Group Director Case Management
job description
Group Director Case Management
Location:
Modesto, CA
Salary:
$150-200K + Signing Bonus + Performance Bonus + Paid Relocation
Overview:
Lead and execute the strategic case management plan across multiple hospitals. Serve as a leader, mentor, and subject matter expert on case management regulations and standards, overseeing hospital utilization, transition management, and operational management.
Key Responsibilities:
Lead hospital case management and utilization review
Set goals aligning with strategic plans
Manage internal and external audits
Drive process improvements and compliance with CMS, ISO 9001, IATF 16949, ISO 14001, EPA, and OSHA standards
Ensure accurate revenue cycle processes and patient throughput
Train and mentor case management staff
Requirements
Qualifications:
Bachelor’s degree in Business, Nursing, Health Care Administration, or Master's in Social Work
5+ years of acute hospital case management or healthcare leadership
RN or LCSW/LMSW license required
Advanced degree and Accredited Case Manager (ACM) preferred
Strong organizational, communication, critical thinking, and problem-solving skills
Benefits
Benefits:
Comprehensive health, dental, vision, and behavioral health coverage
Paid time off and long/short-term disability coverage
401(k) with match, employee stock purchase plan, flexible spending accounts
Tuition and student loan assistance, certification support
Life insurance, supplemental health plans, legal counseling, and employee discounts
Apply now to join a top healthcare organization and lead innovative case management solutions!