Director of Case Management

We are seeking an experienced and strategic Director of Case Management to lead and oversee hospital-based case management operations. This leadership role is responsible for driving patient-centered care coordination, optimizing utilization management, improving length of stay, and ensuring regulatory compliance while supporting clinical and financial outcomes. The ideal candidate is a collaborative leader with strong acute care experience who can effectively partner with physicians, nursing leadership, social work, and executive teams in a fast-paced hospital environment. Required Qualifications Bachelor’s degree required (master’s in healthcare administration, Nursing, or related field preferred) Active RN license required or strongly preferred (based on organizational policy) 7–10+ years of progressive experience in hospital-based case management or care management Demonstrated leadership experience managing case management or utilization review teams Strong knowledge of utilization management, discharge planning, and care coordination processes Experience with InterQual, MCG, or similar utilization review criteria Proven ability to lead in a fast-paced, high-acuity acute care environment Preferred Qualifications Director or senior leadership experience in Case Management Experience in acute care hospitals or health systems Strong data-driven decision-making and performance improvement skills Excellent communication, collaboration, and leadership capabilities #J-18808-Ljbffr