CrawlJobs Logo

Director, RN Case Management

innovage.com Logo

InnovAge

Location Icon

Location:
United States , Denver, Colorado

Category Icon
Category:
Nursing

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

115700.00 - 150500.00 USD / Year
Save Job
Save Icon
Apply Position

Job Description:

The Director, RN Case Management provides strategic and operational leadership for InnovAge’s RN Case Management division, overseeing all inpatient care coordination, post-acute transitions, utilization management, and related workflows across the PACE program. The Director reports to the VP of Nursing Operations and leads the RN Case Management team, ensuring compliance with regulatory requirements, operational excellence, and alignment with InnovAge’s mission and care model. This role ensures high-quality participant outcomes, efficient care transitions, and consistent application of case management standards. The Director actively partners with interdisciplinary teams, facility leaders, and community partners to optimize participant health outcomes and minimize unnecessary hospital readmissions.

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
  • Ensures RN Case Management workflows comply with all federal and state regulations and PACE requirements
  • Partners with QA, Compliance, and Center Operations on audits, corrective action plans, monitoring, and documentation standards
  • Ensures appropriate and compliant review of medical necessity, levels of care, discharge planning, and utilization standards
  • Builds and maintains strong relationships with hospitals, SNFs, and community-based partners to enhance transitional care pathways
  • Supports market teams in preparing for enrollment growth, expansion, and network development through standardized case management practices
  • Represents the RN Case Management division in external partner discussions, strengthening care coordination channels
  • Monitors participant retention and collaborates on strategies to address barriers related to post-acute care experiences
  • Oversees performance related to ED/IP utilization, SNF days, and avoidable hospital readmissions
  • Reviews utilization data and trends to identify opportunities for efficiency, improved care transitions, and cost stewardship
  • Partners with Finance, Population Health, and Transformation teams to analyze drivers of cost and implement interventions to improve performance and reduce unnecessary utilization

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

Nice to have:

  • 3+ years of experience coordinating care and discharge planning
  • 3+ years of experience in geriatrics or value-based care models
  • Certification as a Gerontological Nurse or related specialty
  • Bilingual preferred
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

Additional Information:

Job Posted:
February 14, 2026

Employment Type:
Fulltime
Work Type:
Remote work
Icon
InnovAge - All Job Offers
Job Link Share:
Copy Link Icon
Facebook Icon Twitter Icon LinkedIn Icon

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Director, RN Case Management

Embedded Transitional Care Manager RN

Oak Street Health takes a team-based approach to providing outstanding patient c...
Location
Location
United States , Rockford
Salary
Salary:
66575.00 - 142576.00 USD / Year
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • An active RN license within the state of practice in good standing
  • Willingness to obtain cross-state licensure, as needed
  • Certified Case Manager (CCM) or equivalent case management certification required, or willingness to obtain within 12 months of hire
  • 2+ years’ experience in transitional nursing, discharge planning, nursing case management, or home health
  • Experience in utilization management preferred
  • Knowledge of Medicare/Medicaid and NCQA regulatory transitions of care criteria
  • Exceptional communication skills and customer service orientation
  • Innovative and independent problem solving skills
  • Ability to monitor and evaluate opportunities for cost-effective care options with high-quality outcomes
  • Spanish-speaking preferred but not required
Job Responsibility
Job Responsibility
  • Manage patients through transitions of care
  • Advocate for the patient throughout the care continuum
  • Identify opportunities for improved program workflows
  • Maintain real-time and accurate records of patient status
  • Adhere to CMS, state specific and NCQA compliance criteria
  • Evaluate patient status post-ED visit or observation stay
  • Triage to determine appropriate follow up care
  • Engage directly with inpatient physicians, case managers, medical directors, and hospitalists
  • Coordinate with the Utilization Management team
  • Conduct structured clinical assessment to identify post-discharge needs
What we offer
What we offer
  • Paid vacation, sick time, and investment/retirement 401K match options
  • Health insurance, vision, and dental benefits
  • Affordable medical plan options
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access
  • Fulltime
Read More
Arrow Right

