Director of Case Management

Overview Are you a results‑driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Saint Luke’s Hospital, we’re seeking an innovative and experienced healthcare leader to drive excellence and inspire our team toward exceptional patient outcomes and operational success. We provide a comprehensive benefit package that includes: Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match Generous paid time off Career development and continuing education opportunities Health savings accounts, healthcare and dependent flexible spending accounts Employee assistance program, employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder and childcare, auto and home insurance Eligibility for benefits may vary by location and is determined by employment status. Job Summary This position may qualify for a sign‑on bonus. Responsible for hospital utilization performance improvement and operational management of the Case Management Department in order to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services. This position integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention; Transition Management promoting appropriate length of stay, readmission prevention, and patient satisfaction; Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care; Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy; Education provided to physicians, patients, families and caregivers. Completes established competencies for the position within designated introductory period. Other related duties as assigned. Qualifications Minimum Education: Bachelor’s Degree from an accredited school, college or university as a Registered Nurse. Preferred Education: Master’s Degree from an accredited college or university in Nursing or related field. Minimum Experience: 2 years in acute hospital case management, healthcare or leadership experiences. Preferred Experience: 5 years in acute hospital case management. McKesson InterQual® experience and Business Planning experience. Required Certifications/Licensure: Possession of current Texas State registration as a Registered Nurse. Preferred Certifications/Licensure: Accredited Case Management (ACM). Required Courses/Completions (e.g., CPR): NA. Organization Description Baptist Health System has more than 120 years history of caring for our community and making a positive difference. Our system of care includes six full‑service hospitals, a specialized children’s hospital with a dedicated pediatric emergency unit, a comprehensive cancer care network, fitness and rehabilitation centers, a physician network, imaging centers, ambulatory services, and the Baptist School of Health Professions. Wherever you go in the Baptist Health System, you’ll find that we have the same goal to help people achieve health for life through compassionate service inspired by faith. Join our team! Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. E-Verify: The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. View phone number on click.appcast.io #J-18808-Ljbffr Baptist Health System