Director, Case Management (Registered Nurse)

Director, Case Management (Registered Nurse)Location: Mayfield, KentuckyEmployment Type: Full-TimeSchedule: Day ShiftThe Director of Case Management provides strategic and operational leadership for the Case Management Department, ensuring effective patient care coordination, utilization management, discharge planning, regulatory compliance, and departmental performance. The Director oversees staffing, budgeting, quality initiatives, patient satisfaction, and continuous process improvement while fostering a culture of collaboration and professional development.

Key Responsibilities

Direct daily Case Management department operations. Develop departmental goals, policies, and strategic initiatives. Lead utilization management and discharge planning programs. Ensure high-quality patient care coordination. Supervise hiring, onboarding, coaching, performance evaluations, and staff development. Manage departmental budgets and resource allocation. Coordinate internal and external audits. Monitor quality metrics and departmental performance. Implement evidence-based clinical practices. Manage patient complaints and service recovery. Collaborate with physicians, nursing leadership, and interdisciplinary teams. Ensure compliance with regulatory and accreditation requirements. Promote staff engagement and professional growth.

Required Qualifications

Active Registered Nurse (RN) License. Current Basic Life Support (BLS) Certification. Case Management experience in an acute care hospital. ACMA Accredited Case Manager Certification or ability to obtain within two (2) years of hire. Leadership experience within Hospital Case Management. Strong communication, organizational, and leadership skills.

Preferred Qualifications

Previous Director or Manager of Case Management experience. Utilization Review experience. Care Coordination leadership. Discharge Planning expertise. Hospital Operations leadership. Budget Management. Quality Improvement initiatives. Regulatory Compliance. Joint Commission experience. Interdisciplinary Team Leadership.

Recruiter Submission Template –

Full Name:Degree (Associate/Bachelor's/Master's in Nursing) – University & Completion Year:Current Registered Nurse (RN) License (State, License Number & Expiration Date):Current Basic Life Support (BLS) Certification (Expiration Date):ACMA Accredited Case Manager Certification (or expected completion date if not currently certified):Total Years of Hospital Case Management Experience:Total Years of Leadership Experience in Case Management:Do you have Hospital Case Management experience? (Yes/No – Details):Do you have leadership experience managing a Case Management department or team? (Yes/No – Details):Are you willing to obtain the ACMA Accredited Case Manager Certification within two years of hire if not currently certified? (Yes/No):Motivation / Reason for Relocation (if not local):Motivation / Reason for interest in this position:Contact Number:Email ID:LinkedIn Profile URL:Full Address (Street, City, State, ZIP Code):Notice Period (in weeks):Current Work Authorization Status:Expected Salary:Are you able to relocate on your own expense and work onsite in Mayfield, KY? (Yes/No):