RN Case Management Manager — Coordinated Care Leader

ummc; Jackson (MS); On-site; USD 100,000 - 130,000; Full time

Job summary

Adult Coordinated Care at Main Campus Jackson seeks a Manager - Case Management - RN - Coordinated Care to supervise daily tasks of an assigned team and coordinate management activities including hiring, performance evaluations, scheduling, and data reporting.

The role oversees utilization reviews, discharge planning, and patient placement while promoting quality patient care, cost efficiency, and continuous quality improvement. RN license and CCM/ACM certifications are required.

Qualifications

• RN license valid and current.
• Certified Case Manager (CCM) and Accredited Case Manager (ACM) certifications required.
• Minimum four years nursing experience in case management, utilization review, or discharge planning, including one year in nursing leadership.
• Strong knowledge of utilization review, discharge planning, and managed care reimbursement.
• Excellent interpersonal, verbal and written communication; ability to analyze data and prepare reports.

Responsibilities

• Determines staffing needs and participates in hiring activities with administration.
• Coordinates scheduling and directs the work of case managers.
• Identifies key competencies and develops evaluation processes from hiring onward.
• Evaluates employee performance through outcomes and practices.
• Provides daily supervision, including coaching, training and data collection.
• Mentors staff to support professional development within the department.
• Develops work instructions and assists with complex assignments.
• Documents findings and tracks data to evaluate benchmarks and metrics.
• Ensures efficient resource use and resolves barriers impacting productivity.
• Serves as a resource for complex patient placement issues.
• Supports staff development activities with department leadership.
• Provides backup coverage for case managers to maintain continuity.

Skills

Case management

Nursing leadership

Data analysis

Communication skills

Resource optimization

Education

RN license

CCM certification

ACM certification

Tools

Medical coding (ICD-10, CPT)

Clinical software

Data reporting tools

Job description

Adult Coordinated Care at Main Campus Jackson seeks a Manager - Case Management - RN - Coordinated Care to supervise daily tasks of an assigned team and coordinate management activities including hiring, performance evaluations, scheduling, and data reporting.

The role oversees utilization reviews, discharge planning, and patient placement while promoting quality patient care, cost efficiency, and continuous quality improvement. RN license and CCM/ACM certifications are required.