Director of Case Management

The Director of Case Management will lead the hospital's Case Management function and oversee departmental operations, staff performance, utilization review, discharge planning, interdisciplinary care coordination, and relationships with external payers and healthcare organizations. This leadership role oversees the day-to-day operations of the Case Management department, including interdisciplinary care planning, utilization review, discharge planning, staff management, patient advocacy, and coordination with payers and healthcare networks.

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

This Jobot Job is hosted by: Andrew Crain
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Salary: $95,000 - $115,000 per year

A bit about us:

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

This leadership role oversees the day-to-day operations of the Case Management department, including interdisciplinary care planning, utilization review, discharge planning, staff management, patient advocacy, and coordination with payers and healthcare networks. The Director will play a central role in supporting appropriate care delivery, patient outcomes, and effective transitions of care.

Why join us?

Leadership ownership of an established hospital Case Management department
Direct influence 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 operational leadership
Medical, dental, and vision coverage available from day one
Paid time off, tuition reimbursement, and continuing education opportunities
Company-matching 401(k) and employee stock purchase plans

Job Details

The Director of Case Management will lead the hospital's Case Management function and oversee departmental operations, staff performance, utilization review, discharge planning, interdisciplinary care coordination, and relationships with external payers and healthcare organizations.

• Manage the day-to-day operations and human resources functions of the Case Management department
• Oversee interdisciplinary plans of care and the hospital discharge planning process
• Monitor the appropriateness and effectiveness of services with attention to census management, patient outcomes, and key care indicators
• Provide leadership, training, and support to Case Managers and departmental staff
• Guide staff in caseload management and interpretation of regulations, policies, procedures, and operational objectives
• Review departmental operations to maintain quality standards and regulatory compliance
• Serve as an advocate for patients and families throughout the care and discharge process
• Develop and maintain 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 Utilization Review and Discharge Planning
• Must be qualified to independently complete assessments within the candidate's professional scope of practice
• Active professional licensure required when mandated by the applicable 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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