Manager of Case Management

Manager of Case Management

KLS is currently seeking an experienced and dynamic Manager of Case Management on behalf of a premier healthcare client. In this pivotal leadership role, you will partner with the Director of Case Management to drive the success of the inpatient case management program at the local facility level. If you are a systems-thinker with a passion for clinical quality improvement, utilization management, and leading high-performance teams, this is an excellent opportunity to take the next step in your career.

Position Overview The Manager of Case Management coordinates the day-to-day departmental operations, ensuring hospital resources are utilized appropriately and effectively. You will oversee four core pillars of the program: Care Facilitation, Utilization Management, Case Management, and Discharge Planning. In addition to managing daily operations, you will act as a vital liaison between care partners and play a hands-on role in the collection, analysis, and reporting of financial and quality data.

Key Responsibilities

• Operational Leadership: Coordinate day-to-day operations at the unit level, supervising all aspects of the local case management program.
• Program Development: Support the growth of the program through best-practice benchmarking, networking, and quality management.
• Team Management: Assist the Director in departmental personnel functions (hiring, managing, etc.) and provide performance appraisals for professional and non-professional staff. Lead and mentor a high-performance team.
• Financial & Quality Outcomes: Use data to drive decisions, plan, and implement performance improvement strategies. Assist in achieving optimal financial outcomes via the inpatient case management process.
• Collaboration: Act as a central liaison facilitating communication between physicians, hospitalists, community care managers, nurses, and community resources.
• Patient Advocacy & Safety: Ensure safe care for patients, staff, and visitors. Adhere to organizational policies, procedures, and budgetary specifications. Model exceptional service standards by providing compassionate, personalized, and efficient care experiences.

Required Qualifications

• Education & Licensure: Education: Bachelor's of Science in Nursing (BSN) OR Bachelor of Social Work (BSW) required. (Master's degree highly preferred). Licensure: Current and valid license to practice as a Registered Nurse (RN) in the state of Texas OR Licensed Master Social Worker (LMSW) required. (LCSW preferred). Certification: Case Manager Certification required.
• Experience: 5+ years of experience in utilization management, case management, discharge planning, or other cost/quality management programs. 3+ years of experience in hospital-based nursing or social work. 3+ years of demonstrated leadership/management experience.
• Knowledge & Skills: Strong working knowledge of managed care, inpatient, outpatient, the home health continuum, and leading practices in clinical care and payor requirements. Background in business planning, targeted outcomes, and concepts associated with Performance Improvement. Demonstrated ability to build effective working relationships with physicians and health care professionals at all levels. Self-motivated, assertive, and equipped with excellent oral and written communication skills.
• Compensation & Benefits Base Salary: $110,000 - $130,000 (Commensurate with experience) Bonus Structure: Eligible for the Management Incentive Plan (MIP). The MIP provides a target payout of 10% of your base salary, with a maximum payout potential of 15%.