Dir Of Care Management

Position Summary / Career Interest:

The Director of Care Management provides strategic, operational, and clinical leadership for care coordination and continuum of care services across the health system. The Director serves as a collaborative partner and change agent, working closely with nursing leadership, medical staff, social work, ancillary services, utilization management, and community partners to ensure safe, efficient care progression and high-quality transitions of care for a diverse and complex patient population. This role is accountable for advancing performance through integration of services, standardized care management practices, and data driven improvement initiatives that optimize patient outcomes, reduce avoidable utilization, address social determinants of health, and support the mission, vision, and values of the health system.

Responsibilities and Essential Job Functions

• Leadership & Strategic Oversight
• Provides strategic, operational, and clinical leadership for care management and continuum of care services in alignment with the organization’s mission, vision, and values.
• Serves as a system level leader and change agent, advancing integrated, patient centered care coordination across settings.
• Accountable for performance planning, improvement, and outcomes related to quality, patient experience, access, and financial stewardship.
• Leads the professional practice of care management and continuum of care services, supporting role clarity, accountability, and leadership development.
• Executes short and long term strategic goals in partnership with Nursing, Medical Staff, and organizational leadership.
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• Care Progression & Throughput Management
• Provides leadership to ensure effective, safe, and timely care progression across the continuum.
• Partners with interdisciplinary and operational leaders to proactively identify and address systemic barriers impacting patient flow.
• Ensures care progression practices are standardized, evidence informed, and aligned with organizational priorities and patient needs.
• Promotes responsible stewardship of healthcare resources while maintaining a focus on safety and quality
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• Discharge Planning & Transitions of Care
• Ensures oversight of discharge planning and transition processes that support safety, continuity, and patient centered outcomes across care settings.
• Promotes early identification of transition needs and coordination among care teams.
• Ensures transition practices support continuity, access to follow up care, and patient readiness for the next level of care.
• Advocates for processes that reduce fragmentation and improve the patient and caregiver experience.
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• Utilization Management & Regulatory Compliance
• Ensures care management practices align with regulatory requirements, professional standards, and accreditation expectations.
• Promotes appropriate utilization and level of care decision making consistent with patient needs and organizational stewardship goals.
• Partners with financial and operational leaders to support compliance, transparency, and sustainable resource use.
• Ensures policies and workflows support audit readiness and ethical practice.
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• Readmission Reduction & Quality Outcomes
• Provides strategic leadership for readmission reduction and quality outcomes across the continuum of care.
• Partners with Nursing, Medical Staff, Quality, and operational leaders to advance evidence-based practices that support safe transitions, continuity of care, and sustained recovery.
• Ensures care management and transition practices align with organizational quality priorities, regulatory expectations, and value-based care initiatives.
• Uses outcome data to identify trends, disparities, and opportunities for improvement in readmissions, avoidable utilization, and patient experience.
• Promotes standardized, patient-centered approaches that address clinical, social, and system factors impacting quality outcomes.
• Drives accountability for improvement through interdisciplinary collaboration and continuous performance evaluation.
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• Social Determinants & Equity Focused Care
• Advocates for safe, equitable, and patient-centered care coordination practices across the continuum.
• Integrates consideration of social determinants of health into care coordination and transition planning.
• Promotes culturally responsive, patient centered approaches that support safe recovery and improved outcomes.
• Partners with internal and community stakeholders to mitigate health inequities across populations.
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• Interdisciplinary Collaboration & Stakeholder Engagement
• Collaborates with Nursing, Medical Staff, Social Work, Therapy, Ancillary Services, Operations, and community partners.
• Functions as a trusted partner to leaders responsible for patient care operations and system performance.
• Promotes shared accountability and interdisciplinary engagement in care coordination and transition practices.
• Contributes to leadership forums and organizational initiatives advancing integrated care delivery.
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• Data Analytics & Performance Improvement
• Uses data and analytics to evaluate performance, identify trends, and inform improvement strategies.
• Leads performance improvement initiatives that enhance quality, patient experience, access, and resource stewardship.
• Ensures outcome monitoring and accountability structures are in place to sustain improvement.
• Integrates evidence and best practices into care management and continuum of care models.
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
• These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

• Bachelor Degree Nursing OR
• Masters Social Work
• 3 or more years of utilization review, case management, or care coordination experience
• 1 or more years of formal or informal leadership experience (e.g. charge, lead, preceptor, supervisor)

Preferred Education and Experience

• Master's Degree in Nursing, Healthcare Administration, or related field
• Prior experience supervising utilization review or case management teams
• Experience in academic medical centers or complex health systems

Required Licensure and Certification

• Licensed Registered Nurse (LRN) - Multi-State - State Board of Nursing OR
• Licensed Masters Social Worker(LMSW) - State Board of Behavioral Sciences in the State of Kansas
• Accredited Case Manager (ACM) - American Case Management Association (ACMA) required upon hire or within a defined timeframe OR
• Certified Case Manager (CCM) - Commission for Case Manager Certification (CCMC) required upon hire or within a defined timeframe

Knowledge Requirements

• Possesses a strong leadership skill and management experience in facilitating interdisciplinary collaboration within a fiscally sound framework.
• Ability to conceptualize broad and detailed information, problem solve, and incorporate critical decision making into daily practice. Is a systems analyst. Working knowledge of PI principals.
• Ideal candidate will have a strong background in project implementation, utilization management and case management.

We are an equal employment opportunity employer without regard to a person’s race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information.