Top 5003 Rn Director Case Management Jobs

Director, Case Management (RN)
United Pro Search Inc —Grants, NM
- $135,000 - $160,000 a year
- Full-time
- Nursing
- Anatomy knowledge
- RN License
- Health insurance
- Dental insurance
Quick Apply
8d
Executive Director-Integrated Care Management
Indiana University Health —Indianapolis, IN
- Full-time
- Master of Social Work
- Nursing
- RN License
RN Director Case Management
Connections Healthcare Staffing —Missoula, MT
- $112,000 - $130,000 a year
- Full-time
- Nursing
- RN License
- Hospital
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14d
Case Management Supervisor (RN) - FT/Days
Community Hospital of Huntington Park —Huntington Park, CA
- $112,278.40 - $165,068.80 a year
- Full-time
- Nursing
- RN License
- Hospital
Quick Apply
Case Management Supervisor (RN) - FT/Days
Coast Plaza Hospital —Norwalk, CA
- $112,278.40 - $165,068.80 a year
- Full-time
- Nursing
- RN License
- Hospital
Quick Apply
Director Case Management NV Command Center - RN
Optum —Las Vegas, NV
- $134,600 - $230,800 a year
- Full-time
- Nursing
- RN License
- Hospital
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Healthcare Consulting Director – Case Management
Huron Consulting Services LLC —Chicago, IL
- $185,000 - $337,500 a year
- Full-time
- Nursing
- Microsoft Excel
- RN License
- Dental insurance
- Vision insurance
Quick Apply
13d
Director, Care Management RN
Ironman Staffing Medical Services, Inc. —Mission Hills, CA
- Up to $333,000 a year
- Full-time
- Acute care
- Nursing
- Management
- Relocation assistance
- Health insurance
Quick Apply
3d
Director Case Management
Texas Nursing Services —Nashville, TN
- $110,000 - $135,000 a year
- Full-time
- Acute care
- Nursing
- RN License
- Paid holidays
- Relocation assistance
Quick Apply
Director of Case Management
Texas Nursing Services —Tampa, FL
- $102,107 - $140,000 a year
- Full-time
- Acute care
- Nursing
- RN License
- Relocation assistance
- Health insurance
Quick Apply
Director Case Management
Texas Nursing Services —Las Vegas, NV
- $135,000 - $202,500 a year
- Full-time
- Acute care
- Nursing
- RN License
- Relocation assistance
- Health insurance
Quick Apply
RN Director of Case Management | $20K Bonus + Up to $10K Relocation
Purple Cow Recruiting —Missoula, MT
- $112,000 - $130,000 a year
- Full-time
- Acute care
- Nursing
- RN License
- Relocation assistance
- Health insurance
Quick Apply
13d
Denials & Appeals Administrator (RN)
Boston Medical Center —Remote
- $43.03 - $62.50 an hour
- Full-time
- Remote
- Nursing
- RN License
- 5 years
- Health insurance
- Dental insurance
Director, Care Management
Sana Benefits —Remote
- $155,000 - $175,000 a year
- Full-time
- 8 years
- SQL
- Team management
- Paid parental leave
- Health savings account
Director Case Management RN
All Hands Home Care —Lemoyne, PA
- Full-time
- Nursing
- Management
- RN License
Quick Apply
Clinical Medical Review Nurse (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $67,320 - $133,705 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
- 401(k)
Quick Apply
8d
Director, Case Management, Registered Nurse (RN)
Jackson Purchase Medical Center —Mayfield, KY
- Full-time
- Nursing
- RN License
- Hospital
Quick Apply
Director, Care Management (RN)
Sutter Health —Santa Rosa, CA
- $202,030.40 - $323,232.00 a year
- Weekends as needed
- Nursing
- RN License
- Word processing
Director Case Management
MedStar Health —Washington, DC
- $120,702 - $238,222 a year
- Full-time
- Master of Social Work
- Nursing
- RN License
8d
Director Case Management
Sunrise Hospital and Medical Center —Las Vegas, NV
- $134,992.00 - $202,550.40 a year
- Full-time
- Senior level
- Leadership
- Communication skills
- Employee stock purchase plan
- Disability insurance
Quick Apply

