Director of Case Management

Director of Case Management – Senior-Level Role

Job Description

The Director of Case Management is responsible for overseeing the hospital’s case management program, including care facilitation, utilization management, and discharge planning. This leadership role provides education, supervision, and direction for Case Managers and Social Workers to ensure regulatory compliance and efficiency.

Requirements

Supervises: Case Managers and Social Workers

Primary Responsibilities:

• Lead, educate, and oversee daily workflows of Case Managers and Social Workers.
  


• Monitor department documentation for regulatory compliance.
  


• Collaborate with CFO and Quality Department to develop and maintain quality improvement initiatives (e.g., Avoidable Days, Readmissions).
  


• Maintain case management and utilization review skills to assist with staffing needs.
  


• Communicate with physicians regarding patient needs, treatment plans, and bed placements.
  


• Manage personnel actions such as hiring, performance appraisals, scheduling, and payroll records.
  


• Facilitate daily multidisciplinary rounds to ensure holistic patient care collaboration.
  


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


• Serve as an active participant in Utilization Review and Revenue Cycle Committees.
  


• Ensure efficient clinical resource utilization and cost-effective patient care.
  


• Maintain compliance with Joint Commission, CMS, state/local regulations, and hospital policies.
  


• Perform other duties as assigned.
  

Knowledge, Skills & Abilities

• Understanding of payer requirements and discharge planning regulations.
  


• Knowledge of Medicare, managed care, inpatient/outpatient care, and home health services.
  


• Ability to collaborate with healthcare professionals at all levels to achieve quality outcomes.
  


• Familiarity with performance improvement strategies.
  


• Strong leadership, communication, and problem-solving skills.
  


• Demonstrated ability to work independently and as part of a team.
  


• Effective working relationships with physicians.
  

Education & Certifications

• Graduate of a Registered Nursing program (BSN preferred).
  


• Current RN license in Iowa or multistate license allowing practice in Iowa.
  


• Iowa Mandatory Reporter – Child and Dependent Adult Abuse Certificates.
  

Experience Requirements

• Minimum 2 years of Case Management experience in utilization management, case management, or discharge planning.
  


• Preferred 2-3 years of previous management experience in hospital-based nursing.
  

Benefits

Interview Process

1. Phone Interview
   


2. On-Site Interview
   

Company Culture & Perks

Our Mission:

Making communities healthier®

Our Vision:

We want to create places where:

• People choose to come for healthcare
  


• Physicians and providers want to practice
  


• Employees want to work
  

Core Values:

Benefits