Director Case Management

RWJBarnabas Health; Belleville (NJ); On-site; USD 128,000 - 166,000; Full time

Benefits offered by this job

PTO

Health Insurance

Dental Insurance

Vision Insurance

Retirement Plans

Disability Insurance

Life Insurance

Tuition Reimbursement

FSAs

Wellness Programs

Partner Discounts

Job summary

RWJBarnabas Health is seeking a Director of Case Management to provide strategic leadership and operational oversight for the Case Management Department at Clara Maass Medical Center in Belleville, NJ. The role focuses on integrating clinical, operational, and leadership functions to optimize patient outcomes and departmental performance.

Responsibilities include shaping staffing models, promoting workforce development, and driving performance improvements while ensuring compliance with

Qualifications

• BSN or MSW degree required; RN with master's accepted.
• Current NJ RN or SW license required; CCM/ACM preferred.
• Minimum 6 years clinical hospital/home health experience; 4 years acute care case management; 3 years supervisory.

Responsibilities

• Provide strategic leadership for Case Management operations aligning with system goals.
• Lead workforce development, succession planning, and performance improvement initiatives.
• Oversee staffing models, workflows, and resource allocation to improve care delivery.
• Ensure regulatory compliance and standards across the department.
• Partner with physicians and leadership to drive care coordination and system effectiveness.

Skills

Strategic leadership

Operations leadership

Staff development

Performance improvement

Regulatory compliance

Education

BSN

MSW

Job description

Director Case Management

Pay Range: $127,500.00 - $165,700.00 per year

Location: 1 CLARA MAASS DRIVE, BELLEVILLE, NJ 07109

Job Title: Director Case Management

Location: Clara Maass Medical Center

Department Name: Case Management

Req #: 0000264338

Status: Salaried

Shift: Day

Pay Range: $127,512.73 - $165,766.55 per year

Pay Transparency:

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Director of Case Management

The Director of Case Management provides strategic and operational leadership to the Case Management Department, supporting hospital leadership in achieving high-quality, efficient patient care. This role ensures the effective integration of clinical, operational, and leadership functions to optimize patient outcomes and departmental performance.

A typical day as a Director of Case Management may look like:

• Leadership: Provide strategic leadership and oversight for Case Management operations, ensuring alignment with organizational goals and system priorities
• Foster a high-performing, engaged workforce by promoting collaboration, transparency, and a culture of continuous improvement
• Accountable for achieving system-level key performance indicator targets
• Operations: Design and optimize staffing models, workflows, and resource allocation to enhance patient care delivery and operational efficiency
• Optimizes resource utilization across the department, balancing fiscal responsibility with quality patient care
• Clinical Excellence: Establish and maintain clinical standards to ensure delivery of high-quality, patient-centered care across the continuum
• Partner with physicians and interdisciplinary teams to address complex utilization management issues and patient care escalations
• Advances equitable care delivery and integration of social drivers of health into operational strategy
• Continuous Improvement: Establish and monitor key performance indicators, holding teams accountable for achieving targets; lead performance improvement initiatives using data to drive outcomes when targets are not met
• Workforce & Professional Development: Lead, develop, and evaluate mid-level leaders and staff through performance management, coaching, and succession planning
• Promote professional development, mentoring, and leadership growth while modeling accountability, adaptability, and continuous improvement
• Oversee recruitment, selection, and retention strategies to build and sustain a strong, diverse Case Management team
• Maintains professional competence and credibility through ongoing education and engagement in industry best practices
• Regulatory & Compliance: Ensure compliance with regulatory, accreditation, and organizational standards while standardizing policies, procedures, and departmental practices
• Align with system policies, procedures, and workflows
• Communication and Collaboration: Serves as a key liaison between department, leadership, and site stakeholders to ensure alignment of goals and priorities; Builds and sustains strong relationships with physicians, nursing leadership, post-acute providers, payers, and community partners to support care coordination and system effectiveness; Represents Case Management at executive, interdisciplinary, and system-level committees, influencing decision-making and advancing strategic initiatives
• Systemness & Standardization: Advance systemness by aligning local operations with enterprise goals, collaborating with Case Management leaders across the system, and driving standardization of best practices
• Other: May perform other duties as assigned or directed by management

This role might be for you if:

• You have an advanced knowledge of healthcare systems, including expert application of medical necessity criteria, payer strategies, and denials management
• You have an expert knowledge of state and federal regulations related to case management, including utilization review, discharge planning, auditing, scope of practice, and accreditation standards; ability to operationalize regulatory requirements across the site
• You demonstrate effective communication, negotiation, and influence skills, with the ability to build and sustain effective relationships with senior leadership, physicians, payers, and external partners
• You have strong organizational and prioritization skills, with the ability to manage competing strategic priorities and lead large-scale operational initiatives
• Proven ability to lead, mentor, and develop high-performing teams and leaders, including fostering engagement, accountability, and succession planning
• You have the ability to lead change management initiatives, drive innovation, and implement improvements across multidisciplinary teams

To be considered for this opportunity, you must have:

• BSN or MSW. If RN, masters in nursing, healthcare administration, or related field
• Licensure Required: Current and valid license to practice as a Registered Nurse OR Licensed Social Worker in the state of New Jersey
• Additional Licensure Preferred:If SW, LCSW, Certification in Case Management (ACM or CCM) strongly preferred
• Certification required within 1 year of hire
• Experience Required:Minimum 6 years clinical experience in hospital, home health, or community setting, Minimum 4 years experience in acute care case management, Minimum 3 years supervisory experience (multi-unit or program leadership)

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

RWJBarnabas Health is an Equal Opportunity Employer