Case Management Director

Job Title: Case Management Director

Location: Ottumwa, IA 52501

Salary: $93,272 – $125,900 per year
Bonus: Relocation assistance negotiable

Position Type: Full-time, on-site

About the Role

We are seeking a highly qualified Case Management Director to lead and manage the Case Management program at our healthcare facility in Ottumwa, IA. This is an executive-level position that involves overseeing care facilitation, utilization management, case management, and discharge planning. If you have a strong background in nursing and case management leadership, we invite you to apply for this exciting opportunity.

Key Responsibilities:

• Lead, educate, and supervise Case Managers and Social Workers to ensure smooth daily operations.
• Ensure compliance with regulatory documentation and quality standards.
• Collaborate with the Chief Financial Officer (CFO) and Quality Department to improve patient outcomes and manage data trends (e.g., Avoidable Days, Readmissions).
• Provide direct support for patient caseload coverage and staffing needs across the hospital.
• Communicate with physicians regarding patient care needs and treatment plans, as well as assist with level of care and bed placement.
• Manage personnel actions, including hiring, performance appraisals, and scheduling.
• Facilitate Multidisciplinary Rounds and contribute to holistic patient care.
• Actively participate in Utilization Review and Revenue Recycle Committees.
• Promote the efficient utilization of clinical resources based on patient acuity and needs.
• Ensure compliance with Joint Commission, CMS, state, and local regulations.

Required Qualifications:

• Graduate of a Registered Nursing program.
• Minimum of 2 years of experience in case management (utilization management, discharge planning, or related cost/quality management program).
• Current RN license in the state of Iowa or a multistate license allowing work in Iowa.

Preferred Qualifications:

• Bachelor of Science in Nursing (BSN).
• 2-3 years of management experience, with at least 2 years of hospital-based nursing.
• Experience with Medicare, managed care, and utilization management.

Knowledge, Skills, and Abilities:

• Knowledge of payer requirements and discharge planning regulations.
• Ability to collaborate effectively with healthcare professionals across disciplines.
• Strong communication skills, both independently and as part of a team.
• Familiarity with performance improvement concepts and quality outcomes.
• Experience working closely with physicians.

Our Facility

Our organization is dedicated to creating environments where people choose to receive healthcare, physicians want to practice, and employees are proud to work. We champion patient care and promote a workplace built on kindness, individual value, and making a meaningful difference in our communities.

Application Process:

1. Phone interview.
2. Onsite interview.

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