Degree in Nursing required or Master's Degree preferred
• 3-5 years Experience in Care Management required
• 3-5 years of previous leadership experience preferred
• RN - Registered Nurse - State Licensure and/or Compact State Licensure required

Skills

• Strong leadership, organizational, and communication skills
• Ability to collaborate with interdisciplinary teams and manage cross-functional relationships
• Foster a positive work environment that promotes teamwork, professionalism, and continuous improvement
• Communicate effectively with leadership, team members, and stakeholders
• Ability to work effectively with others, delegate responsibilities, and independently manage tasks while meeting established 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

Benefits

• Competitive Sign-On Bonus and Relocation Reimbursement offered for qualified candidates
• Comprehensive Health Coverage – Medical, dental, vision, and life insurance options
• Future Security – 401(k) retirement plan with employer matching
• Generous Paid Time Off – Paid Time Off (PTO) and Extended Illness Bank (EIB)
• Career Growth Opportunities – Professional development, leadership training, and advancement opportunities
• Recognition & Reward Programs – Celebrates employee achievements and contributions
• Exclusive Employee Discounts & Perks – Access to special savings and benefits

This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer.