Director of Case Management | $145K + Relocation | Rutherfordton, NC

Title: Director of Case Management
Level: Mid-Level
Location: Rutherfordton, NC (On-Site)
Travel: Not required
Visa Support: Not available
Relocation Support: Full
Compensation: $102,000 - $145,000 per year
Sign-On Bonus: Negotiable

Position Overview

The Director of Case Management is responsible for overseeing case management functions, including clinical resource management, discharge planning, patient advocacy, and medical necessity determination. This role ensures that care management aligns with utilization review plans and regulatory standards, while optimizing patient outcomes and hospital resources.

Key Responsibilities

• Lead and manage case management operations, ensuring effective planning, staffing, and performance improvement initiatives.

• Oversee care coordination in alignment with hospital policies, medical group requirements, and state/federal regulations.

• Collaborate with physicians, administrators, and healthcare teams to enhance care management and streamline patient transitions.

• Develop departmental goals and objectives that support the hospital's strategic plan.

• Ensure compliance with payer requirements, regulatory agencies, and care management standards (Joint Commission, CMS, AHCA, etc.).

• Educate and mentor staff on utilization review processes, length of stay (LOS) standards, and regulatory requirements.

• Optimize resource utilization and reimbursement processes to enhance hospital efficiency and financial performance.

• Lead efforts to improve care coordination across the healthcare continuum.

Must-Have Qualifications

• Associate’s Degree in Nursing (ADN) required

• Current RN license in North Carolina (or multi-state compact license)

• BLS Certification required

• CCM Certification (must be obtained within the first year of employment)

Nice-to-Have Qualifications

• Bachelor’s Degree in Nursing (BSN) or Master’s Degree in a related field

• ACMA Certification preferred

Required Experience & Skills

• 3+ years of RN experience in acute care and/or care coordination

• 3+ years of management experience preferred

• Strong knowledge of care management, discharge planning, Medicare/Medicaid regulations, and payer requirements

• Experience with Interqual criteria, finance/budgeting, and government billing regulations

• Excellent communication and leadership skills, with the ability to educate and mentor staff

• Strong analytical and problem-solving abilities in a fast-paced healthcare environment

Why Join Us?

• Comprehensive Benefits: Medical, dental, vision, and 401(k)

• Paid Time Off & Extended Illness Bank

• Tuition Reimbursement & Professional Development opportunities

• Leadership Role in a highly respected healthcare organization

Director of Case Management – RN Leadership Role | Hickory, NC

Title: Director of Case Management
Level: Senior
Reports To: CFO
Vacancies: 1
Location: Hickory, NC (On-site)
Travel Required: No
Visa Support: Not available

Compensation

• Salary Range: $111,300 - $150,238

• Signing Bonus: No

• Relocation Package: None

Must-Have Qualifications:

1. Associate’s Degree in Nursing

2. Current RN license to practice in North Carolina

3. Strong critical thinking, decisive judgment, and ability to work independently in high-pressure situations

Nice-to-Have Qualifications:

1. Bachelor’s Degree in Nursing or Master’s Degree in a related field

2. Minimum of 3 years of management experience

Job Summary:

The Director of Case Management oversees case management operations, including clinical resource management, discharge planning, patient advocacy, social work, and medical necessity reviews. This role ensures alignment with utilization review plans, resource optimization, and adherence to patient length-of-stay guidelines.

Key Responsibilities:

• Develops and implements departmental goals and standards in alignment with organizational objectives.

• Manages and evaluates patient care delivery, information systems, and service levels.

• Oversees staffing, hiring, performance evaluations, and ongoing education initiatives.

• Manages departmental budgets, ensuring compliance with financial guidelines.

• Leads internal and external audits and regulatory reporting processes.

• Fosters a professional growth environment and integrates evidence-based practices into clinical protocols.

• Directs performance improvement initiatives, including length-of-stay optimization and reporting.

Required Skills:

• Strong leadership and team management abilities.

• Expertise in case management, utilization review, and discharge planning.

• Budgeting and financial oversight experience.

• Ability to drive operational efficiency and regulatory compliance.

Director of Case Management – Critical Care | Fort Mohave, AZ | $150K+ Salary

Job Title: Director of Case Management
Location: Fort Mohave, AZ (On-Site)
Seniority Level: Senior

Job Overview:

A healthcare organization is seeking a Director of Case Management to lead patient care coordination and discharge planning. This role supports strategic initiatives, enhances patient management quality, and promotes cost-effective care. The ideal candidate will have a background in critical care hospital leadership, strong resource utilization skills, and experience in case management.

Key Responsibilities:

• Provide leadership in case management, utilization review, and discharge planning.

• Develop and implement departmental goals and objectives aligned with organizational strategy.

• Collaborate with healthcare teams, external agencies, and service providers to ensure efficient patient care transitions.

• Conduct concurrent medical record reviews and ensure compliance with regulations (TJC, CMS, state agencies).

• Serve as a patient advocate, investigating adverse occurrences and educating staff on resource utilization.

• Facilitate interdisciplinary rounds and family education to optimize post-hospital care.

• Evaluate patient satisfaction and ensure high-quality care throughout the continuum.

• Develop and execute policies and protocols for patient care and case management.

• Provide guidance in handling complex cases and social service provisions.

Qualifications:

Must-Haves:

• Bachelor’s degree in Nursing (BSN) or higher.

• BLS certification required upon hire.

• Registered Nurse (RN) license in Arizona or Compact State.

• Minimum of 2 years as a Director of Case Management in a critical care hospital.

Preferred:

• CCM or ACM Certification.

• Master’s degree in a relevant field.

• 5+ years of experience in Case Management leadership or upper management in a critical care hospital.

Compensation & Benefits:

• Base Salary: $118,000 – $150,000

• Sign-on Bonus: $20,000 (with a 3-year commitment)

• Relocation Assistance: $5,000

• Full Benefits Package

Interview Process:

1. Initial screening by HR and Hiring Manager.

2. Application submission.

3. First interview with CNO.

4. Second interview with Executive Team.

5. Site visit and final interview.

Screening Questions:

• What made you interested in this position?

• What is most important to you in a job?

• Describe recent accomplishments relevant to this role.

• How would you describe your leadership style?

Equal Opportunity Employer Statement:
This company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.