Director Case Management Full-Time
Location: Detroit, Michigan
Setting: Acute Care Hospital
Employment Type: Full-Time
Experience Level: Director Level
Guaranteed Hours
40 hours per week
Estimated Pay Rate
$103,000 $155,000 annually
Shift Information
Number of Shifts: 5 shifts per week
Shift Start Time: 08:00 AM
Shift End Time: 05:00 PM
Job Overview
We are seeking an experienced Director of Case Management to oversee hospital utilization management, transition management, care coordination, and operational leadership within a high-volume acute care hospital setting. This role is responsible for driving performance improvement, ensuring compliance with regulatory standards, and optimizing patient throughput and resource utilization.
The Director will lead multidisciplinary teams to ensure safe, efficient, and timely patient care delivery while supporting revenue cycle integrity, denial prevention, and hospital operational effectiveness.
Key Responsibilities
Oversee Case Management Department operations and staffing
Lead utilization management and medical necessity review processes
Ensure compliance with CMS regulations and Joint Commission standards
Manage patient transition planning and discharge coordination
Monitor patient throughput, avoidable days, and length of stay metrics
Implement performance improvement and quality initiatives
Provide physician and staff education on utilization and documentation
Coordinate care across interdisciplinary hospital teams
Support revenue cycle processes and denial prevention efforts
Ensure regulatory compliance across all case management functions
Develop departmental goals, policies, and operational procedures
Participate in audits, compliance reviews, and reporting initiatives
Requirements
Bachelor's degree in Nursing or health-related field (or equivalent experience) OR Master's in Social Work (MSW)
Active RN or LCSW/LMSW license in applicable state(s)
3 5 years of acute hospital case management leadership experience
Hospital case management experience required