Director, Care Management & Utilization Leadership

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

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.