Director of Case Management
Location:
Ottumwa, IA Employment Type:
Full-Time Work Model:
Onsite | Acute Care Hospital
About the Role We are seeking an experienced and strategic
Director of Case Management
to lead and oversee hospital-based case management operations. This leadership role is responsible for driving patient-centered care coordination, optimizing utilization management, improving length of stay, and ensuring regulatory compliance while supporting clinical and financial outcomes. The ideal candidate is a collaborative leader with strong acute care experience who can effectively partner with physicians, nursing leadership, social work, and executive teams in a fast-paced hospital environment.
Key Responsibilities Provide strategic, operational, and clinical leadership for Case Management, Utilization Review, and Care Coordination services Oversee daily department operations, staffing models, workflows, and productivity Lead initiatives focused on length of stay (LOS) management, discharge planning, readmission reduction, and patient throughput Ensure effective utilization management, level-of-care determinations, denial prevention, and payer communication Collaborate with physicians, nursing leadership, social work, and interdisciplinary teams to improve patient outcomes Monitor and analyze performance metrics, KPIs, and quality indicators to drive continuous improvement Ensure compliance with CMS, Joint Commission, and other regulatory and accreditation standards Support financial stewardship through efficient resource utilization and revenue integrity Lead, mentor, and develop case management staff, fostering a culture of accountability and excellence Participate in organizational planning, policy development, and performance improvement initiatives
Required Qualifications Bachelor’s degree required (master’s in healthcare administration, Nursing, or related field preferred) Active RN license required or strongly preferred
(based on organizational policy) 7–10+ years of progressive experience in hospital-based case management or care management Demonstrated leadership experience managing case management or utilization review teams Strong knowledge of utilization management, discharge planning, and care coordination processes Experience with InterQual, MCG, or similar utilization review criteria Proven ability to lead in a fast-paced, high-acuity acute care environment
Preferred Qualifications Director or senior leadership experience in Case Management Experience in acute care hospitals or health systems Strong data-driven decision-making and performance improvement skills Excellent communication, collaboration, and leadership capabilities
Ottumwa, IA Employment Type:
Full-Time Work Model:
Onsite | Acute Care Hospital
About the Role We are seeking an experienced and strategic
Director of Case Management
to lead and oversee hospital-based case management operations. This leadership role is responsible for driving patient-centered care coordination, optimizing utilization management, improving length of stay, and ensuring regulatory compliance while supporting clinical and financial outcomes. The ideal candidate is a collaborative leader with strong acute care experience who can effectively partner with physicians, nursing leadership, social work, and executive teams in a fast-paced hospital environment.
Key Responsibilities Provide strategic, operational, and clinical leadership for Case Management, Utilization Review, and Care Coordination services Oversee daily department operations, staffing models, workflows, and productivity Lead initiatives focused on length of stay (LOS) management, discharge planning, readmission reduction, and patient throughput Ensure effective utilization management, level-of-care determinations, denial prevention, and payer communication Collaborate with physicians, nursing leadership, social work, and interdisciplinary teams to improve patient outcomes Monitor and analyze performance metrics, KPIs, and quality indicators to drive continuous improvement Ensure compliance with CMS, Joint Commission, and other regulatory and accreditation standards Support financial stewardship through efficient resource utilization and revenue integrity Lead, mentor, and develop case management staff, fostering a culture of accountability and excellence Participate in organizational planning, policy development, and performance improvement initiatives
Required Qualifications Bachelor’s degree required (master’s in healthcare administration, Nursing, or related field preferred) Active RN license required or strongly preferred
(based on organizational policy) 7–10+ years of progressive experience in hospital-based case management or care management Demonstrated leadership experience managing case management or utilization review teams Strong knowledge of utilization management, discharge planning, and care coordination processes Experience with InterQual, MCG, or similar utilization review criteria Proven ability to lead in a fast-paced, high-acuity acute care environment
Preferred Qualifications Director or senior leadership experience in Case Management Experience in acute care hospitals or health systems Strong data-driven decision-making and performance improvement skills Excellent communication, collaboration, and leadership capabilities