Case Management Director
Case Management Director directs and oversees a team of case managers responsible for patient care coordination. Develops and implements case management programs, including utilization review, intake or discharge planning, and managed care contracting. Being a Case Management Director evaluates patient care data to ensure that care is provided in accordance with organizational guidelines and standards. Develops clinical care pathways that enhance cost-effectiveness while providing quality care. Additionally, Case Management Director typically requires a bachelor's degree in nursing. Requires a Registered Nurse (RN) license. Typically reports to senior management. The Case Management Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Case Management Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function.
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