Director of Case Management (RN)
Top Tier Reps LLC
- Ottumwa, IA
- Permanent
- Full-time
- Provide leadership and oversight for case management, discharge planning, and social work teams
- Develop and implement strategies to ensure effective utilization review, length of stay management, and care transitions
- Monitor regulatory compliance, accreditation standards, and internal policies related to case management and discharge planning
- Collaborate with physicians, nursing, and other departments to support patient-centered care and appropriate resource utilization
- Analyze data, generate reports, and present key metrics to executive leadership
- Foster professional development and ongoing education for department staff
- Serve as a liaison between the hospital, payers, community agencies, and post-acute providers
- Bachelor's degree in Nursing, Social Work, or a related field (Master’s preferred)
- Current RN or LMSW/LCSW license in [Insert State]
- 5+ years of case management experience in an acute care setting, including at least 2 years in a leadership role
- Deep understanding of case management processes, discharge planning, and payer requirements
- Strong interpersonal, organizational, and communication skills
- Working knowledge of CMS regulations, InterQual/MCG guidelines, and EMR systems
- Master’s degree in Nursing, Healthcare Administration, Social Work, or a related field
- ACM (Accredited Case Manager) or CCM (Certified Case Manager) certification
- Experience managing large, multidisciplinary teams
- Familiarity with Lean, Six Sigma, or other process improvement methodologies
- Competitive salary based on experience and qualifications
- Comprehensive benefits package, including:
- Medical, dental, and vision coverage
- Paid time off (PTO), holidays, and sick leave
- 401(k) with employer match
- Tuition reimbursement and continuing education support
- Leadership development programs
- Relocation assistance (if applicable)