Manager Of Case Management

Overview

• Lead the case management team in a dynamic healthcare environment, ensuring optimal patient care and resource utilization.
• Coordinate hospital-based case management activities to align with organizational goals and regulatory standards.
• Promote patient-centered care through effective supervision and administrative oversight.
• Serve as a clinical expert and resource for case management practices and policies.
• Monitor quality and compliance of case management documentation and assessments.
• Ensure effective care coordination across a 612-bed academic medical center and freestanding children’s hospital.
• Collaborate with multidisciplinary teams to achieve quality outcomes and patient throughput.
• Support professional development and training for case management staff.

Key Responsibilities & Duties

• Oversee daily operations of the case management program, ensuring alignment with hospital policies and regulations.
• Supervise and monitor the performance of case management professionals and support staff.
• Coordinate activities to promote quality outcomes and efficient patient throughput.
• Act as a subject-matter expert and advisor for case management practices.
• Ensure compliance with applicable regulations and guidelines in case management processes.
• Monitor and improve the quality of interactions, documentation, and assessments by the case management team.
• Collaborate with interdisciplinary teams to optimize resource utilization and patient care.
• Provide leadership and mentorship to enhance team performance and professional growth.

Job Requirements

• Bachelor’s Degree in Nursing or Master’s Degree in Social Work required.
• Current licensure as a Registered Nurse or Licensed Clinical Social Worker required.
• Minimum of 3 years of clinical nursing or hospital social work experience required.
• At least 2 years of supervisory or leadership experience in an acute care setting required.
• Certification in Case Management and/or InterQual preferred.
• Experience with InterQual or IQCI tools preferred.
• Strong knowledge of case management practices and healthcare regulations.
• Excellent leadership, communication, and organizational skills.