Director of case management
Core
Lead case management operations, clinical protocols, and staff for patient care coordination, utilization review, and discharge planning in an acute care setting.
Role type
Senior management nurse (case management)
Builds
Patient care delivery workflows, departmental standards, and interdisciplinary care plans
Domain
Healthcare / Case Management
Required skills
Nursing leadership, budget management, staffing planning, utilization review, discharge planning, interdisciplinary collaboration, performance improvement, payment denial resolution
Preferred skills
Master's degree in Nursing, supervisory experience, evidence-based practice integration
Technologies
Information technologies for patient care delivery
Responsibilities
Develop and implement departmental goals and standards; Direct and evaluate departmental operations including patient care delivery; Plan and monitor staffing activities; Prepare and monitor departmental budgets; Provide clinical leadership for Patient Care Coordinators and Social Workers; Review service delivery for medical necessity and conformance to standards; Collaborate with Nursing Director on interdisciplinary rounds; Participate in safety programs and performance improvement initiatives; Communicate responses to payment denials and resolve utilization review concerns
Seniority
Director, strategic leadership & operations
