Interim Director Of Case Management

Interim Director of Case Management Overview

• The Interim Director of Case Management will oversee care coordination and case management operations within a dynamic healthcare environment.
• Provide strategic leadership to multidisciplinary teams ensuring efficient patient flow and discharge planning processes.
• Develop and implement policies and procedures to optimize resource utilization and transitions of care.
• Collaborate with physicians, nursing leaders, and hospital executives to enhance patient outcomes and care delivery.
• Manage departmental budgets, staffing, and operational goals to maintain financial accountability.
• Advocate for patients and families, ensuring care plans address clinical, psychosocial, and financial needs.
• Lead initiatives to improve quality metrics, operational efficiency, and the overall patient experience.
• Support organizational goals involving value-based care, utilization management, and population health strategies.
• Ensure compliance with regulatory and accreditation requirements across care management services.

Interim Director of Case Management Key Responsibilities & Duties

• Oversee planning and implementation of care management services while ensuring regulatory compliance.
• Lead multidisciplinary teams in case management, social work, and utilization management.
• Develop departmental policies, procedures, and performance standards to optimize operations.
• Collaborate with stakeholders to improve patient outcomes and streamline care delivery processes.
• Monitor departmental quality, productivity, and performance metrics to identify improvement opportunities.
• Manage departmental budgets, reconcile variances, and ensure financial accountability.
• Evaluate alternatives to acute care considering clinical appropriateness and financial impact.
• Build relationships with payers, post-acute providers, and community resources.
• Advocate for patients and families, ensuring care plans address diverse needs effectively.

Interim Director of Case Management Job Requirements

• Bachelor’s degree in Nursing, Healthcare Administration, Social Work, or related field required.
• Active Texas RN license required, with significant hospital-based care management experience.
• Minimum of 7 years in healthcare/care management discipline and 5 years in leadership roles.
• Preferred qualifications include a Master’s degree and CCM or ACM certifications.
• Experience leading care management in large acute-care hospitals preferred.
• Strong understanding of regulatory and accreditation requirements in healthcare settings.
• Expertise in value-based care, utilization management, and population health initiatives.
• Proven ability to manage budgets, staffing, and operational goals effectively.
• Excellent leadership and communication skills to drive organizational success.