Director of Case Management

Allen Parish Community Healthcare; Kinder (LA); On-site; USD 90,000 - 120,000; Full time

Job summary

Allen Parish Community Healthcare in Kinder, LA is seeking a Director of Case Management. This full-time, on-site role leads a multidisciplinary team, oversees discharge planning, and ensures safe and efficient patient transitions in a community hospital setting.

The director will monitor utilization management, review patient status and length of stay, and support Medicare and payer requirements. Responsibilities include policy development, data analysis, staff education, and involvement in

Qualifications

• Strong foundation in case management, including medical case management.
• Experience with discharge planning and care transition coordination across settings.
• Knowledge of utilization management, length-of-stay review, and resource optimization.
• Understanding of Medicare regulations and reimbursement for hospital case management.
• Licensed clinical background (RN, LCSW, or related) with acute care experience preferred.

Responsibilities

• Oversee and lead the hospital's case management functions on-site.
• Coordinate interdisciplinary discharge planning and patient transitions.
• Collaborate with physicians, nursing, social services, and other departments to maintain continuity of care.
• Monitor utilization management activities, patient status, and length of stay; ensure payer requirements are met.
• Develop, update, and implement case management policies; educate staff and promote process improvements.

Skills

Case Management

Discharge Planning

Utilization Management

Medicare Compliance

Leadership / Coaching

Data Analysis

EHR / Case Management Software

Education

Bachelor's degree in nursing, social work, or related field

Advanced degree or certification in case management (CCM/ACM)

Job description

Company Description Allen Parish Community Healthcare is a 49-bed acute care service district hospital serving the Kinder, LA community and surrounding areas. The hospital provides emergency, outpatient, inpatient, home health, behavioral health, Rural Health Clinic, and physical therapy services. The organization is dedicated to delivering high-quality primary care and restoring specialty care services locally. Team members work in a community-focused environment where patient-centered care and accessibility are priorities.
Role Description The Director of Case Management is a full-time, on-site role based in Kinder, LA, responsible for overseeing the hospital’s case management functions and ensuring safe, efficient, and appropriate patient care transitions. This role leads and supervises the case management team, coordinates interdisciplinary discharge planning, and collaborates with physicians, nursing, social services, and other departments to promote continuity of care. The Director monitors utilization management activities, reviews patient status and length of stay, and supports compliance with Medicare and other payer requirements. Daily responsibilities include developing and updating case management policies, analyzing data to improve workflows, educating staff on best practices, and serving as a resource for complex medical case management issues. The role also participates in quality improvement initiatives and contributes to strategic planning related to patient flow and resource use.
Qualifications

• Strong case management foundation, including Case Management and Medical Case Management skills.
• Experience with Discharge Planning and care transition coordination across inpatient, outpatient, and post-acute settings.
• Knowledge of Utilization Management, including review processes, length-of-stay management, and resource optimization.
• Understanding of Medicare regulations and reimbursement requirements relevant to hospital-based case management.
• Licensed clinical background (e.g., RN, LCSW, or related field) with experience in acute care preferred.
• Proven leadership and team management abilities, including staff supervision, coaching, and performance improvement.
• Excellent communication, collaboration, and conflict resolution skills for working with interdisciplinary teams and external partners.
• Strong analytical and organizational skills, with the ability to interpret clinical and financial data and implement process improvements.
• Familiarity with electronic health records and case management or utilization review software.
• Bachelor's degree in nursing, social work, or a related healthcare field required; advanced degree or certification in case management (e.g., CCM, ACM) is an asset.