System-Wide Director, Case Management & LOS

Pipeline Health System; Los Angeles (CA); On-site; USD 157,000 - 231,000; Full time

Benefits offered by this job

Medical plan options

Dental coverage

Vision coverage

Life insurance

Disability coverage

401(k) plan

Employee wellness program

Job summary

Pipeline Health System in Los Angeles is seeking a System Director of Case Management to unify four hospitals’ case management programs, drive policy development, and align performance improvement with community needs.

You will oversee directors and managers, set LOS targets, manage denial and discharge planning, report KPIs, and partner with Revenue Cycle, physicians, nursing leadership, and community partners to ensure coordinated, high-quality care.

Qualifications

• Minimum five years of clinical nursing experience required.
• Minimum five years of case management experience required; hospital setting preferred.
• Minimum three years in a supervisory capacity or higher required.
• Demonstrated ability to hire, train, coach, manage performance, and mentor case management leaders and staff.
• Strong command of regulatory compliance, utilization management, discharge planning, denials, LOS strategy, and interdisciplinary collaboration.

Responsibilities

• Build and evolve a system-wide case management program, including policies, procedures, quality plans, and performance improvement practices.
• Partner with hospital executives, physicians, UM physician chairs, nursing leadership, the Revenue Cycle team, and community partners.
• Lead strategies tied to length of stay, avoidable delays, observation management, denial management, labor productivity, and financial stewardship.
• Provide executive reporting on KPIs, LOS, avoidable days, initiatives, and other case management performance indicators.
• Participate in UM Committees, payor JOMs, and serve as a clinical resource for the Hub when needed.

Skills

Clinical nursing

Case management

Supervisory leadership

Regulatory compliance

Utilization management

Discharge planning

Denials management

Interdisciplinary collaboration

Communication

Problem solving

Job description

Pipeline Health System in Los Angeles is seeking a System Director of Case Management to unify four hospitals’ case management programs, drive policy development, and align performance improvement with community needs.

You will oversee directors and managers, set LOS targets, manage denial and discharge planning, report KPIs, and partner with Revenue Cycle, physicians, nursing leadership, and community partners to ensure coordinated, high-quality care.