RN Case Management & Utilization Review Leader

Lrhcares; Littleton (NH); Hybrid; USD 43,000 - 66,000; Full time

Job summary

Littleton Regional Healthcare is seeking a Manager of Case Management and Utilization Review to lead utilization management, discharge planning, and related social services. This role ensures safe transitions of care, appropriate levels of care, and compliant reimbursement, while guiding staff development and performance improvement.

The position oversees budgeting, data reporting, and collaboration with patients, families, providers, payers, and community partners to optimize outcomes within a

Qualifications

• Graduate of an accredited registered nursing program.
• Current NH RN license (or multi-state with NH privilege).
• Minimum 2 years in case management or related acute-care functions.
• Knowledge of discharge planning, levels of care, and medical necessity.
• Proficient with electronic health records and standard office software.

Responsibilities

• Provide leadership for utilization review, case management, and discharge planning.
• Develop and improve workflows and procedures in alignment with priorities.
• Coordinate safe transitions of care and post-acute services.
• Monitor data to evaluate resource utilization and department performance.
• Lead committees and present management reports.

Skills

Leadership

Communication

Data analysis

Organization

Problem solving

Discharge planning

Education

RN degree/diploma

NH RN license

Tools

EHR systems

Word processing

Spreadsheets

Job description

Littleton Regional Healthcare is seeking a Manager of Case Management and Utilization Review to lead utilization management, discharge planning, and related social services. This role ensures safe transitions of care, appropriate levels of care, and compliant reimbursement, while guiding staff development and performance improvement.

The position oversees budgeting, data reporting, and collaboration with patients, families, providers, payers, and community partners to optimize outcomes within a