MANAGER OF CASE MANAGEMENT

Southwest General; Middleburg Heights (OH); On-site; USD 95,000 - 125,000; Full time

Job summary

Southwest General in Middleburg Heights, OH, seeks a Case Management Manager to lead the daily operations of the Case Management Department, including staffing, workflow oversight, discharge planning, and performance outcomes. You will supervise CM staff, coach teams, and coordinate with physicians, payers, and leadership to drive evidence-based decisions and resource stewardship.

The role reports to the Director of Case Management and requires strong clinical-operations expertise, regulatory

Qualifications

• BSN required or equivalent per policy.
• Master's degree in Nursing, Healthcare Administration, Business Administration, Public Health, or related field preferred.
• Five+ years of progressive case management/discharge planning experience in acute care is preferred, with formal leadership experience required.

Responsibilities

• Provide daily operational leadership of the Case Management Department, including staffing, workflow oversight, patient progression, and discharge planning.
• Ensure regulatory compliance and department performance outcomes; coach and supervise CM staff; collaborate with physicians, payers, and leadership to support evidence-informed decisions.

Skills

People leadership

Case management

Discharge planning

Interdisciplinary collaboration

Education

BSN

Master's degree in Nursing/Healthcare administration or related field (preferred)

Job description

The Case Management Manager is responsible for the daily operational leadership of the Case Management Department, including staffing, workflow oversight, patient progression, discharge planning, staff performance, regulatory compliance, and departmental performance outcomes.

Reporting to the Director of Case Management, the Manager ensures consistent execution of case management processes. The role provides direct supervision, coaching, workflow management, clinical-operational support, and performance oversight for assigned CM staff. The Manager collaborates with physician advisors/medical directors, case management, clinical operations, revenue cycle, payer relations, quality, compliance, and other stakeholders to support timely, accurate, evidence-informed case management decisions and appropriate stewardship of healthcare resources.

MINIMUM QUALIFICATIONS

Education:

• Bachelor of Science in Nursing (BSN) required or an equivalent qualification consistent with organizational policy.
• Master's degree in Nursing, Healthcare Administration, Business Administration, Public Health, or a related field preferred.

Required length and type of experience:

• Five or more years of progressive case management/discharge planning in an acute care environment is preferred, or a closely related clinical management function.
• Prior formal leadership experience is required; two or more years of supervisory or management experience in case management is preferred.

Required licensure, certification or registry:

• Current Ohio State Board of Nursing license required.

Core Knowledge, Skills, and Competencies

• Knowledge of case management, discharge planning, and transitions of care principles.
• Understanding of Medicare, Medicaid, managed care, and commercial payer requirements.
• Knowledge of regulatory and accreditation requirements affecting case management and discharge planning.
• Demonstrated skills in people leadership, coaching, performance management, conflict resolution, and change management.
• Proficiency in operational analytics, KPI interpretation, root-cause analysis, and process improvement.
• Strong interdisciplinary communication skills, with the ability to collaborate effectively with nursing, physicians, physician advisors, payers, revenue cycle, and leadership.
• Demonstrated professional nursing judgment, ethical practice, confidentiality, and appropriate stewardship of healthcare resources.