Director of Case Management

Executive Search Associates is partnering with a healthcare organization to identify an experienced Director of Case Management for an acute-care hospital in Illinois. This leadership role is ideal for an RN or LCSW with strong case management experience and a proven ability to improve patient throughput, resource utilization, care coordination, and discharge planning.

Description

The Director of Case Management will provide leadership and oversight for Case Management, Utilization Review, Social Work, Care Coordination, and Discharge Planning.

This leader will work closely with physicians, nursing, payers, and interdisciplinary teams to support effective resource utilization, improve patient flow and length of stay, reduce readmissions and denials, and ensure compliance with regulatory and payer requirements.

Responsibilities

Lead Case Management, Social Work, Utilization Review, Care Coordination, and Discharge Planning functions.

Develop and implement strategies to improve patient throughput and length of stay.

Support effective utilization management and resource allocation.

Lead initiatives focused on readmission reduction and denial prevention.

Partner with physicians, nursing, payers, and interdisciplinary teams to identify and remove barriers to care and discharge.

Monitor case management performance metrics and operational outcomes.

Lead quality and process improvement initiatives.

Ensure compliance with CMS, accreditation, regulatory, and payer requirements.

Promote effective communication and collaboration across clinical and administrative teams.

Requirements

Current RN or LCSW license in the state of practice.

Minimum of five years of case management experience.

For Licensed Clinical Social Workers, minimum of five years post-graduate from an accredited school of social work, or grandfathered prior to April 1, 2015.

Strong analytical skills with the ability to identify problems and evaluate performance data and statistics.

Basic to intermediate computer skills.

Case management certification preferred.

BS, BSN, or degree in a related field preferred.

Current BCLS certification preferred.

Knowledge of Milliman (MCG) and InterQual criteria preferred.

Contact

Are you an experienced healthcare case management leader with a strong understanding of patient flow, utilization, and care coordination? This role offers the opportunity to lead multidisciplinary teams and improve case management performance across an acute-care hospital.

At Executive Search Associates, our mission and our passion is bringing talented people together . For more information about this position or a confidential conversation about your career goals, CLICK HERE to schedule a meeting or contact Eric Falt at eric@letmeshutmydoor.com or 303-951-6378 .