Director of Case Management- Full Time

Overview Description Kindred Hospital Central Tampa is a 102-bed long-term acute care hospital offering in-depth care for an extended recovery period; featuring five negative pressure rooms. We partner with your physician and offer 24-hour clinical care seven days a week so you can start your journey to wellness. We are located in North Central Tampa about five miles outside downtown. Job Summary The Director – Case Management directs Case Management and Utilization Management activities within a ScionHealth hospital. This role oversees the coordination of care for patients and families through effective management of clinical service delivery, ensuring quality outcomes and efficient resource utilization. The Director partners with external customers, referral sources, and payors to facilitate effective discharge planning while serving as a patient and family advocate. This position is accountable for the facility’s denial management program and ensures case management services comply with regulatory requirements, including the Conditions of Participation. The Director collaborates closely with hospital executive leadership including the CEO/Administrator, COO, CFO, CCO, and Regional Office leadership. Responsibilities Oversees coordination of patient care to support development, monitoring, and refinement of individualized treatment plans. Assumes responsibility for the effective daily operations of the Case Management Department. Ensures regular, accurate, and timely reporting of case management performance outcomes and key metrics. Promotes ScionHealth hospitals within the provider community and local educational institutions when appropriate. Implements and monitors processes to ensure optimal utilization of resources and appropriate reimbursement. Participates as a member of the Utilization Management Committee and other hospital committees as required. Identifies opportunities to achieve hospital goals using comparative data, performance metrics, and benchmarking. Aggregates and analyzes hospital utilization services statistics and recommends corrective actions when necessary. Ensures departmental compliance with CMS, state, and accreditation standards, including documentation and record requirements. Participates actively in surveys, audits, and regulatory reviews. Supports organizational initiatives that improve care coordination, patient outcomes, and operational performance. Qualifications Education Bachelor’s Degree in a clinical field. (Required) Bachelor’s Degree in Nursing. (Preferred) Equivalent combination of education and experience. (May be considered) Licenses/Certifications Registered Nurse (RN) – State Licensure and/or Compact State Licensure or Respiratory Therapist or Physical Therapist or Occupational Therapist or Social Worker (LSW or LCSW). (Required upon hire) Certified Case Manager (CCM), Accredited Case Manager (ACM), or Certified Rehabilitation Registered Nurse (CRRN). (Preferred upon hire) Experience Three (3) or more years of experience in hospital case management. (Required) Prior experience in a leadership or interim director role. (Preferred) Experience demonstrating familiarity with managed care, reimbursement practices, and regulatory standards. (Required) #J-18808-Ljbffr