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Director, Case Management (RN)

United Pro Search Inc
Grants, NM

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Job Details

Full-time
$135,000 - $160,000 a year
8 days ago

Benefits

Health insurance
Dental insurance
401(k)
Vision insurance
Flexible schedule

Qualifications

RN License
Hospice experience
Home health
Health information management
Associate's degree
Medical terminology

Full Job Description

We are in search of a Director of Case Management for a Critical Access hospital located in Rural NM.

Qualifications for Director of Case Management :

Must-Haves

Graduate of a program of Registered Nursing.

Minimum of two years of Case Management experience in utilization management, case management, discharge planning, or other cost/quality management program.

Current RN license in the state of NM or a multistate license allowing to work in the state of New Mexico.

Overview Director of Case Management
We are seeking a highly experienced and dynamic Director of Case Management to lead our multidisciplinary team in delivering exceptional patient care across various healthcare settings. This leadership role requires a comprehensive understanding of hospital operations, clinical workflows, and regulatory standards. The ideal candidate will possess extensive management experience, clinical expertise, and a strong commitment to improving patient outcomes through effective case management strategies. The Director will oversee discharge planning, utilization review, medical records review, and ensure compliance with HIPAA, NCQA standards, and Medicare regulations. This position offers an opportunity to influence organizational excellence and patient-centered care at a high level.

Responsibilities for Directror of Case Management:

Lead and supervise the case management team, including social workers, nurses, and behavioral health specialists, ensuring efficient coordination of patient care services.
Develop and implement care plans tailored to individual patient needs, integrating behavioral health, medical treatment, and discharge planning.
Oversee utilization review processes to ensure appropriate resource utilization while maintaining compliance with NCQA standards and Medicare guidelines.
Coordinate with hospital departments such as ICU, PICU, emergency medicine, hospital medicine, pediatrics, and Level I & II trauma centers to facilitate seamless patient transitions.
Ensure accurate documentation review and data collection for quality assurance and regulatory reporting purposes.
Maintain knowledge of HIPAA regulations to safeguard patient information across all case management activities.
Conduct regular audits of medical records and documentation to ensure adherence to legal and organizational standards.
Lead efforts in behavioral health assessments and mental health counseling integration within case management protocols.
Collaborate with physicians, nurses, social workers, addiction counselors, and other healthcare professionals to optimize care plans.
Drive continuous improvement initiatives aligned with NCQA accreditation standards and managed care best practices.
Provide leadership in discharge planning processes that promote safe transitions from hospital to home or other care facilities.

Experience

Extensive hospital experience with a strong background in nursing or clinical practice within acute care environments such as ICU, emergency medicine, or trauma centers (Level I & II).
Proven management or supervisory experience leading multidisciplinary healthcare teams in complex settings including home health or hospice care.
Familiarity with behavioral health services, mental health counseling, addiction counseling, and behavioral therapy modalities.
Knowledge of medical terminology, physiology, anatomy, and patient assessment techniques essential for effective case management.
Experience working within managed care frameworks including Medicare regulations and NCQA standards.
Demonstrated ability to handle data collection processes accurately while ensuring compliance with HIPAA regulations.
Strong leadership skills with a track record of supervising staff performance and fostering professional development in healthcare teams. This role is ideal for a strategic leader committed to advancing patient-centered care through expert case management practices in a fast-paced healthcare environment.

Keywords: care manager, case manager, case management,care management,utilization review, performance safety,RN,Registered nurse,

Pay: $135,000.00 - $160,000.00 per year

Benefits:

401(k)
Dental insurance
Flexible schedule
Health insurance
Vision insurance

Education:

Associate (Required)

Experience:

Case Management: 2 years (Required)

License/Certification:

NM RN License or eligibility (Required)

Work Location: In person

Quick Apply

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