Director - Case Management

Healthcare Recruitment Partners•Kissimmee, FL

19h

About The Position

The Director of Case Management provides strategic leadership and operational oversight for the Case Management department. This role drives Care Coordination, Care Transitions, and compliance while aligning initiatives with the Divisional Director of Case Management. The Director works closely with leadership to implement corporate Case Management strategies and collaborates regularly with the CMO, CNO and CFO to ensure alignment and bidirectional communication.

Requirements

Registered Nurse (RN) required
BSN required
Director of Case Management experience in an Acute Care Jospital setting required
Progressive Case Management leadership responsibility

Nice To Haves

MSN preferred
ACM or CCM certification preferred

Responsibilities

Provides leadership and direction to Case Management managers, team leads, RN Case Managers, Social Workers, and assistants to ensure consistent clinical, service, and financial outcomes
Implement corporate Case Management strategies and best practices to optimize throughput, reduce length of stay, and improve discharge planning
Oversees daily operations, including care coordination, care transitions, and compliance with regulatory guidelines (CMS, Joint Commission, IMM/MOON)
Develops and monitors performance improvement initiatives, analyzes metrics (LOS, avoidable days, denials), and creates mitigation plans
Collaborate with physicians, nursing, and multidisciplinary teams to eliminate barriers, facilitate timely progression, and align care with patient needs
Escalates unresolved status conflicts or financial/operational concerns to Physician Advisor(s) as appropriate
Ensures regulatory compliance, survey readiness, and adherence to evidence-based standards
Manages department budget, staffing, recruitment, retention, and professional development
Fosters physician alignment, interdisciplinary cooperation, and a high-performance culture
Utilizes data analytics to drive decisions, identify variances, and implement process improvements