Prn/rn case manager

Arcadia Homecare & Staffing is seeking a Registered Nurse (RN) for case manageme...
Location
Location
United States , Independence
Salary
Salary:
30.00 - 45.00 USD / Hour
arcadiahomecare.com Logo
Arcadia Home Care and Staffing - an Addus family company
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Registered Nurse (RN)
  • Provides supervision and staff development assistance for all direct reports as assigned by the Program Director
  • Evaluates clinical performance of all staff under oversight of Program Director
  • Provides clinical assessments for incoming clients
  • Manages appropriate patient care assignment based on the competency of staff, acuity of clients, and continuity of care
Job Responsibility
Job Responsibility
  • Provides supervision and staff development assistance for all direct reports as assigned by the Program Director
  • Evaluates clinical performance of all staff under oversight of Program Director
  • Provides clinical assessments for incoming clients
  • Manages appropriate patient care assignment based on the competency of staff, acuity of clients, and continuity of care
What we offer
What we offer
  • 401(k)
  • Dental insurance
  • Flexible schedule
  • Health insurance
  • Vision insurance
  • Fulltime
Read More
Arrow Right

Integrated Care Manager

Responsible for promoting continuity of care through a collaborative process tha...
Location
Location
United States , Phoenix
Salary
Salary:
Not provided
azblue.com Logo
Blue Cross Blue Shield of Arizona
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
  • Associate’s Degree in general field of study or Post High School Nursing Diploma or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D
  • Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN
  • Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications
  • Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC).
Job Responsibility
Job Responsibility
  • Assess and collect data related to the member from all care settings. Interview and collaborate with case-related providers, member and family to implement the care plan
  • Answer a diverse and high volume of health insurance related customer calls on a daily basis
  • Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc
  • Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests
  • Present status reports on all cases to the manager/supervisor and, when indicated, to the medical director
  • Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
  • Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines
  • Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements
  • Maintain complete and accurate records per department policy
  • Demonstrate ability to apply plan policies and procedures effectively
  • Fulltime
Read More
Arrow Right

Acute Care Case Management Manager

Join our team as a day shift, full-time, Acute Care Case Management Manager in T...
Location
Location
United States , Tulsa
Salary
Salary:
Not provided
ardenthealth.com Logo
Ardent Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • RN, Associates degree in nursing or higher
  • Social Work degree, BSW or higher
  • 1+ years’ experience in a case management leadership role
Job Responsibility
Job Responsibility
  • Assisting the case management director with hospital case management, social work, transition management and operational management of the case management department
What we offer
What we offer
  • Career growth opportunities
  • Tuition assistance
  • Resources that support wellness, education, and financial well-being
  • Paid time off
  • Comprehensive health benefits
  • Supportive, inclusive culture
  • Advanced technology
  • Fulltime
Read More
Arrow Right

Integrated Care Manager - Adult

Responsible for promoting continuity of care through a collaborative process tha...
Location
Location
United States , Phoenix
Salary
Salary:
Not provided
azblue.com Logo
Blue Cross Blue Shield of Arizona
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
  • Associate’s Degree in general field of study or Post High School Nursing Diploma or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D
  • Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN
  • Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications
  • Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC)
  • Intermediate PC proficiency
  • Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
  • Intermediate skill in word processing, spreadsheet, and database software
  • Maintain confidentiality and privacy
  • Advanced and current clinical knowledge
Job Responsibility
Job Responsibility
  • Assess and collect data related to the member from all care settings. Interview and collaborate with case-related providers, member and family to implement the care plan
  • Answer a diverse and high volume of health insurance related customer calls on a daily basis
  • Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc
  • Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests
  • Present status reports on all cases to the manager/supervisor and, when indicated, to the medical director
  • Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
  • Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines
  • Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements
  • Maintain complete and accurate records per department policy
  • Demonstrate ability to apply plan policies and procedures effectively
  • Fulltime
Read More
Arrow Right

