Director of Case Management

Ardent Health; Topeka (KS); On-site; USD 100,000 - 160,000; Full time

Benefits offered by this job

Tuition assistance

Health benefits

Paid time off

Job summary

Ardent is seeking a Director of Case Management for a day shift, full-time position in Topeka, KS. The role leads the Case Management team, aligning clinical care with hospital goals, and coordinating with Medical Staff, Revenue Cycle, and corporate teams to drive utilization review, transitions, and outcomes.

Required RN or Social Work degree with 3+ years in leadership and 2+ years in acute hospital-based case management; CCM/ACM certification is preferred.

Qualifications

• RN, Associates degree in nursing or higher.
• Social Work degree, BSW or higher.
• 3+ years’ experience in a case management leadership role.
• 2+ years’ experience in acute hospital-based case management, preferred.
• Certification in case management (ACM or CCM), preferred.

Responsibilities

• Formulate and implement operational strategies to meet hospital and Ardent indicators including length of stay.
• Oversight of the facility’s Case Management team to ensure regulatory compliance.
• Collaborate between Case Management, Medical Staff, corporate case management and facility leaders for integrated care.
• Work with providers and physician advisors for utilization review and management activities.
• Coordinate UM Committee activities to ensure compliance and outcomes.
• Engage Revenue Cycle teams and participate in denials/medical necessity audits.
• Participate in appeals processes and vendor coordination for timely appeals.
• Analyze length of stay and readmission data with Operations and leadership to meet goals.
• Introduce evidenced-based practices to improve case management and transitions.
• Conduct regular staff meetings to review regulatory requirements and trends.

Skills

Leadership

Hospital case management experience

Case management certification (ACM/CCM

Education

RN, Associates degree in nursing or higher

Social Work degree, BSW or higher

Job description

Overview

Join our team as a day shift, full-time, Director of Case Management in Topeka, KS.

Why Join Us?

Thrive in a People-First Environment and Make Healthcare Better

• Thrive: We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being.
• People-First: We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for.
• Make Healthcare Better: We use advanced technology to support our team and enhance patient care.

Get to Know Your Team:

• The University of Kansas Health System St. Francis Campus, a part of a rich legacy of compassionate care since 1909, now offers 378 licensed beds, a history of innovation, and strong community support.

Responsibilities

• Formulate and implement operational strategies and initiatives to meet hospital and Ardent critical indicators including length of stay.
• Oversight of the facility’s Case Management team to ensure compliance with standards of practice and other regulatory requirements related to care management and social work.
• Develop and foster effective collaboration between Case Management Departments, Medical Staff, corporate case management and facility leaders to ensure an integrated approach to providing care while fulfilling the hospital's goals and objectives.
• Display an ability to work effectively within the health system's decision making and organizational structures.
• Work closely with providers as well as internal and external physician advisors for utilization review and management activities.
• Coordinate all UM Committee activities to ensure compliance with meeting frequency and documentation of activity and outcomes.
• Work collaboratively with Revenue Cycle teams and participates in task force meetings related to medical necessity audits and denials.
• Participate in appeals processes and work collaboratively with vendors to ensure the effectiveness and timeliness of appeals.
• Analyze length of stay and readmissions data and incorporate measures with Operations team members, Corporate Case Management, and other facility leaders to ensure goals are met.
• Introduce evidenced based practices geared to improve case management and transitions.
• Conduct regular staff meetings to review pertinent Federal and State regulatory requirements, emerging internal and external trends, and provide general training for staff

Qualifications

Job Requirements:

• RN, Associates degree in nursing or higher. Social Work degree, BSW or higher.
• 3+ years’ experience in a case management leadership role.
• 2+ years’ experience in acute hospital-based case management, preferred.
• Certification in case management (ACM or CCM), preferred.