Case Management Director

Jobot; Fredericksburg (VA); On-site; USD 105,000 - 115,000; Full time

Benefits offered by this job

Comprehensive benefits

Job summary

Jobot is seeking a Permanent Case Management Director to lead the case management department, oversee utilization review, resource management, and transition planning. The role requires a strategic, collaborative leader who can drive regulatory compliance and improve patient outcomes in a fast-paced healthcare setting.

Ideal candidates will have a nursing or healthcare administration background, with 3+ years in case management and at least 2 years in leadership, plus CMS knowledge and strong

Qualifications

• Bachelor's degree in Nursing, Healthcare Administration, or related field; Master's preferred.
• Minimum 3 years in case management, with at least 2 in leadership.
• Demonstrated experience in care coordination, patient advocacy, length of stay management, interdisciplinary collaboration, regulatory compliance.
• Thorough understanding of CMS regulations, hospital operations, and clinical documentation review.
• Proven track record in resource management, quality improvement, staff development, and healthcare administration.

Responsibilities

• Provide leadership to the case management team, fostering collaboration and patient-focused care.
• Develop and implement case management programs including utilization review and resource management.
• Ensure compliance with CMS regulations and related laws.
• Collaborate with interdisciplinary teams to reduce length of stay and readmissions.
• Conduct clinical documentation reviews for accuracy, compliance, and reimbursement optimization.
• Develop and manage departmental budgets and resource allocation.
• Drive quality improvement initiatives with clear KPIs and actions.
• Foster staff development through training, mentorship, and evaluations.
• Align case management strategies with organizational goals with senior leadership.
• Stay updated on healthcare administration trends to maintain competitive edge.

Skills

Leadership

Case management

Regulatory compliance

CMS knowledge

Interdisciplinary collaboration

Budget management

Quality improvement

Staff development

Clinical documentation

RN licensure

Education

Bachelor's degree in Nursing or Healthcare Administration

Master's degree preferred

Tools

Healthcare IT systems

Job description

Live where history meets opportunity in one of Virginia's most charming and fast-growing communities

This Jobot Job is hosted by: Bri Dodson

Salary: $105,000 - $115,000 per year

A bit about us:

We are a mission-driven healthcare organization dedicated to helping individuals achieve the highest level of independence and quality of life following illness, injury, or complex medical conditions. Our interdisciplinary teams work collaboratively to deliver exceptional patient outcomes while fostering a supportive and compassionate workplace culture.

Why join us?

• Lead a highly visible department that directly impacts patient outcomes.
• Join a collaborative leadership team committed to excellence.
• Opportunity to shape processes, mentor staff, and influence hospital operations.
• Competitive compensation and comprehensive benefits package.
• Professional development and leadership growth opportunities.
• Supportive culture focused on teamwork, compassion, and innovation.
• Make a meaningful impact on patients, families, and the broader community.

Job Details

Our healthcare organization is seeking a dedicated and experienced Permanent Case Management Director to join our dynamic team. This position offers an exciting opportunity to lead and direct the overall operations of case management, encompassing utilization review, resource management, coordination of care, and transition/discharge planning. The role requires a strategic thinker who can foster interdisciplinary collaboration, enhance patient advocacy, and ensure regulatory compliance in a fast-paced, patient-centered environment. If you are an experienced healthcare professional with a passion for leading teams, improving healthcare delivery, and making a significant impact on patient outcomes, we invite you to apply.

Responsibilities:

• 1. Provide leadership and direction to the case management team, fostering a culture of collaboration, excellence, and patient-focused care.
• 2. Develop and implement effective case management programs, including utilization review, resource management, and patient advocacy.
• 3. Ensure compliance with all CMS regulations and other applicable laws and guidelines related to case management.
• 4. Collaborate with interdisciplinary teams to create and implement strategies aimed at reducing the length of stay and readmissions.
• 5. Conduct clinical documentation reviews to ensure accuracy, compliance, and optimal reimbursement.
• 6. Develop and manage departmental budgets, ensuring effective resource management.
• 7. Drive continuous quality improvement initiatives, setting and monitoring key performance indicators (KPIs) and implementing necessary changes to improve patient care and outcomes.
• 8. Foster staff development through training, mentorship, and performance evaluations.
• 9. Collaborate with senior leadership to align case management strategies with organizational goals and objectives.
• 10. Stay abreast of the latest developments, advancements, and trends in healthcare administration to ensure the organization's competitive edge.

Qualifications:

• 1. Bachelor's degree in Nursing, Healthcare Administration, or a related field. A Master's degree will be an added advantage.
• 2. A minimum of 3 years of experience in case management, with at least 2 years in a leadership role.
• 3. Demonstrated experience in care coordination, patient advocacy, length of stay management, interdisciplinary collaboration, and regulatory compliance.
• 4. Thorough understanding of CMS regulations, hospital operations, and clinical documentation review.
• 5. Proven track record in resource management, quality improvement, staff development, and healthcare administration.
• 6. Excellent leadership and team management skills, with the ability to motivate and inspire a high-performing team.
• 7. Strong analytical and problem-solving skills, with the ability to make informed decisions quickly.
• 8. Exceptional communication skills, both written and verbal.
• 9. Proficiency in using healthcare information systems and software.
• 10. Current state licensure as a Registered Nurse (RN) or equivalent, preferred.
• 11. Certified Case Manager (CCM) or equivalent certification, preferred.

Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions.

Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.

Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.

By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here: jobot.com/privacy-policy