Case Management Director

Job Title: Case Management Director
Location: Ottumwa IA
Employment Type: Full-Time
Salary Range: $93272 $125900 per year plus benefits and relocation assistance
Vendor fee-$3500

The Case Management Director is responsible for leading and overseeing the hospitals case management program ensuring delivery of high-quality efficient patient care. This role manages inpatient care facilitation utilization management case management and discharge planning. The director supervises Case Managers and Social Workers providing leadership education and support to maintain compliance quality outcomes and efficient resource utilization.

• Case Managers

• Social Workers

• Lead educate and supervise the daily workflow of Case Managers and Social Workers.

• Monitor departmental documentation to ensure compliance with regulatory and accreditation standards.

• Collaborate with leadership and quality teams to develop and maintain quality improvement programs and track key metrics (e.g. avoidable days readmissions).

• Maintain case management and utilization review skills to provide coverage as needed.

• Communicate with physicians regarding patient care plans level of care and bed assignments.

• Oversee personnel actions including hiring performance appraisals employee schedules and payroll records.

• Facilitate multidisciplinary rounds to ensure collaborative holistic patient care.

• Participate in discharge planning providing education and resources to patients and families.

• Actively participate in Utilization Review and Revenue Cycle Committees.

• Promote efficient use of clinical resources based on patient acuity.

• Ensure departmental compliance with all applicable laws regulations accreditation standards and internal policies.

• Perform other duties as assigned.

• Understanding of payer requirements and discharge planning regulations to support policy development.

• Knowledge of Medicare managed care and the full continuum of care including inpatient outpatient and home health services.

• Experience with utilization management discharge planning and case management.

• Ability to work collaboratively with healthcare professionals at all levels.

• Understanding of performance improvement concepts and quality initiatives.

• Strong communication leadership and interpersonal skills; self-motivated and able to work independently or as part of a team.

• Proven ability to build effective working relationships with physicians and other clinical staff.

• Graduate of an accredited Registered Nursing program required.

• Bachelor of Science in Nursing (BSN) preferred.

• Minimum of two years of experience in case management utilization management discharge planning or related cost/quality management programs.

• Two to three years of management experience preferred with a minimum of two years in hospital-based nursing.

• Current Registered Nurse (RN) license in Iowa or multistate licensure eligible to practice in Iowa.