Director - Case Management Job at Memorial Healthcare System (Pembroke Pines)

Director - Case Management

The Director of Case Management is responsible for the assessment, planning, coo...

Location

United States , Las Vegas

Salary:

116100.00 - 153800.00 USD / Year

Summerlin Hospital Medical Center

Expiration Date

Until further notice

Requirements

Licensed Social Worker, MSW required OR Graduate of an accredited school of Nursing, BSN required
Master's preferred
Minimum of five (5) years clinical experience required
Minimum of two (2) years progressive management experience required
Must have knowledge of social and physical factors that affect functional status at discharge
Must have knowledge of community resources to meet post discharge clinical and social needs
Has a current Social Worker OR Registered Nurse license in the State of Nevada
Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patient
Full knowledge of pertinent regulatory agencies and the policies, codes, standards, and regulations for a healthcare environment

Job Responsibility

Assessment, planning, coordination, development and evaluation of the Case Management program
Accountable for the assessment and monitoring of the care and services rendered by the department staff
Responsible for staffing levels, competency and educational needs of the case management staff
Provides consultation and education to facility leadership, clinical and financial personnel and medical staff members related to case management, utilization and discharge planning practices
Ensures compliance with local, state, federal and private agencies as relates to Case Management and Utilization Management
Provides leadership in the fulfillment of UHS/VHS driven initiatives and expectations

What we offer

Challenging and rewarding work environment
Comprehensive education and training center
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
401(K) with company match and discounted stock plan
Career opportunities within VHS and UHS Subsidies

Fulltime

Director, Case Management

Director, Case Management, Baptist Jacksonville The Director of Case Management...

Location

United States , Jacksonville

Salary:

Not provided

Baptist Health (Florida)

Expiration Date

Until further notice

Requirements

Progressive leadership experience in Case Management, Care Coordination, or Utilization Management within an acute care healthcare environment required
Experience leading inpatient Case Management teams and operational initiatives required
Demonstrated experience with throughput management, discharge planning, length of stay reduction, and readmission prevention initiatives preferred
Strong operational, strategic, and interdisciplinary leadership experience required
Master’s degree in Nursing, Healthcare Administration, Social Work, or related healthcare field required
Current applicable clinical licensure preferred
ACM, CCM, or related Case Management certification preferred
Registered Nurse (RN) - State Nursing Boards
MS preferred

Job Responsibility

Provide strategic and operational leadership for the system-wide inpatient Case Management program across adult hospital campuses
Lead, mentor, and support Managers of Inpatient Case Management while promoting accountability and leadership development
Drive initiatives focused on patient throughput, length of stay reduction, readmission prevention, discharge planning, and capacity management
Collaborate with Social Services leadership to implement integrated, team-based care coordination models
Partner with hospital and health system leadership to improve operational efficiency and patient outcomes
Ensure compliance with regulatory standards, accreditation requirements, and organizational policies related to care coordination and case management
Support patient-centered care transitions and continuity of care across the healthcare continuum
Analyze operational and quality metrics to identify opportunities for process improvement and performance optimization
Foster a culture of collaboration, accountability, service excellence, and continuous improvement

Fulltime

Case Management Director

As the Director of Case Management at Encompass Health, you have the unique oppo...

Location

United States , Lakeland

Salary:

Not provided

Encompass Health

Expiration Date

Until further notice

Requirements

Current CCM® or ACMTM certification is preferred
Must be qualified to independently complete an assessment within the scope of practice of his/her discipline
If licensure is required for the discipline within the hospital's state, individual must hold an active license
For Nursing, must possess bachelor's degree in nursing (BSN) with RN licensure
For other eligible health care professionals, must possess a minimum of a bachelor's degree
a graduate degree is preferred
Three years of hospital-based Case Management experience, including Utilization Review and Discharge Planning experience
May be required to work weekdays and/or weekends, evenings and/or night shifts
May be required to work on religious and/or legal holidays on scheduled days/shifts

Job Responsibility

Assume responsibility for the day-to-day operations and human resource management of the Case Management department
Oversee the interdisciplinary plan of care and the discharge planning process to ensure the effectiveness and appropriateness of services with a central focus on census management, patient care outcomes, and key care indicators
Act as a patient and family advocate, ensuring that services are delivered to meet the needs of patients and their families
Provide guidance and support to Case Managers and other staff, including training on managing caseloads and interpreting regulations, policies, operational procedures, and objectives
Review operations to ensure a high level of quality consistent with organizational standards
Build relationships with insurance companies, self-insured employers, case management firms, and other healthcare networks
Celebrate the accomplishments and successes of our dedicated employees along the way

What we offer

Affordable medical, dental, and vision plans for both full-time and part-time employees and their families
Generous paid time off that accrues over time
Opportunities for tuition reimbursement and continuing education
Company-matching 401(k) and employee stock purchase plans
Flexible spending and health savings accounts
A vibrant community of individuals passionate about the work they do

Fulltime

Medical Director of Case Management and Utilization Review

The Medical Director of Case Management and Utilization Review leads the hospita...

