Manager, Case Management

KDMC Ashland Hospital Corporation; United States; On-site; USD 110,000 - 150,000; Full time

Job summary

UK King's Daughters in Ashland, KY, seeks a senior Case Management leader to direct daily operations of the Case Management nursing staff, drive efficiency, and promote case management initiatives. You will coordinate with clinical leadership to optimize patient care and ensure payer guideline compliance.

The role requires a Bachelor’s degree in a related field and 4–5 years of nursing/case management experience, with RN licensure and CCM/CPHQ certification preferred.

Qualifications

• Bachelor's degree in related field required.
• 4-5 years of experience in nursing, case management, or related area.
• RN license with CCM or CPHQ certification preferred.
• Experience leading teams, budgeting, and driving process improvements.

Responsibilities

• Directs daily operations of Case Management nursing staff and ensures efficient workflow.
• Sets goals, assesses structure, and implements process improvements for clinical and cost outcomes.
• Acts as liaison with clinical leadership and promotes Case Management initiatives.

Skills

Leadership

Strategic Planning

Interdisciplinary Collaboration

Regulatory Compliance

Budget Management

Staff Development

Education

Bachelor's degree in social work, nursing, psychology, sociology, or a related field

Job description

At UK King's Daughters, we’re not just a healthcare facility — we’re a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. We’re more than just a place to work; we’re a place to grow, thrive, and contribute to our community.

Job Summary

Responsible for directing daily operations of Case Management nursing staff to ensure effective workflow and patient care. Establishes goals, assesses organizational structure, and implements process improvements to optimize clinical and cost outcomes. Serves as primary communication liaison with clinical leadership and promotes Case Management initiatives. Manages staffing needs through recruitment, training, coaching, and corrective action. Ensures compliance with payer guidelines, coordinates interdisciplinary care, and escalates complex cases for resolution.

Essential Functions

• Aligns and sustains resources and standard work to ensure consistent, standardized social services and optimal patient outcomes.
• Oversees daily operations, policy development, and implementation for social work and case management services.
• Hires, supervises, and provides disciplinary action for staff, fostering high employee engagement and professional growth.
• Utilizes data, metrics, and performance indicators to drive departmental decisions, process improvements, and positive patient transitions.
• Ensures compliance with government, regulatory, and payer requirements, including Medicare, Medicaid, and third-party guidelines.
• Manages departmental budgets and achieves strategic and financial goals.
• Collaborates with medical, interdisciplinary, and quality teams to coordinate care, facilitate communication, and support enterprise objectives.
• Maintains and reports key metrics, dashboards, and outcomes to leadership and stakeholders.
• Performs other duties as assigned.

Education Requirement

Bachelor’s degree in social work, nursing, psychology, sociology, or a related field.

Experience Requirement

4-5 years of experience in nursing, case management, or a relevant area. An equivalent combination of education and experience may be considered. All experience must be paid and in the same related field. Part-time and PRN experience will be prorated based on hours worked per week. Volunteer work and internships for academic credit are not counted.

Certifications & Licensures

Current and active Registered Nurse (RN) license, Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ)

Working Conditions

• A. Lifting, pushing, and/or pulling objects up to 50lbs: 2. Occasional (< 10% of the time)
• B. Lifting, pushing, and/or pulling objects over 50lbs: 1. Never
• C. Standing or walking with objects up to 10lbs: 3. Intermittent (10% - 50% of the time)
• D. Standing or walking with objects up to 25lbs: 2. Occasional (< 10% of the time)
• E. Sitting at computer workstation for extended periods: 3. Intermittent (10% - 50% of the time)
• F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials: 1. Never
• G. Repetitive motion: 3. Intermittent (10% - 50% of the time)
• H. Working at heights above 4 feet: 1. Never
• I. Working in confined spaces: 1. Never
• J. Risk of injuries from use of equipment on the job: 1. Never
• K. Job-related travel: 2. Occasional (< 10% of the time)
• L. Loud noises: 1. Never
• M. Temperature extremes: 1. Never
• N. Hazardous chemicals and fumes including waste: 1. Never
• O. Radiation: 1. Never
• P. Burns: 1. Never
• Q. Cuts/Punctures: 1. Never
• R. Bloodborne/airborne pathogens: 1. Never
• S. Recombinant DNA or viral vectors: 1. Never
• T. Combative/violent people: 2. Occasional (< 10% of the time)
• U. Animal handling (including carcasses): 1. Never
• V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A

Physical Demands

This position requires intermittent sitting at a computer workstation for extended periods of time; intermittent standing or walking with objects up to 10 pounds; occasional standing or walking with objects up to 25 pounds; occasional lifting, pushing, and/or pulling objects weighing up to 50 pounds; and performing tasks with intermittent repetitive motions (such as typing or writing). Also involves occasional job-related travel and occasional interaction with combative or violent people.

Additional Job Descriptions

N/A

Department: Case Management

Shift: Days (United States of America) (inactive) Time Type: Full time Address: 2201 Lexington Avenue City, State: Ashland, Kentucky

Growth Opportunities

Our growth is creating opportunities! Our team is expanding, and we want to hire the most talented people we can. Continued success depends on it!

Our Work Experience

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful.