Director Care Management

St. Anthony Hospital; Lakewood (CO); On-site; USD 75,000 - 124,000; Full time

Job summary

St. Anthony Hospital in Lakewood, Colorado, seeks a Director, Care Management to lead care management across the acute care continuum. You will oversee case management, utilization review, discharge planning, and social work, building a comprehensive program and budget management.

You will supervise staff, mentor teams, collaborate with clinical leadership and external partners to drive high-quality patient outcomes in a fast-paced trauma and specialty environment.

Qualifications

• Bachelor's Degree in Nursing or Master's in Social Work (LMSW or LCSW).
• Current RN or Social Work License (LMSW or LCSW).
• Five (5) years of experience in Nursing or Social Work, three (3) of which include Case Management in a hospital setting.
• Prior supervisory/management experience in Case Management.
• Experince in discharge planning and clinical utilization review.

Responsibilities

• Hires, coaches, mentors, and provides performance feedback to staff on an ongoing basis.
• Oversees CM assignments, considering assignments, census, and patient needs.
• Reviews CM operations and work habits on an ongoing basis to improve CM processes.
• Oversees CQI or PI activities aimed at process and cost containment, including LOS management.
• Uses statistical tools to review data pertaining to UM patterns and LOS, and serves as a liaison regarding compliance activities associated with UM.
• Responsible for the budget planning process.

Skills

Leadership experience

Care management

Utilization review

Discharge planning

Staff mentoring

Education

Bachelor's Degree in Nursing

Master's Degree in Social Work (LMSW or LCSW)

Job description

Job Summary And Responsibilities

As our Director, Care Management, you will provide overall coordination for care management across the acute care continuum, establishing a comprehensive program encompassing case management, utilization review, care coordination, discharge planning, and social work.

Every day you will supervise and coordinate all Case Management Services (acute, rehab, outpatient), including staff education, hiring, performance management, and mentoring. You will manage the departmental budget, oversee productivity, coordinate Utilization Management (UM) committees and reports, serve as a clinical resource, and act as a community liaison with external agencies, providers, and medical staff.

To be successful in this role, you will possess extensive leadership experience in care management, a deep understanding of utilization review and discharge planning, strong financial management skills, and a proven ability to lead, mentor, and collaborate effectively with diverse stakeholders to achieve quality-focused patient outcomes.

• Hires, coaches, mentors, and provides performance feedback to staff on an ongoing basis.
• Oversees CM assignments, considering assignments, census, and patient needs.
• Reviews CM operations and work habits on an ongoing basis to improve CM processes.
• Oversees CQI or PI activities aimed at process and cost containment, including LOS management.
• Uses statistical tools to review data pertaining to UM patterns and LOS, and serves as a liaison regarding compliance activities associated with UM.
• Responsible for the budget planning process.

Job Requirements

Required

• Bachelor's Degree in Nursing or Master's Degree in Social Work (LMSW or LCSW)
• Current RN or Social Work License (LMSW or LCSW)
• Five (5) years of experience in Nursing or Social Work, three (3) of which include Case Management in a hospital setting.
• Prior supervisory/management experience in Case Management.
• Experince in discharge planning and clinical utilization review.

Preferred

• Master Degree in Nursing, Business, Health Sciences, Case Management, or Public Health
• Experience in acute care setting.

Where You'll Work

Located in Lakewood, Colorado, St. Anthony Hospital is a Level I Trauma Center where we provide a full range of medical specialties and health care services to Denver and the surrounding region through our state-of-the-art medical campus and home base for Flight For Life Colorado. With four trauma rooms including the T-10 room, a dedicated field-to-surgery suite ready 24/7 for trauma surgeons and specially trained teams, our staff can provide life-saving care to the most severely ill and injured patients. In 2023, we received our exciting Magnet designation! We are so proud of our staff for this achievement, which is awarded to only 10 percent of hospitals around the world. Numerous other awards, certifications, and accreditations have been granted to us from the American Heart Association; Chest Pain Center (CPC); American College of Cardiology; The Joint Commission's National Quality Approval; the Emergency Nurses Association Lantern Award; NAPBC Accreditation; American College of Radiology and many others. At St. Anthony Hospital. We combine a heritage of expert care with the latest in technology and innovation. If you're looking to be part of a fast-paced environment where you can practice to the top of your profession in trauma, cardiology, stroke, neurosciences, breast imaging, cancer/oncology care, surgery and more, we invite you to apply.

Pay Range

$54.76 - $90.35 /hour