Director of Case Management - Lead Care Coordination

Jobot; Yuma (AZ); On-site; USD 95,000 - 115,000; Full time

Benefits offered by this job

Medical coverage from day one

Dental coverage from day one

Vision coverage from day one

Paid time off

Tuition reimbursement

Continuing education opportunities

Company-matching 401(k)

Job summary

Jobot in Yuma, AZ is seeking a Director of Case Management to lead the hospital's case management, utilization review, discharge planning, and interdisciplinary care coordination across inpatient rehabilitation services.

The role oversees operations, staff performance, and relationships with payers, driving patient outcomes while ensuring regulatory compliance. Competitive salary and benefits included for this leadership position.

Qualifications

• Minimum of three years of hospital-based Case Management experience.
• Experience must include Utilization Review and Discharge Planning
• Must be qualified to independently complete assessments within the candidate's professional scope of practice
• Active professional licensure required when mandated by the applicable discipline and state
• RN candidates must hold a BSN and active RN licensure
• Other eligible healthcare professionals must hold at least a bachelor's degree; graduate degree preferred
• Current CCM or ACM certification preferred

Responsibilities

• Lead the hospital's Case Management function and oversee departmental operations, staff performance, utilization review, discharge planning, interdisciplinary care coordination, and relationships with external payers and healthcare organizations.
• Manage the day-to-day operations and human resources functions of the Case Management department
• Oversee interdisciplinary plans of care and the hospital discharge planning process
• Monitor the appropriateness and effectiveness of services with attention to census management, patient outcomes, and key care indicators
• Provide leadership, training, and support to Case Managers and departmental staff
• Guide staff in caseload management and interpretation of regulations, policies, procedures, and operational objectives
• Review departmental operations to maintain quality standards and regulatory compliance
• Serve as an advocate for patients and families throughout the care and discharge process
• Develop and maintain relationships with insurance companies, self-insured employers, case management firms, and healthcare networks

Skills

Hospital-based case management

Utilization Review

Discharge Planning

Interdisciplinary care coordination

Education

Bachelor's degree

Graduate degree preferred

BSN for RN candidates

Job description

Jobot in Yuma, AZ is seeking a Director of Case Management to lead the hospital's case management, utilization review, discharge planning, and interdisciplinary care coordination across inpatient rehabilitation services.

The role oversees operations, staff performance, and relationships with payers, driving patient outcomes while ensuring regulatory compliance. Competitive salary and benefits included for this leadership position.