Director of Case Management

Skillvanto; Kinder (LA); On-site; USD 120,000 - 170,000; Full time

Job summary

Skillvanto in Kinder, LA seeks an experienced Director of Case Management to lead hospital case management operations on-site. You will oversee the case management team, coordinate discharge planning, monitor utilization, and ensure compliance with payer requirements to optimize patient flow and care transitions.

Responsibilities include interdisciplinary coordination, policy development, data-driven performance improvement, and staff coaching to uphold clinical and financial outcomes in a

Qualifications

• Bachelor’s degree in nursing, social work, or a related healthcare field is required.
• Licensed clinical background such as RN or LCSW is preferred.
• Strong knowledge of case management, discharge planning, and care transitions.
• Experience with utilization management, LOS reviews, and resource optimization.
• Understanding of Medicare regulations and hospital reimbursement requirements.
• Proven leadership including supervision, coaching, and performance management.
• Excellent communication, collaboration, and conflict-resolution skills.
• Familiarity with case management software and utilization review tools.
• Advanced degree or certification such as CCM or ACM is preferred.

Responsibilities

• Oversee daily case management operations and supervise the case management team.
• Coordinate interdisciplinary discharge planning and patient transitions across inpatient, outpatient, and post-acute care settings.
• Collaborate with physicians, nursing staff, social services, and other departments to ensure continuity of care.
• Monitor utilization management activities, patient status, length of stay, and resource utilization.
• Ensure compliance with Medicare regulations, reimbursement requirements, and other payer guidelines.
• Develop, implement, and update case management policies and procedures.
• Analyze clinical and financial data to improve workflows, patient flow, and resource utilization.
• Educate and coach staff on case management best practices and performance improvement.
• Provide guidance on complex medical case management issues.
• Participate in quality improvement initiatives and strategic planning.

Skills

Leadership

Discharge planning

Collaboration

Communication

Problem-solving

Healthcare regulations

EHR familiarity

Education

Bachelor’s degree in nursing or social work or related field

CCM or ACM certification preferred

Tools

EHR systems

Case management software

Job description

We are seeking an experienced Director of Case Management to oversee hospital case management operations and ensure safe, efficient, and appropriate patient care transitions. This is a full-time, on-site leadership position responsible for managing the case management team, coordinating discharge planning, monitoring utilization management, and ensuring compliance with Medicare and other payer requirements.

Responsibilities

• Oversee daily case management operations and supervise the case management team.
• Coordinate interdisciplinary discharge planning and patient transitions across inpatient, outpatient, and post-acute care settings.
• Collaborate with physicians, nursing staff, social services, and other departments to ensure continuity of care.
• Monitor utilization management activities, patient status, length of stay, and resource utilization.
• Ensure compliance with Medicare regulations, reimbursement requirements, and other payer guidelines.
• Develop, implement, and update case management policies and procedures.
• Analyze clinical and financial data to improve workflows, patient flow, and resource utilization.
• Educate and coach staff on case management best practices and performance improvement.
• Provide guidance on complex medical case management issues.
• Participate in quality improvement initiatives and strategic planning.

Qualifications

• Bachelor’s degree in nursing, social work, or a related healthcare field required.
• Licensed clinical background, such as RN, LCSW, or a related discipline.
• Strong knowledge of case management, medical case management, discharge planning, and care transitions.
• Experience with utilization management, length-of-stay reviews, and resource optimization.
• Understanding of Medicare regulations and hospital reimbursement requirements.
• Proven leadership experience, including staff supervision, coaching, and performance management.
• Excellent communication, collaboration, and conflict-resolution skills.
• Strong analytical, organizational, and problem-solving abilities.
• Familiarity with electronic health records and case management or utilization review software.
• Advanced degree or case management certification, such as CCM or ACM, is preferred.