Director of Case Management

Join our team as a day shift, full-time, Director of Case Management in Tulsa, O...
Location
Location
United States , Tulsa
Salary
Salary:
Not provided
ardenthealth.com Logo
Ardent Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • RN, Associates degree in nursing or higher
  • Social Work degree, BSW or higher
  • 3+ years’ experience in a case management leadership role
Job Responsibility
Job Responsibility
  • Overall responsibility for hospital case management, social work, transition management and operational management of the case management department
  • Promote effective utilization of hospital resources
  • Collaboration with healthcare partners for timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput
  • Compliance with all state and federal regulations related to case management services
What we offer
What we offer
  • Career growth opportunities
  • Tuition assistance
  • Resources that support wellness, education, and financial well-being
  • Paid time off
  • Comprehensive health benefits
  • Supportive, inclusive culture
  • Advanced technology
  • Fulltime
Read More
Arrow Right

Rare Condition Manager

To support high-quality, cost-effective care by coordinating services for member...
Location
Location
United States , Phoenix
Salary
Salary:
Not provided
azblue.com Logo
Blue Cross Blue Shield of Arizona
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
  • Associate’s Degree in general field of study or Post High School Nursing Diploma
  • Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN
  • Intermediate PC proficiency
  • Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
  • Intermediate skill in word processing, spreadsheet, and database software
  • Maintain confidentiality and privacy
  • Advanced and current clinical knowledge
  • Practice interpersonal and active listening skills to achieve customer satisfaction
  • Interpret and translate policies, procedures, programs, and guidelines
Job Responsibility
Job Responsibility
  • Perform assessments, condition management education, training, and other clinically-based activities to coordinate care among providers, members, and family to implement the care plan
  • Make and answer a diverse and high volume of condition management-related member calls on a daily basis
  • Identify holistic member needs considering whole-person health, to include condition-specific needs, behavioral health needs, and social drivers of health needs
  • Analyze medical records, claims data, and other information sources
  • Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, BCBSAZ programs, provider networks, etc
  • Present status reports on cases to the manager/supervisor and, when indicated, to the medical director
  • Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
  • Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines
  • Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements
  • Maintain complete and accurate records per department policy
  • Fulltime
Read More
Arrow Right

Case Management Director

As the Director of Case Management at Encompass Health, you have the unique oppo...
Location
Location
United States , Ludlow
Salary
Salary:
Not provided
encompasshealth.com Logo
Encompass Health
Expiration Date
Until further notice
Flip Icon
Requirements
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
Job Responsibility
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
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
Read More
Arrow Right
Jobs by Category
Art and Entertainment Jobs Banking Jobs Call Center Jobs Construction Jobs Consulting Jobs Customer Service Jobs Education Jobs Energy Jobs Finance Jobs Gastronomy Jobs Health and Beauty Jobs Hospitality and Tourism Jobs Human Resources Jobs Insurance Jobs IT - Administration Jobs IT - Software Development Jobs Legal Jobs Logistics Jobs Manufacturing Jobs Marketing, Digital Marketing, SEO, SEM Jobs Media Jobs Nursing Jobs Office Administration Jobs Pharmacy Jobs Physical Work Jobs Public Relations Jobs Public Sector Jobs Purchasing Jobs Quality Control Jobs Real Estate Jobs Research and Development Jobs Sales Jobs
Job Positions Jobs by Country
United States Jobs United Kingdom Jobs India Jobs Canada Jobs Australia Jobs Germany Jobs Ireland Jobs Poland Jobs
Company
Blog About Us Contact
Follow Us
Facebook
X (Twitter)
LinkedIn
Instagram
CrawlJobs Group
ITFlashcards AllDevBlogs
© 2026 CrawlJobs Ltd. All Rights Reserved
Terms & Conditions Privacy Policy