RN Care Management Director — Lead Care Excellence

Merit Health River Region Medical Center; Vicksburg (MS); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Competitive Compensation

Comprehensive Health Coverage

401(k) retirement plan with employer-m

Paid Time Off

Job summary

Merit Health River Region Medical Center in the United States is seeking a Director of Care Management to lead the Care Management and Resource Management programs. This role ensures regulatory compliance, develops efficient patient care and discharge processes, and leads the Care Management team in collaboration with staff, physicians, and community resources.

The position requires strong leadership and experience in chart reviews, care coordination, and discharge planning to achieve optimal

Qualifications

• Strong leadership, organizational, and communication skills.
• Ability to collaborate with interdisciplinary teams and manage cross-functional relationships.
• Foster a positive work environment that promotes teamwork and continuous improvement.
• Communicate effectively with leadership, team members, and stakeholders.

Responsibilities

• Oversees the implementation and maintenance of an effective Care Management program that meets regulatory and accreditation standards.
• Provides leadership and direction to staff, ensuring accountability for duties and adherence to roles within their scope of practice.
• Conducts chart reviews to evaluate severity of illness and intensity of services for admissions, continued stays, and discharge planning.
• Refers cases not meeting criteria to the Physician Advisor or Utilization Management Committee and ensures appropriate follow-up.
• Identifies avoidable days and implements communication systems to address and resolve them effectively.
• Coordinates discharge planning and social services functions to ensure compliance with laws and Joint Commission standards.
• Acts as a liaison to community agencies, providing resources and services for post-hospital placement and support.
• Educates staff on mandatory reporting requirements and CPS/APS reporting.
• Participates in Patient Care Conferences and Length of Stay meetings to support efficient care delivery.
• Performs other duties as assigned.

Skills

Leadership

Communication

Collaboration

Time management

Education

Bachelor’s degree

Master’s degree preferred

Tools

Google Workspace

Microsoft Office

Healthcare software

Data analysis tools

Job description

Merit Health River Region Medical Center in the United States is seeking a Director of Care Management to lead the Care Management and Resource Management programs. This role ensures regulatory compliance, develops efficient patient care and discharge processes, and leads the Care Management team in collaboration with staff, physicians, and community resources.

The position requires strong leadership and experience in chart reviews, care coordination, and discharge planning to achieve optimal