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Overview
The Director of Case Management is a senior leadership role responsible for the strategic direction, operational oversight, and performance of case management services within an acute care setting. This position ensures effective care coordination, discharge planning, and resource utilization to support high-quality patient outcomes and continuity of care.
This leader partners across clinical, administrative, and external teams to drive efficiency, regulatory compliance, and patient-centered care delivery.
Position Summary
The Director oversees all aspects of case management operations, including staffing, workflow design, compliance, and performance improvement. This role is accountable for integrating case management functions across departments and ensuring alignment with organizational goals, regulatory standards, and best practices.
The ideal candidate is a strong communicator and change leader with the ability to influence stakeholders, manage complex priorities, and deliver measurable results.
Key Responsibilities
Operational Leadership
- Direct and evaluate all case management functions, including care coordination, utilization review, and discharge planning
- Design and implement effective case management models, staffing structures, and workflows
- Oversee onboarding, training, and competency validation for team members
- Allocate resources to meet productivity, quality, and operational goals
Care Coordination & Patient Flow
- Ensure timely, effective, and compliant discharge planning processes
- Promote seamless coordination of care across departments and external providers
- Optimize clinical resource utilization to support patient outcomes and reduce length of stay
- Ensure accurate and complete documentation in accordance with regulatory standards
Quality & Performance Improvement
- Monitor departmental performance using data and key performance indicators
- Identify opportunities for improvement and implement sustainable process enhancements
- Drive initiatives to improve patient outcomes, efficiency, and compliance
- Ensure adherence to policies, procedures, and regulatory requirements
Financial & Strategic Collaboration
- Partner with finance and executive leadership to meet operational and financial targets
- Support cost-effective care delivery and resource management strategies
- Contribute to strategic planning and organizational initiatives
Stakeholder Engagement
- Build strong relationships with clinical and administrative leaders, including physician leadership and nursing
- Collaborate with interdisciplinary teams, external agencies, and community partners
- Serve as a subject matter expert in case management practices and regulatory standards
Leadership & Culture
- Lead, mentor, and develop a high-performing case management team
- Foster a culture of accountability, collaboration, and continuous improvement
- Demonstrate strong communication, conflict resolution, and change management skills
- Effectively manage multiple priorities in a dynamic healthcare environment
Additional Responsibilities
- Perform other duties as assigned
- Uphold professional, ethical, and organizational standards
Qualifications
Education
- Bachelor’s degree (required)
- Master’s degree in Nursing, Health Administration, Business Administration, or related field (preferred)
Licensure
- Active licensure as one of the following (required):
- Registered Nurse (RN)
- Licensed Clinical Social Worker (LCSW)
- Licensed Master Social Worker (LMSW)
Experience
- 3+ years of experience in acute care case management (preferred)
- 2+ years of leadership experience in case management or a related function (preferred)