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Position Filled

Permanent

On-Site

Director of Case Management

Recruiter: Chris Curtis

Lousiville, KY

Job ID

6108CC

Industry

Healthcare

Specialty

Case Management

Experience level

Director

JOB BENEFITS

Competitive compensation based on skills and experience.

Comprehensive relocation support.

Medical, dental, and vision insurance.

YMCA membership for employee and family.

Retirement plan with 10% salary contribution by the Y.

403(b) and ROTH plan options.

Generous vacation, sick leave, and holiday allowances.

Access to training, professional development, and certifications.

Inclusive work environment promoting diversity, equity, and inclusion.

COMPANY DESCRIPTION

250-bed, not-for-profit acute care hospital experiencing rapid growth.

Opportunity to work within a well-established regional healthcare system.

Comprehensive benefits package, professional development support, and a collaborative team environment.

OVERVIEW

An exciting opportunity is available for an experienced Nurse Director of Case Management to lead a dynamic team in a growing acute care hospital. This role plays a critical part in optimizing patient care coordination, ensuring efficient utilization of resources, and enhancing overall hospital performance. Reporting directly to the Chief Medical Officer (CMO), this position oversees a dedicated team and drives initiatives that support high-quality patient outcomes.

QUALIFICATIONS

Provide administrative direction for Case Management, Discharge Planning, Utilization Review, and Social Services.
Manage denial and appeals processes for all payers, including federal and state RAC audits, conducting peer-to-peer reviews as needed.
Collaborate with Revenue Cycle and other hospital departments to ensure efficient resource utilization and financial integrity.
Lead a multidisciplinary team approach to patient care, ensuring timely and appropriate outcomes.
Develop and implement strategies to improve case management effectiveness and patient transition planning.
Monitor regulatory compliance and industry best practices to uphold hospital standards.
Provide leadership, mentorship, and professional development opportunities to a team of 40 FTEs.
Potential oversight of additional departments based on organizational structure.

KEY RESPONSIBILITIES

Provide administrative direction for Case Management, Discharge Planning, Utilization Review, and Social Services.
Manage denial and appeals processes for all payers, including federal and state RAC audits, conducting peer-to-peer reviews as needed.
Collaborate with Revenue Cycle and other hospital departments to ensure efficient resource utilization and financial integrity.
Lead a multidisciplinary team approach to patient care, ensuring timely and appropriate outcomes.
Develop and implement strategies to improve case management effectiveness and patient transition planning.
Monitor regulatory compliance and industry best practices to uphold hospital standards.
Provide leadership, mentorship, and professional development opportunities to a team of 40 FTEs.
Potential oversight of additional departments based on organizational structure.

845-290-1900

845-357-3355

info@merraine.com

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