Location

United States , Miramar

Salary:

Not provided

Memorial Healthcare System

Expiration Date

Until further notice

Requirements

Medical Doctor (Required)
Medical Doctor License (ME LICENSE) - State of Florida (FL)
Osteopathic Physician License (OS LICENSE) - State of Florida (FL)
Extensive experience in one or more branches of medicine or surgery
at least, five (5) post-training years of medical staff organization/administrative experience in a large acute care hospital
Graduate of a medical school approved by the Council on Medical Education of the American Medical Association
Excellent customer service and interpersonal skills
Able to effectively present information, both formal and informal
Strong written and verbal communications skills with all levels of internal and external customers
Strong analytical skills

Job Responsibility

Supports education and clinical documentation improvement
Leads Complex Care Management
Leads hospital initiatives to reduce complex patient length of stay
Makes decisions on referred individual patient cases regarding pre-admission authorization, medical necessity and services/setting, appropriateness of admission, and continuation stay
Provides peer review services for medical necessity of admission or continued stay
Supports the Senior Medical Director in Medical Staff Education
Assists physicians in improving the quality of their medical necessity documentation
Serves as liaison to insurance companies for prior authorizations and removes barriers to discharge
Supports case management by attending interdisciplinary rounds (IDR) and provides feedback and suggestions to physicians and CMs
Serves as liaison to case management, social workers, nursing staff, individual physicians, and the medical staff

Fulltime

Director, RN Case Management

The Director, RN Case Management provides strategic and operational leadership f...

Location

United States , Denver, Colorado

Salary:

115700.00 - 150500.00 USD / Year

InnovAge

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Nursing (BSN)
Current state-issued Registered Nurse (RN) license
5+ years of experience in acute care coordination, case management, or discharge planning
2+ years of leadership or supervisory experience in a clinical setting
Demonstrated success in performance management, operational execution, and cross-functional collaboration
Experience in quality improvement, compliance adherence, or care coordination oversight

Job Responsibility

Leads, develops, and supports RN Case Managers, including recruitment, onboarding, coaching, and performance management
Establishes division-wide workflows, standards, and best practices for acute and post-acute care coordination
Partners with the VP of Nursing Operations and clinical leadership to implement staffing strategies, workload balancing, and coverage expectations for case management services
Oversees daily operational execution of case management functions, ensuring timely coordination, documentation, and communication across care teams
Ensures RNs receive training and ongoing development to maintain clinical competency in transitional care and utilization management
Oversees the experience of participants during hospitalization and post-acute stays, ensuring high-quality transitions and strong communication
Responds to escalated participant concerns in coordination with Center Directors, providers, and Quality teams
Ensures RN Case Managers collaborate effectively with participants, families, caregivers, and IDT members to support person-centered care plans
Monitors service KPIs and drives improvements in communication, responsiveness, and participant satisfaction during transitional care periods
Ensures division performance aligns with quality metrics related to readmissions, skilled days, length of stay, and transition-of-care outcomes

What we offer

medical/dental/vision insurance
short and long-term disability
life insurance and AD&D
supplemental life insurance
flexible spending accounts
401(k) savings
paid time off
company-paid holidays

Fulltime

Director, Inpatient Oncology Nurse Case Management

The Director of Inpatient Oncology Nurse Case Management is responsible for the ...

Location

United States , Cambridge

Salary:

180000.00 - 230200.00 USD / Year

Dana-Farber Cancer Institute

Expiration Date

Until further notice

Requirements

Master's Degree
Bachelor's and Master's degrees required, one of which must be in Nursing
Registered nurse with 3-5 years' experience in case management with progressive administrative experience
Licensed as a Registered Nurse in the Commonwealth of Massachusetts and or New Hampshire as applicable

Job Responsibility

Leadership and Team Management
Collaborative Care Coordination
Change Management, Innovation, Quality Improvement
Promote a Culture of Patient-Centered Care

Fulltime

Director of Product Management - Incentive Compensation Management (ICM)

CaptivateIQ is looking for a Director of Product Management to lead the end-to-e...

Location

United States; Canada , Menlo Park; Austin; Raleigh; Nashville; Toronto

Salary:

212120.00 - 300419.00 USD / Year

CaptivateIQ

Expiration Date

Until further notice

Requirements

4+ years leading PMs and shaping complex systems
Deep understanding of financial, modeling, or operational platforms where correctness, scale, and usability intersect
Demonstrated ability to build scalable systems and abstractions that serve multiple use cases and stakeholders
Strong cross-functional instincts - able to bring together Engineering, Design, Sales, and CX around shared context and goals
A coaching mindset
you invest in developing people’s judgment, not just their execution
Clear, structured thinking - you simplify complexity without losing nuance
Passion for creating environments where product teams do their best, most thoughtful work

Job Responsibility

Own the ICM product strategy and roadmap
Model hands-on product leadership
Foster a culture of deep collaboration
Promote intra-team and cross-functional collaboration
Build for leverage
Scale enterprise readiness
Develop system thinkers
Drive measurable impact

What we offer

(US-ONLY) 100% of medical, dental, and vision covered including 75% for dependents
Flexible vacation days and quarterly mental health days so you can recharge
(US-ONLY) 401k plan to participate in and save towards the future
Newest Apple products to help you do your best work
Employee Resource Groups (ERGs) to support and celebrate the shared identities and life experiences of communities within CaptivateIQ

Fulltime

Manager, Inpatient Case Management

We are seeking a dedicated and experienced Manager of Inpatient Case Management ...

Location

United States , Jacksonville

Salary:

Not provided

Baptist Health (Florida)

Expiration Date

Until further notice

Requirements

3–5 years of related experience in case management or healthcare leadership
Bachelor of Science in Nursing (BSN) — required
Active Licensed Registered Nurse (RN) — required
Master of Science in Nursing (MSN) — preferred

Job Responsibility

Oversee daily operations of inpatient care management teams, including social workers and nurses, across adult, pediatric, and BMDA facilities
Provide leadership, guidance, and performance management for multidisciplinary staff
Report directly to the Executive Director of Care Coordination
Manage operations for Baptist South campus
Ensure compliance with organizational standards, regulatory requirements, and best practices in care coordination

Fulltime

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Director - Case Management

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