Market Case Management Director

Job Title: Market Case Management Director

Location: Gallatin, TN
Salary Range: $112,000 - $130,000 (Negotiable Signing Bonus and Partial Relocation Package)
Travel Requirement: Up to 20%
Job Type: Full-time, In-Person

Overview:

We are seeking a dedicated Market Case Management Director to lead our case management team across multiple hospitals. This mid-level management position will focus on enhancing patient care while ensuring compliance with healthcare regulations.

Key Responsibilities:

• Provide leadership and management for case management operations across hospitals.
• Formulate and implement operational strategies and initiatives within the case management program.
• Ensure staff competencies in utilization review, transition/discharge planning, and social work services.
• Collaborate with hospital executive leadership, nursing, and medical staff to facilitate safe patient care.
• Update stakeholders on case management strategies, initiatives, and outcomes.

Qualifications:

Must-Haves:

1. Bachelor’s degree in Nursing.
2. State of Tennessee or Multi-State Registered Nurse licensure.
3. Minimum of four years of management experience in directing a Case Management Department in an acute care hospital.
4. Working knowledge of Care Management functions, including Joint Commission and Conditions of Participation (COP) requirements.
5. Good understanding of Medicare, Medicaid, and other third-party payment systems.

Nice-to-Haves:

1. BLS certification from the American Heart Association (AHA) or American Red Cross (ARC) required within 30 days of hire, if not current upon hire.
2. Master’s degree in Nursing, Healthcare Administration, or Business Administration.
3. Certification in Case Management, such as CCM.

Company Culture & Benefits:

Join a collaborative work environment where we make a difference together while championing patient care. We value kindness and embrace the individuality of each team member.

• Health Benefits: Medical, Dental, and Vision coverage for full-time employees.
• Personal Time Off: Competitive program for leaders.
• Employee Assistance Program: Support for mental, physical, and financial wellness.
• Professional Development: Opportunities for growth and advanced degree support.

Interview Process:

1. Submit your application or resume for review.
2. If selected, an in-person or TEAMS interview will be scheduled based on candidate location.

Screening Questions:

1. What makes you interested in this position?
2. Share a case management experience in which you felt successful and why.