Manager - Case Management

Endocrine; Town of Florida, Northern (NY, KY); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Memorial Healthcare System is seeking a discharge planning and case management leader to oversee day-to-day operations ensuring quality care and efficient patient flow. You will work with a multidisciplinary team while adhering to state and federal regulations and guidelines.

The role requires strong decision-making, effective communication, and the ability to perform under pressure with minimal supervision.

Qualifications

• Minimum of three (3) years of case management experience
• At least two (2) years of leadership experience within case management
• Graduate of an accredited Registered/Professional Nursing program or a Bachelor's degree in Nursing (BSN)
• Certification in Case Management preferred

Responsibilities

• Oversee day-to-day oversight and coordination of case management and discharge planning functions
• Ensure patient care meets quality and efficiency standards and regulatory requirements
• Collaborate with multi-disciplinary teams to optimize patient flow
• Utilize Interqual or Milliman guidelines and participate in performance monitoring

Skills

Case management

Leadership

Discharge planning

Healthcare regulations

Interqual/Milliman

Communication skills

Education

RN/Registered Nurse degree

BSN preferred

Tools

IDX

Hospital information systems

Job description

Complexity 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.

About Memorial Healthcare System

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.

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