Director of Case Management

This leadership role oversees the daily operations and management of the Case Management department, including utilization review, discharge planning, interdisciplinary care coordination, staff development, patient advocacy, and relationships with external payers and healthcare networks. The Director of Case Management will lead the hospital's Case Management department and oversee daily operations, staffing, interdisciplinary care planning, utilization review, discharge planning, patient advocacy, and overall quality of case management services.

Lead hospital-wide case management, utilization review, discharge planning, and interdisciplinary care coordination in an inpatient rehabilitation setting.

This Jobot Job is hosted by: Andrew Crain
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Salary: $115,000 - $130,000 per year

A bit about us:

We are representing a nationally established inpatient rehabilitation organization seeking a Director of Case Management for its Fredericksburg, Virginia hospital.

This leadership role oversees the daily operations and management of the Case Management department, including utilization review, discharge planning, interdisciplinary care coordination, staff development, patient advocacy, and relationships with external payers and healthcare networks.

Why join us?

Base compensation of $115,000-$130,000
Leadership ownership of the hospital Case Management function
Direct impact on discharge planning, utilization review, census management, and patient outcomes
Opportunity to lead and develop Case Managers and other departmental staff
Collaboration with interdisciplinary clinical and hospital leadership
Medical, dental, and vision coverage available from day one
Paid time off, tuition reimbursement, continuing education, 401(k) matching, and employee stock purchase plans

Job Details

The Director of Case Management will lead the hospital's Case Management department and oversee daily operations, staffing, interdisciplinary care planning, utilization review, discharge planning, patient advocacy, and overall quality of case management services.

• Manage the day-to-day operations and human resource functions of the Case Management department
• Oversee interdisciplinary plans of care and the discharge planning process
• Evaluate the effectiveness and appropriateness of services with focus on census management, patient outcomes, and key care indicators
• Provide leadership, guidance, training, and support to Case Managers and other department staff
• Coach staff on caseload management and interpretation of regulations, policies, procedures, and operational objectives
• Review departmental operations to maintain quality and consistency with organizational standards
• Advocate for patients and families throughout care delivery and transition planning
• Develop relationships with insurance companies, self-insured employers, case management firms, and healthcare networks

QUALIFICATIONS:

• Minimum of three years of hospital-based Case Management experience
• Experience must include both Utilization Review and Discharge Planning
• Must be qualified to independently complete assessments within the scope of the candidate's professional discipline
• Active professional licensure required when mandated by the discipline and state
• RN candidates must hold a BSN and active RN licensure
• Other eligible healthcare professionals must hold at least a bachelor's degree; graduate degree preferred
• Current CCM or ACM certification preferred

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