Overview Job Summary Case Management Director-RN oversees a staff of case management RNs, LPNs, Social Workers, and/or Case Management Assistants responsible for patient care coordination, discharge planning, utilization review, and social services. The director ensures alignment of objectives and initiative to support organizational goals. A Case Management Director-RN evaluates patient care data to ensure that care is provided in accordance with clinical guideline and organizational standards.
Responsibilities - Oversees transition management and discharge planning to promote length of stay, care coordination, and patient flow.
- Ensures consistency in workflows, documentation, quality, and outcomes of the department.
- Participates and supports readmission reduction strategies.
- Contributes to overall quality, patient satisfaction, and financial goals.
- Works with medical staff, nursing, administration, and other disciplines to improve care, reduce waste, increase efficiency, and achieve optimal outcomes.
- Supports revenue cycle activities supporting utilization review, medical necessity, payor requirements, and denial prevention.
- Ensures compliance with state and federal regulatory requirements, TJC accreditation standards, and CMS requirements.
- Accountable for budgeting and financial performance of the department.
- Interviews, hires, trains, and supervises of all employees of the department.
- Provides opportunity for professional growth through continued education and training.
- Performs other duties as assigned while supporting the mission, vision, and values to enhance quality, utilization, service delivery, and customer satisfaction.
Specifications Experience Minimum Required - 5 years acute care nursing; 2 years of case management
Preferred/Desired Education Minimum Required - Bachelors Degree as Registered Nurse
Preferred/Desired - Master's degree as Registered Nurse
Training Minimum Required Preferred/Desired Special Skills Minimum Required Preferred/Desired Licensure Minimum Required - Current RN licenses in state which practicing
Preferred/Desired 
