Director of Admissions and Case Management

As a senior management position the Directoris responsible fordeveloping implementing and aligning departmental strategies with the organizations overall strategic plan. This includes leading and supporting AccessCaseManagers and Case Managers tooptimizeworkflows and outcomes. The Director also manages departmental budgets and oversees donor-funded programs asappropriate.

This highly visible role serves as a key resource to employees across the organization and collaborates closely with physicians clinical teams and other departments to advance Shepherd Centers mission and hospital-wide initiatives. Acting as a decision-maker collaborator and innovator the Directormaintainsa positive leadership presence and fosters a culture of excellence.

Additionalresponsibilities include strengthening relationships with high-value stakeholderssuch as workers compensation organizations major insurance providers and referring partnersto enhance admissions processes and drive growth. Exceptional problem-solving communication and leadership skills are essential to success in this role.

Qualifications

• Education:

• Bachelors degree in Nursing Healthcare Administration Social Work or related field.

• Masters degree preferred.

• Experience:

• Minimumof5years of progressive leadership experience in admissions case management or care coordination within an acute or rehabilitation setting.

• Demonstrated success in strategic planning processimprovementutilizationmanagement insurance authorizationprocessesand team leadership.

• Track recordof successful census development and referralrelationshipmanagement.

• Licensure/Certification:

• Current RN or Social Work license preferred.

• Case Management certification (CCM or ACM)desirable.

Core Competencies

• Strategic thinking and ability to align departmental goals with organizationalobjectives.

• Strong leadership and team development skills.

• Expertise inadmissions processes discharge planning and care coordination.

• Strong understanding of rehabilitation services treatmentmodalitiesand evidence-based practices.

• Excellent communication and interpersonal skills for collaboration across all levels.

• Financial acumen for budget planning and resource allocation.

• Ability to build andmaintainrelationships with external stakeholders including insurers and referral sources.

• Innovative problem-solving and decision-making capabilities.

• Commitment to patient-centered careethical businesspracticesandorganizationalmission.

• Responsive to time-sensitive needs with strong organizational and delegation skills.

• Proficiencyin electronic health records (EHR)systems and MS Office Suite.

Primary Responsibilities

Leadership & Strategy

• Develop and implement strategic plans for Admissions and Case Management departments in alignment with organizational goals.

• Lead initiatives to improve patient access streamline admissions processes and enhance care coordination across the continuum.

• Monitor and evaluate departmental performance metrics ensuring compliance with regulatory standards and organizational policies.

• Ensurestrong teamcoverage andoperationalredundancies across the department.

• Direct and supervise all department operations including staffingtrainingand performance management.

Admissions Oversight

• Direct all aspects of the inpatient admissions process including referral management pre-admission screening andensureinsurance verificationin conjunction with theManager of Inpatient Referral Serves and Workers Compensation Relations.

• Collaborate with clinical teams tooptimizebedutilizationand census management.

• Develop and implement admissions policiesproceduresand workflows tooptimizepatient intake efficiency.

• Establish andmaintainrelationshipswith referral sources including hospitals physicians nursingfacilitiesand communityorganizations.

• Monitor and analyzeadmissionsdata toidentifytrends and opportunities for growth.

Case Management Oversight

• Supervises the Manager of Case Management and oversees allcase management activities including discharge planning transition coordination and disease/injury management.

• Implement best practices for care coordination to reduce readmissions and improve patient outcomes.

• Facilitate interdisciplinary collaboration to address complex discharge needs and barriers.

• Ensuretimelyandaccuratecommunication with patients families and referral sourcesregardingadmission criteria and processes.

• Ensureappropriate utilizationof services and advocate for patient needs with insurance companies and external stakeholders.

• Implement and oversee concurrent and retrospectiveutilizationreview processes.

Financial & Operational Management

• Prepare and manage departmental budgets ensuring efficient use of resources.

• Overseeassigneddonor-fundedprogramsand ensure compliance with funding requirements.

• Identifyopportunities for cost savings and operational efficiencies without compromising quality of care.

Stakeholder Engagement

• Build andmaintainstrong relationships with external partners including workers compensation organizations insurance companies and referral providers.

• Negotiate and manage agreements to support admissions growth and streamline processes.

Team Development

• Recruit traindevelopand mentor Access Case Managers and Case Managersin collaboration with theother leaders in the departments.

• Foster a positive collaborative work environment that promotes professional growth and accountability.

• Conduct regular performance evaluations and provide constructive feedback.

Compliance & Quality Improvement

• Ensure adherence to allapplicable federalstateand localregulatory requirements accreditation standards and organizational policiesincludingCARFJointCommission and CMS requirements.

• Lead quality improvement initiatives to enhance patient experience and departmental efficiency.

• Utilize data analytics toidentifytrends and implement evidence-based improvements.

• Maintain currentknowledgeof healthcare regulations industry bestpracticesand emerging trends in rehabilitative services.

Visibility & Collaboration

• Serve as a highly visible resource across the organization providing guidance and support to staff and leadership.

• Participate in hospital-wide committees and contribute to strategic initiatives.

• Act as a role model for professionalism integrity and patient-centered care.