Director Care Management RN

Job Description

Job Description

J ob Title: Director, Care Management

Compensation
Base Salary - USD $211,328 to $333,673

The Role

The Director, Care Management provides strategic and operational leadership for all care-management functions across the acute-care ministry, including case management, utilization management, discharge planning, social work services, and psychosocial interventions that support safe, effective, and sustainable transitions of care.

This leader is accountable for patient outcomes, satisfaction, throughput, and care continuum utilization while driving performance that meets or exceeds regional and national benchmarks. The Director develops and executes ministry-specific strategic and operational plans, manages key clinical, operational, and financial metrics, and ensures services remain patient-centered and aligned with the Triple Aim.

What You'll Do

Care Management & Transition Leadership

• Provide strategic oversight of care transitions, utilization management, case management, discharge planning, social work, and psychosocial intervention programs.
• Lead efforts to optimize patient throughput and effective utilization of resources across the continuum of care.
• Ensure safe, sustainable, and patient-centered discharge planning and care-transition processes.
• Collaborate with Physician Advisors and medical staff to promote appropriate utilization practices and regulatory compliance.

Operational Excellence & Performance Improvement

• Develop and implement annual strategic work plans that include quality, clinical, administrative, and financial objectives.
• Monitor and manage departmental performance metrics, ensuring achievement of established goals.
• Proactively identify and address performance trends, operational challenges, and opportunities for improvement.
• Drive initiatives that improve quality, outcomes, patient experience, and care delivery effectiveness.
• Support organizational goals aligned with the Triple Aim.

People Leadership & Workforce Development

• Directly supervise and develop leaders and caregivers within areas of responsibility.
• Recruit, mentor, coach, and retain high-performing teams.
• Provide ongoing education, performance management, evaluation, and professional development opportunities.
• Foster a culture of learning, collaboration, accountability, and excellence.

Physician, Executive & Community Collaboration

• Build strong relationships with physicians, hospital leadership, and community care partners.
• Serve as a liaison to organizations involved in care transitions and post-acute services.
• Promote collaboration that enhances patient experience and care coordination.
• Support stakeholder engagement through education, presentations, and performance reporting.

Financial Stewardship & Accountability

• Develop and manage departmental budgets, staffing plans, productivity targets, and operational metrics.
• Monitor financial performance and address budget variances proactively.
• Ensure responsible utilization of resources while maintaining quality outcomes.

Governance, Compliance & Reporting

• Ensure compliance with applicable licensing, accreditation, regulatory, and organizational standards.
• Lead reporting and communication efforts regarding care management outcomes and performance.
• Seek executive partnership and support when addressing complex patient care or operational challenges.
• Participate in and chair/co-chair hospital and medical staff committees as required.

What You'll Bring

Education

• Bachelor's degree in nursing AND a master's degree in a health-related/science field.

Experience

• 2+ years of care management experience in an acute-care setting.
• 2+ years of healthcare leadership or management experience related to acute-care case management.

Licenses & Certifications

• Required Upon Hire: California Registered Nurse (RN) License (if applicable to role requirements).
• Required Within 30 Days of Hire: California Fire and Life Safety Card.

Knowledge, Skills & Abilities

• Strong knowledge of acute-care case management principles and practices.
• Understanding of evidence-based practice and care-transition models.
• Knowledge of the care continuum and effective transition-of-care strategies.
• Strong problem-solving, communication, writing, and organizational skills.
• Ability to manage multiple priorities in a fast-paced healthcare environment.
• Demonstrated ability to build and maintain collaborative relationships across disciplines.
• Proficiency in Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook.

Skills and Certifications:
CA Registered Nurse License
2 years of care management experience in an acute-care setting
2 years of leadership or management experience related to acute-care case management