Director of Inpatient Care Management & Transitions

Tal Healthcare; Norwalk (CT); On-site; USD 130,000 - 190,000; Full time

Job summary

Tal Healthcare seeks a Director of Care Management to provide visible, hands-on leadership for hospital-based care management operations, including case management, social work, utilization review, and transitional care. You will lead multidisciplinary teams, drive throughput improvements, and strengthen collaboration across inpatient, ambulatory, post-acute, and community partners.

The role requires a master’s in healthcare administration (preferred), a clinical license (RN/Social Work/NP) or

Qualifications

• Bachelor’s degree in a related field and a master’s degree required; a master’s in healthcare administration is preferred.
• Current or pending Connecticut Registered Nurse, Social Work, or Nurse Practitioner license; an RN background is strongly preferred.
• Certified Case Manager certification or certification in a related care management discipline.
• Minimum five years of recent experience in complex hospital-based case management, utilization management, disease management, or related care management.
• Demonstrated leadership experience managing managers and multidisciplinary teams.
• Experience with personnel management, budgeting, performance improvement, CMS and The Joint Commission measures, and healthcare data analysis.

Responsibilities

• Lead daily operations, performance, staffing, development, and accountability for care management and related teams, including managers and multidisciplinary personnel.
• Oversee inpatient care coordination, admission and discharge planning, utilization management, social work, clinical documentation, denial appeals, and transitional care.
• Ensure compliance with regulatory, accreditation, payer, and applicable quality standards.
• Develop strategies to reduce readmissions, improve patient outcomes, enhance patient and family satisfaction, and support value-based care.
• Build effective relationships with physicians, nursing leaders, clinical departments, community providers, payers, and post-acute organizations.
• Manage the operational relationship with the outsourced revenue cycle and utilization management partner, serving as an accountable liaison and intermediary.
• Lead performance improvement initiatives, care pathways, referral processes, scorecards, data analysis, and evidence-based practices.
• Develop department budgets, manage resources, and support alternative care delivery and reimbursement models.
• Provide education to leadership, medical staff, residents, and care management personnel.
• Evaluate and recommend health information technology improvements supporting care coordination and documentation.

Skills

Leadership

Communication

Budgeting

Data analysis

Care management

Team leadership

Education

Bachelor's degree

Master's degree in healthcare administration

Tools

Microsoft Office

Microsoft Excel

Health information technology

Job description

Tal Healthcare seeks a Director of Care Management to provide visible, hands-on leadership for hospital-based care management operations, including case management, social work, utilization review, and transitional care. You will lead multidisciplinary teams, drive throughput improvements, and strengthen collaboration across inpatient, ambulatory, post-acute, and community partners.

The role requires a master’s in healthcare administration (preferred), a clinical license (RN/Social Work/NP) or