Registered Nurse Director Of Case Management

Overview

• Lead the Case Management department, ensuring effective patient care transitions and cost-efficient operations.
• Collaborate with senior leadership to align departmental goals with organizational objectives.
• Oversee clinical, financial, quality, and HR management within the department.
• Implement and maintain programs to enhance patient management and care continuity.
• Manage a team of RNs, Social Workers, and administrative support staff.
• Ensure compliance with healthcare regulations and standards.
• Promote education and professional development within the department.
• Monitor and evaluate departmental performance metrics and outcomes.
• Foster a culture of excellence and continuous improvement in patient care.

Key Responsibilities & Duties

• Develop and implement strategic plans for the Case Management department.
• Coordinate patient care transitions across the continuum of care.
• Supervise and mentor departmental staff, ensuring high performance and engagement.
• Collaborate with interdisciplinary teams to optimize patient outcomes.
• Monitor departmental budgets and financial performance.
• Ensure compliance with healthcare laws, regulations, and accreditation standards.
• Conduct regular performance reviews and provide constructive feedback to staff.
• Implement quality improvement initiatives to enhance patient care and departmental efficiency.
• Represent the department in organizational meetings and initiatives.

Job Requirements

• Bachelor of Science in Nursing (BSN) required; advanced degree preferred.
• Current RN license in New Mexico or compact license mandatory.
• Minimum of 3 years of experience in utilization and case management.
• At least 2 years of leadership experience in a healthcare setting.
• Certification as CCM or ACM preferred; InterQual certification desirable.
• Strong knowledge of healthcare regulations and standards.
• Excellent communication, organizational, and leadership skills.
• Ability to manage budgets and financial performance effectively.
• Proven track record in implementing quality improvement initiatives.