DIRECTOR, CASE MANAGEMENT (3774)

Memorial Health; Springfield (IL); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Annual incentive program

401(k) match

Health/dental/vision insurance

Paid time off

Job summary

Memorial Health seeks a Director of Case Management to provide strategic leadership across nursing care transition and social work, coordinating care across the continuum to optimize throughput and outcomes.

The role partners with physicians and leadership across departments to drive value-based care, regulatory compliance and patient satisfaction in a complex acute care setting.

Qualifications

• Experience leading nursing, social work and care coordination teams.

Responsibilities

• Provide strategic and operational leadership for Case Management including Nursing Care Transition and Social Work.
• Ensure effective care coordination across the continuum and optimize patient throughput.
• Support quality outcomes, regulatory compliance and financial stewardship.
• Partner with physician leadership, nursing, finance, patient access and post-acute providers to align care management strategy.
• Develop an integrated care management strategy that supports clinical quality, patient safety, LOS, readmission reduction and value-based care.

Skills

Leadership

Departmental leadership

Case management

Interdisciplinary teams

Project management

Regulatory requirements

Staff development

Communication skills

Budgeting/fiscal management

Change agent

Education

BSN

Master's degree in Nursing, Business or Healthcare Administration

Current Illinois RN licensure

National nursing certification within 1 year

ACM or CCM certification preferred

Job description

Focused on the Future of Care

We're looking for talented, passionate healthcare professionals to join the team at Memorial Health as we build the future of healthcare. If you're ready to be part of a transformative organization that puts people first, take a look at what we have to offer.

Remote Type: On-site

Job Description Summary

The Director of Case Management provides strategic and operational leadership for Case Management, including Nursing Care Transition and Social Work functions across SMH. This leader is responsible for ensuring effective care coordination across the continuum, optimizing patient throughput, supporting quality outcomes, regulatory compliance, and financial stewardship while promoting exceptional patient and family experiences. The Director partners closely with physician leadership, nursing, finance, patient access, revenue cycle, quality, behavioral health, post-acute providers, and community organizations to develop an integrated care management strategy that supports organizational goals for clinical quality, patient safety, length of stay, readmission reduction, and value-based care.

Education

• BSN required.
• Master's degree in Nursing, Business or Healthcare Administration required.

Licensure/Certification/Registry

• Current licensure in the State of Illinois as a Registered Professional Nurse.
• National nursing certification held or achieved within one year of hire.
• Certified as an Accredited Case Manager (ACM) or Certified Case Manager (CCM) preferred.

Experience

• Minimum five years nursing leadership/administrative experience required.
• 7-10 years of experience, with demonstrated success in departmental leadership.
• Clinical nursing experience in a tertiary care practice environment required.
• Progressive experience in case management, care coordination, utilization management, transitions of care, and discharge planning within an acute care setting preferred.
• Experience leading interdisciplinary teams that include nursing, social work, and care coordination functions preferred.

Other Knowledge/Skills/Abilities

• Evidence of knowledge and successful application of project management, change implementation, and quality/process improvement skills.
• Evidence of knowledge and successful application of national and state regulatory requirements.
• Evidence of facilitating the professional growth and development of staff and nurse leaders.
• Demonstrates: a. Outstanding human relations/communication skills.
• b. Ability to bring complex issues to closure.
• c. Understanding/experience with budgeting/fiscal management activities.
• Ability to function as a change agent.

Additional compensation in the form(s) of participation in our annual incentive program are dependent on role. Pay is based on factors such as work experience, education, certification(s), training, skills, and competencies related to the role.

Memorial Health also offers a comprehensive benefits plan, which includes paid time off, 401(k) match, and health/ dental/ vision insurance options. All benefits can be found at https://jobs.memorial.health/about/benefits/.

If you require a reasonable accommodation to complete this application or participate in the hiring process, please contact [e-mail]. Requests will be handled confidentially.