Director Case Management
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Overview
Job Description
Director Case Management Full-Time
• Location: Detroit, Michigan• Setting: Acute Care Hospital• Employment Type: Full-Time• Experience Level: Director Level
Guaranteed Hours 40 hours per week
Estimated Pay Rate $103,000 $155,000 annually
• Shift Information• Number of Shifts: 5 shifts per week• Shift Start Time: 08:00 AM• Shift End Time: 05:00 PM
Job Overview
We are seeking an experienced Director of Case Management to oversee hospital utilization management, transition management, care coordination, and operational leadership within a high-volume acute care hospital setting. This role is responsible for driving performance improvement, ensuring compliance with regulatory standards, and optimizing patient throughput and resource utilization.
The Director will lead multidisciplinary teams to ensure safe, efficient, and timely patient care delivery while supporting revenue cycle integrity, denial prevention, and hospital operational effectiveness.
Key Responsibilities
• Oversee Case Management Department operations and staffing• Lead utilization management and medical necessity review processes• Ensure compliance with CMS regulations and Joint Commission standards• Manage patient transition planning and discharge coordination• Monitor patient throughput, avoidable days, and length of stay metrics• Implement performance improvement and quality initiatives• Provide physician and staff education on utilization and documentation• Coordinate care across interdisciplinary hospital teams• Support revenue cycle processes and denial prevention efforts• Ensure regulatory compliance across all case management functions• Develop departmental goals, policies, and operational procedures• Participate in audits, compliance reviews, and reporting initiatives
Requirements
• Bachelor's degree in Nursing or health-related field (or equivalent experience) OR Master's in Social Work (MSW)• Active RN or LCSW/LMSW license in applicable state(s)• 3 5 years of acute hospital case management leadership experience• Hospital case management experience required
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