Case Management Operations Lead (RN)

KDMC Ashland Hospital Corporation; United States; On-site; USD 110,000 - 150,000; Full time

Job summary

UK King's Daughters in Ashland, KY, seeks a senior Case Management leader to direct daily operations of the Case Management nursing staff, drive efficiency, and promote case management initiatives. You will coordinate with clinical leadership to optimize patient care and ensure payer guideline compliance.

The role requires a Bachelor’s degree in a related field and 4–5 years of nursing/case management experience, with RN licensure and CCM/CPHQ certification preferred.

Qualifications

• Bachelor's degree in related field required.
• 4-5 years of experience in nursing, case management, or related area.
• RN license with CCM or CPHQ certification preferred.
• Experience leading teams, budgeting, and driving process improvements.

Responsibilities

• Directs daily operations of Case Management nursing staff and ensures efficient workflow.
• Sets goals, assesses structure, and implements process improvements for clinical and cost outcomes.
• Acts as liaison with clinical leadership and promotes Case Management initiatives.

Skills

Leadership

Strategic Planning

Interdisciplinary Collaboration

Regulatory Compliance

Budget Management

Staff Development

Education

Bachelor's degree in social work, nursing, psychology, sociology, or a related field

Job description

UK King's Daughters in Ashland, KY, seeks a senior Case Management leader to direct daily operations of the Case Management nursing staff, drive efficiency, and promote case management initiatives. You will coordinate with clinical leadership to optimize patient care and ensure payer guideline compliance.

The role requires a Bachelor’s degree in a related field and 4–5 years of nursing/case management experience, with RN licensure and CCM/CPHQ certification preferred.