Director of Case Management

Job description

Job Type: Full-time
Job Title: Director Case Management Location: Memphis, TN Job Type: Full-Time Work Model: Onsite The Director of Case Management is responsible for the overall leadership and operational management of hospital case management services, including utilization management, transition management, patient throughput, denial prevention, and compliance oversight. This leadership role ensures effective utilization of hospital resources, timely and accurate revenue cycle processes, safe patient transitions, and compliance with CMS regulations, TJC accreditation standards, and organizational policies. The ideal candidate will bring strong acute care hospital case management leadership experience with expertise in utilization review, care coordination, and interdisciplinary collaboration. Work Environment Hospital-based leadership role Fast-paced acute care environment Direct collaboration with physicians, nursing leadership, social work teams, and executive leadership Oversight of utilization management, care coordination, and transition planning operations Focus on operational efficiency, compliance, and patient throughput Must-Have Qualifications Bachelor’s Degree in: Nursing Business Healthcare Administration OR Master’s Degree in Social Work (for MSW candidates) Minimum 3 years of acute hospital case management or healthcare leadership experience Active RN or LCSW/LMSW license Current licensure in applicable state(s) as required by law or organizational policy Strong understanding of: Utilization Management Care Coordination Transition Management Revenue Cycle Processes CMS Regulations TJC Accreditation Standards Strong leadership, operational, and communication skills Core Skills Hospital Case Management Utilization Management Care Coordination Transition Management Revenue Cycle & Denial Prevention Patient Throughput Optimization CMS & TJC Compliance Physician Education Acute Care Operations Team Leadership & Staff Development Regulatory Compliance Healthcare Administration