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 • Management experience 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