Director, Care Management — Flexible Scheduling & Growth

Surgery Partners, Inc; Lubbock (TX); On-site; USD 110,000 - 140,000; Full time

Benefits offered by this job

Flexible Scheduling

No mandatory overtime

Career Ladder

Job summary

Lubbock Heart & Surgical Hospital is seeking a Director of Case Management to lead hospital-wide case management efforts. The role requires RN licensure in Texas, a background in utilization review, and supervision experience.

You will coordinate care across departments and drive performance improvement within a family-oriented team environment. Join a physician-owned hospital with a focus on improving patient outcomes, staff development, and cost-effective care delivery.

Qualifications

• 3–5 years in hospital case management with utilization review experience
• Certification as a Case Manager preferred
• Licensed RN in Texas; BCLS; BSN preferred

Responsibilities

• Directs hospital-wide care management and coordinates with medical staff and departments.
• Coordinates programs across departments to ensure appropriate admissions, length of stay, and discharge planning.
• Performs concurrent reviews to justify extended stays and documents them in patient records.
• Refers cases not meeting guidelines to the Utilization Review Physician Advisor(s).
• Assists in bed management and multi-disciplinary activities to improve quality of care.
• Contributes to development of hospital-wide Care Management strategies ensuring compliance with accrediting agencies and review requirements.
• Ensures resource allocation, discharge planning and social work processes comply with regulatory agencies.
• Acts as a change agent for new and existing programs in the hospital.
• Coordinates patient care across the continuum, including outpatient, inpatient and post-hospital services.
• Develops medical guidelines to provide high quality, cost-effective care.
• Uses data to inform delivery and outcomes of Case Management, department productivity and staffing.
• Assesses needs and plans services aligned with the hospital mission and patient/family needs.
• Prepares monthly reports for the Utilization Review Committee and supports continuous quality improvement.
• Maintains a positive work environment and promotes teamwork.
• Ensures budgeting and timely performance evaluations.

Education

RN license (TX)

BSN preferred

Case Manager certification preferred

Job description

Lubbock Heart & Surgical Hospital is seeking a Director of Case Management to lead hospital-wide case management efforts. The role requires RN licensure in Texas, a background in utilization review, and supervision experience.

You will coordinate care across departments and drive performance improvement within a family-oriented team environment. Join a physician-owned hospital with a focus on improving patient outcomes, staff development, and cost-effective care delivery.