Case Management Director

Midland-Marvel Recruiters, LLC; Memphis (TN); On-site; USD 110,000 - 170,000; Full time

Job summary

Memphis-area healthcare system seeks a Case Management Director to oversee utilization, transition, and operations of the Case Management Department, ensuring efficient resource use and compliant care delivery.

This full-time role offers relocation assistance and requires RN or LCSW/LMSW licensure with 3 years of acute hospital case management or healthcare leadership experience.

Qualifications

• Bachelor's degree in Business, Nursing or Health Care Administration; RN or MSW preferred.
• RN or LCSW/LMSW licensed.
• 3 years of acute hospital case management or healthcare leadership experience.

Responsibilities

• Oversee hospital utilization, transition, and operations of the Case Management Department.
• Promote effective resource use, timely revenue cycle processes, and denial prevention.
• Ensure compliance with state/federal regulations, TJC standards, and staff education.

Skills

Case management

Healthcare leadership

Regulatory compliance

Education and training

Education

Bachelor's degree in Business, Nursing or Health Care Administration

MSW (Master of Social Work)

Job description

Large healthcare system looking to bring on Case Management Director! Full Relocation!

Overall responsibility for hospital utilization management, transition management, and operational management of the Case Management Department to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput, and compliance with all state and federal regulations related to case management services. This position integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention; Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction; Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care; Compliance with state and federal regulatory requirements, TJC accreditation standards, and hospital policy; and Education provided to physicians, patients, families, and caregivers.

Qualifications

• Bachelor's degree in Business, Nursing or Health Care Administration for RN or Master's in Social Work for MSW
• Registered Nurse or LCSW/LMSW license
• 3 years of acute hospital case management or healthcare leadership experience