Nurse Director Case Management

Overview

• Provide strategic leadership for care management functions, including case management, utilization management, and discharge planning.
• Ensure patient outcomes, satisfaction, and care continuum utilization meet or exceed benchmarks.
• Develop and execute strategic plans aligned with organizational goals and the Triple Aim.
• Collaborate with physicians and medical staff to promote regulatory compliance and utilization practices.
• Lead initiatives to improve quality, outcomes, and patient experience across care delivery.
• Supervise and develop leaders and caregivers, fostering a culture of collaboration and excellence.
• Manage departmental budgets, staffing plans, and operational metrics for financial stewardship.
• Ensure compliance with licensing, accreditation, and regulatory standards.

Key Responsibilities & Duties

• Oversee care transitions, utilization management, and discharge planning processes.
• Monitor departmental performance metrics and address operational challenges proactively.
• Recruit, mentor, and retain high-performing teams within areas of responsibility.
• Collaborate with community care partners to enhance patient care coordination.
• Develop annual strategic work plans to achieve clinical, administrative, and financial objectives.
• Lead reporting efforts regarding care management outcomes and performance.
• Ensure responsible utilization of resources while maintaining quality outcomes.
• Participate in hospital and medical staff committees as required.

Job Requirements

• Bachelor's degree in nursing and a master's degree in a health-related field.
• Minimum of 2 years of care management experience in an acute-care setting.
• At least 2 years of healthcare leadership experience related to case management.
• Active California Registered Nurse (RN) License.
• California Fire and Life Safety Card within 30 days of hire.
• Proficiency in Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook.
• Strong knowledge of acute-care case management principles and practices.
• Ability to manage multiple priorities in a fast-paced healthcare environment.