Director of Case Management

Confidential Careers; Iowa (LA); On-site; USD 90,000 - 130,000; Full time

Job summary

A healthcare organization in Louisiana is seeking an experienced Director of Case Management to lead hospital-based operations, drive patient-centered care, and optimize utilization management. The ideal candidate must have significant acute care experience, demonstrate effective collaboration with healthcare teams, and possess 7–10+ years of relevant leadership experience. A Bachelor's degree is required, with an active RN license preferred. The role focuses on regulatory compliance and ensuring high-quality clinical outcomes.

Qualifications

• 7–10+ years of progressive experience in hospital-based case management or care management.
• Demonstrated leadership experience managing case management or utilization review teams.
• Strong knowledge of utilization management, discharge planning, and care coordination processes.

Responsibilities

• Lead and oversee hospital-based case management operations.
• Drive patient-centered care coordination and optimize utilization management.
• Ensure regulatory compliance while supporting clinical and financial outcomes.

Skills

Leadership in case management

Utilization management

Care coordination

Collaboration

Communication skills

Education

Bachelor's degree

Master's in healthcare administration or related field

Active RN license

Job description

We are seeking an experienced and strategic Director of Case Management to lead and oversee hospital-based case management operations. This leadership role is responsible for driving patient-centered care coordination, optimizing utilization management, improving length of stay, and ensuring regulatory compliance while supporting clinical and financial outcomes.

The ideal candidate is a collaborative leader with strong acute care experience who can effectively partner with physicians, nursing leadership, social work, and executive teams in a fast-paced hospital environment.

Required Qualifications

• Bachelor’s degree required (master’s in healthcare administration, Nursing, or related field preferred)
• Active RN license required or strongly preferred (based on organizational policy)
• 7–10+ years of progressive experience in hospital-based case management or care management
• Demonstrated leadership experience managing case management or utilization review teams
• Strong knowledge of utilization management, discharge planning, and care coordination processes
• Experience with InterQual, MCG, or similar utilization review criteria
• Proven ability to lead in a fast-paced, high-acuity acute care environment

Preferred Qualifications

• Director or senior leadership experience in Case Management
• Experience in acute care hospitals or health systems
• Strong data-driven decision-making and performance improvement skills
• Excellent communication, collaboration, and leadership capabilities