Director of Case Management

Director of Case Management

We are seeking an experienced Director of Case Management to lead and oversee a hospital-based case management department. This leadership role is responsible for developing departmental strategy, ensuring high-quality patient care coordination, maintaining regulatory compliance, and driving operational excellence. The position reports directly to the Chief Financial Officer and offers the opportunity to build and strengthen a growing department.

Key Responsibilities

• Establish and implement departmental goals, policies, and operational standards aligned with organizational objectives.
• Direct daily case management operations, including patient care coordination, service delivery, technology utilization, and resolution of patient or stakeholder concerns.
• Lead staffing initiatives including recruitment, onboarding, performance management, scheduling, employee development, and corrective action when appropriate.
• Develop, monitor, and manage departmental budgets while ensuring responsible use of financial resources.
• Coordinate internal and external audits and maintain compliance with applicable healthcare regulations and accreditation standards.
• Promote a culture of professional growth, accountability, and continuous improvement.
• Incorporate evidence-based practices into departmental workflows and clinical processes.
• Maintain compliance with HIPAA and other healthcare regulatory requirements.
• Collaborate effectively with physicians, nursing leadership, and interdisciplinary teams to improve patient outcomes.
• Perform additional leadership responsibilities as assigned.

Required Qualifications

• Active Registered Nurse (RN) license.
• Case Management experience in an acute healthcare setting.
• ACMA (Accredited Case Manager) certification or the ability to obtain certification within two years of hire.
• Strong understanding of healthcare regulations, compliance standards, and case management best practices.

Preferred Qualifications

• Leadership or management experience within a Case Management department.
• Experience with budgeting, staff development, quality improvement, and departmental operations.
• Demonstrated ability to lead multidisciplinary teams and drive performance improvement initiatives.

Key Skills Required

• Case Management Leadership
• Healthcare Regulatory Compliance (including HIPAA)
• Staff Development and Performance Management
• Budget and Operational Management
• Quality Improvement and Evidence-Based Practice
• Interdisciplinary Communication and Collaboration

Benefits

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Retirement Plan
• Equity Program
• Paid Time Off
• Work From Home (where applicable)
• Additional employee benefits available