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Position: Director of Case Management

Location: Rutherfordton, NC (open to relocation)

Industry: Acute Care Hospital

Reports To: CFO

Travel: Not required

Remote Flexibility: On-site required (not a remote position)

Visa Support: Not offered

Compensation: $105-145k base + negotiable sign-on bonus *Competitive, commensurate with experience*

About the Role

Our client, a growing 143-bed acute care hospital located in western North Carolina, is seeking a Director of Case Management to lead and oversee all aspects of Case Management operations. This role plays a critical part in improving care delivery outcomes across the hospital, managing resource utilization, and ensuring effective discharge planning and patient advocacy.

The ideal candidate will bring a strong clinical background in nursing, extensive experience in care coordination, and proven leadership in hospital settings. This is a high-impact role responsible for aligning case management practices with regulatory standards and the organization’s broader strategic goals.

Core Responsibilities:

• Lead and manage the Case Management department, overseeing discharge planning, utilization review, and social work functions.

• Drive performance improvement initiatives to reduce Length of Stay (LOS) and enhance overall clinical services.

• Work collaboratively with executive leadership, physicians, and department managers to implement evidence-based best practices in care management.

• Ensure adherence to CMS, Joint Commission, and other relevant regulatory requirements.

• Improve and streamline the utilization review process, ensuring smooth patient transitions across the care continuum.

• Participate in strategic planning and contribute to system-wide performance enhancement initiatives.

• Mentor and educate staff and physicians on case management standards, payer requirements, and industry best practices.

• Analyze care management trends and recommend initiatives to drive cost savings and enhance revenue opportunities.

Qualifications:

Required:

• Associate’s Degree in Nursing.

• Active RN license in North Carolina or a compact state.

• Current BLS Certification.

• CCM Certification (or the ability to obtain it within the first year of employment).

• At least 3 years of clinical experience in acute care or care coordination.

• Comprehensive understanding of Medicare/Medicaid admission and review requirements.

• Strong leadership, communication, and decision-making abilities in high-pressure environments.

Preferred:

• Bachelor’s or Master’s Degree in Nursing or a related field.

• 3+ years of healthcare management experience.

• ACM/ACM-SW certification preferred.

• Familiarity with InterQual criteria and government billing regulations.

Interview Process:

1. Step 1: Virtual interview with the CFO and divisional leadership.

2. Step 2: On-site panel interview with facility executives, department heads, and potential direct reports.

Company Culture & Benefits:

Our client is dedicated to providing compassionate, high-quality care in a collaborative and professional team environment. With a joint venture between a nationally recognized academic health system and a leading healthcare network, they are transforming healthcare delivery in the region.

Employee Benefits Include:

• Competitive Medical, Dental, and Vision plans.

• 401(k) with employer contributions.

• Generous Paid Time Off (PTO).

• Short- and Long-Term Disability Insurance.

• Life and Accidental Death & Dismemberment (AD&D) Insurance.

• Health Savings Account (HSA) and Flexible Spending Account (FSA) options.

• Identity Theft Protection services.

• 24/7 Employee Assistance Program.

• Travel and entertainment discounts.

Why Join?
This is an opportunity to make a lasting impact in a tight-knit community hospital while working with a leadership team dedicated to innovation, patient-centered care, and professional growth.

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