Manager - Case Management

SHEA; Town of Florida (NY); On-site; USD 85,000 - 110,000; Full time

Job summary

Memorial Healthcare System is seeking a Manager of Case Management in Hollywood, FL. You will oversee daily case management and discharge planning, coordinating with multidisciplinary teams to optimize patient flow and ensure high-quality, efficient care that aligns with payer guidelines and regulatory requirements.

The role requires knowledge of state and federal discharge planning regulations, healthcare information systems, and performance improvement processes, with a strong background in

Qualifications

• Three years of case management experience.
• Two years of leadership experience in case management.
• Graduate of an accredited nursing program or a BSN degree.

Responsibilities

• Oversee day-to-day case management and discharge planning functions.
• Coordinate with multi-disciplinary teams to optimize patient flow.
• Ensure care meets quality, efficiency, and regulatory standards.
• Apply payer guidelines and regulatory requirements in planning.
• Utilize Interqual or Milliman guidelines in decision making.

Skills

Leadership experience

Case management

Discharge planning

Interqual/Milliman guidelines

Regulatory knowledge

Process improvement

Effective communication

Stress management

Education

Registered Nursing degree

BSN preferred

Tools

Hospital information systems (Logician, IDX)

Job description

# Manager - Case ManagementHollywood, FloridaHospitalComplexity of Work: Responsible for day-to-day oversight and coordination of case management and discharge planning functions ensuring patient care meets quality and efficiency standards while aligning with regulatory requirements. This role requires an understanding of payer guidelines and working closely with multi-disciplinary teams to optimize patient flow. Requires critical thinking and effective communication (verbal and written) skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Knowledge of State and Federal regulations governing discharge planning conditions of participation, hospital information systems (e.g., logician and IDX), staff development techniques, and performance improvements processes. Strong background in clinical decision making, medical criteria, and discharge planning. Must be proficient with Interqual or Milliman guidelines and use. Proficient in process improvement, and performance monitoring.Required Work Experience: Minimum of three (3) years of case management experience and, at least, two (2) years of leadership experience within case management.Other Information: Additional Education Info: Graduate of an accredited Registered/Professional Nursing program or a Bachelor's degree in Nursing (BSN).Additional Certification Info: Certification in Case Management preferred. Memorial Healthcare System is a community of caregivers dedicated to delivering quality patient- and family-centered care. This passion for caring extends to our teammates, who support one another and create heartfelt connections that last a lifetime. We are one family at the heart of exceptional care. Join us as we elevate the well-being of everyone we touch. **#teamMHSflorida**Back to top View Similar Jobs