Director of Nursing - Case Management

The Director of Case Management is responsible for the development of staff and systems to effectively operate a comprehensive Case Management Program. Provides leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. Assesses needs and plans, communicates and designs services that are appropriate to the hospital mission and patient/family needs. Integrates and coordinates services using continuous quality improvement tools.EDUCATION, EXPERIENCE, TRAINING Required qualifications: 1. Licensed clinician in your state. 2. Grandfathered prior to April 1, 2015. Minimum 5 years’ post graduate of an accredited school of Social Work for Licensed Clinical Social Worker.3. Minimum 5 years’ experience in a Case Management position.4. Must have analytical ability for problem identification and assessment and evaluation of data/statistics obtained from an on-going review process.5. Experience and knowledge in basic to intermediate computer skills.Preferred qualifications: 1. Certification in Case Management, BS or BSN or related field preferred.2. Current BCLS certificate preferred.3. Knowledge of Milliman Criteria and InterQual Criteria preferred.

Created: 2025-06-03