Manager, Case Management & Social Work

FocusPoint Talent Solutions has been exclusively retained by a respected acute care healthcare organization to identify an experienced Manager of Case Management & Social Work. This leadership role oversees case management utilization review and discharge planning operations within a 24/7 clinical environment.

This is a high impact position for a leader who excels in care coordination regulatory compliance team development and driving measurable improvements in patient flow and outcomes.

The Manager provides operational clinical and administrative leadership for case management and social work services. This includes oversight of staffing performance management quality initiatives and daily workflow operations. The role partners closely with senior leadership to strengthen processes elevate care coordination and support organizational goals.

• Lead mentor and support case management and social work teams.

• Oversee staffing assignments productivity expectations and labor management.

• Ensure compliance with all regulatory and accreditation standards.

• Maintain effective communication across all shifts and interdisciplinary teams.

• Develop and implement policies procedures and performance standards.

• Provide guidance on acute case management care coordination and discharge planning.

• Review cases documentation and utilization review findings.

• Monitor and improve key metrics such as LOS readmissions observation stays and avoidable delays.

• Serve as a clinical resource for staff regarding assessments care plans and medical necessity.

• Develop and monitor departmental quality indicators.

• Conduct audits and implement action plans to improve patient flow and care coordination.

• Support continuous quality improvement benchmarking and outcomes measurement.

• Recruit develop coach and evaluate staff.

• Ensure timely completion of performance evaluations.

• Provide orientation in service training and ongoing competency development.

• Address attendance scheduling and performance issues including oversight of timekeeping systems.

• Active RN license (state specific).

• Bachelors degree in Nursing required; Masters degree preferred.

• BLS certification required.

• National case management certification preferred.

• Leadership experience in acute care case management required.

• Experience in utilization management and discharge planning.

• Background supporting patients with complex medical emotional and social needs.

• Experience leading teams managing workflows and driving operational improvements.

• Strong knowledge of CMS Title 22 Joint Commission and case management standards.

• Proficiency with InterQual Meditech and managed care software.

• Excellent communication collaboration and problem solving abilities.

• Ability to lead diverse clinical teams and manage competing priorities.