Director of Case Management

4 weeks ago


San Ramon, California, United States Crescent City Recruitment Group Full time
Job Summary:

Crescent City Recruitment Group is seeking a highly skilled Director of Case Management to lead our hospital's Case Management Department. As a key member of our healthcare team, you will be responsible for promoting effective utilization of hospital resources, ensuring timely and accurate revenue cycle processes, and preventing denials.

This is a full-time position offering a competitive salary and comprehensive benefits package, including a 401(k) plan with a 50% match, tuition reimbursement, and paid time off.

Key Responsibilities:

  • Manage department operations to ensure effective throughput and reimbursement for services provided
  • Lead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement
  • Ensure medical necessity and revenue cycle processes are completed accurately and in compliance with CMS regulations and hospital policy
  • Ensure timely and effective patient transition and planning to support efficient patient throughput
  • Implement and monitor processes to prevent payer disputes
  • Develop and provide physician education and feedback on hospital utilization
  • Participate in management of post-acute provider network
  • Ensure compliance with state and federal regulations and TJC accreditation standards

Requirements:

  • Bachelor's degree in Business, Nursing, or Health Care Administration for RN or Master's in Social Work for MSW
  • 3 years of acute hospital case management or healthcare leadership experience
  • Registered Nurse or LCSW/LMSW license
  • Accredited Case Manager (ACM) certification preferred

What We Offer:

  • Competitive salary: $185,000 - $240,000 per year
  • Comprehensive benefits package, including 401(k) plan with 50% match, tuition reimbursement, and paid time off
  • Opportunity to work with a dynamic team in a fast-paced healthcare environment


  • San Ramon, California, United States Executive Human Resource Service Full time

    Job Title: Director of Case ManagementAbout the Job:EXECUTIVE HUMAN RESOURCE SERVICEHuman Resources ConsultantsPOSITION:Director of Case Management - MED#393JOB CATEGORY:Healthcare / Medical / Health - Nurse LeadershipINDUSTRY:Healthcare / Medical / Health - Nurse LeadershipLOCATION:San Francisco / East Bay Area - Northern CARelocation Expense...


  • San Ramon, California, United States Verovian Full time

    Job Title: Director of Case ManagementLocation: San Ramon, CaliforniaJob Type: Full-time, PermanentWe are seeking a highly skilled and experienced Director of Case Management to lead and oversee the case management department at our healthcare facility in San Ramon, California.The ideal candidate will be responsible for ensuring that patients receive the...


  • San Ramon, California, United States Executive Human Resource Service Full time

    About the JobDirector of Case ManagementExecutive Human Resource Service is seeking a highly skilled and experienced Director of Case Management to lead our case management department. As a key member of our team, you will be responsible for developing and implementing case management programs, supervising case management staff, and collaborating with other...


  • San Ramon, California, United States Executive Human Resource Service Full time

    About the Job: Director of Case ManagementExecutive Human Resource Service is seeking a highly skilled and experienced Director of Case Management to lead our case management department. As a key member of our team, you will be responsible for developing and implementing case management programs, supervising case management staff, and collaborating with...


  • San Ramon, California, United States KnowHireMatch Full time

    Job Title: Director of Case ManagementKnowHireMatch is seeking a highly skilled and experienced Director of Case Management to lead our Case Management Department. As a key member of our leadership team, you will be responsible for promoting effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and...


  • San Ramon, California, United States Knowhirematch Full time

    Job DescriptionAt Knowhirematch, we are seeking a highly skilled Director of Case Management Operations to lead our Case Management Department.This role is responsible for hospital utilization management, transition management, and operational management of the Case Management Department.The ideal candidate will have 3 years of acute hospital case management...


  • San Ramon, California, United States Resiliency Full time

    Job Summary: We are seeking a highly skilled Director of Case Management to lead our hospital's case management department. The ideal candidate will have experience in acute care case management and hospital operations, with a strong focus on promoting effective utilization of hospital resources and ensuring timely and accurate revenue cycle processes.Key...


  • San Ramon, California, United States Resiliency Full time

    Job Summary:The Director of Case Management will oversee the hospital's utilization management, transition management, and operational management of the Case Management Department. This role is responsible for promoting effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient...


  • San Francisco, California, United States TotalMed Case Management Staffing Full time

    Job Title: Travel Nurse Case ManagerTotalMed Case Management Staffing is seeking a travel nurse case manager to join their team.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 14 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are seeking a skilled case manager to work with our team in San Francisco,...


  • San Diego, California, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing job.Job DetailsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are seeking a Case Manager-Registered Nurse for an assignment.TotalMed Case Management Staffing Job ID # Pay package is based on 10 hour shifts and 40 hours per week with tax-free...

  • Travel Case Manager

    3 weeks ago


    San Francisco, California, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a professional Registered Nurse to fill a Case Management position in a dynamic healthcare setting.Job Details:Specialty: Case ManagementDiscipline: RNDuration: 14 weeksShift: 8 hours, daysEmployment Type: TravelAbout the Position:We are seeking a skilled Registered Nurse to provide case management services in a...


  • San Diego, California, United States TotalMed Case Management Staffing Full time

    Job Title: Travel Nurse RN Case ManagerJob Summary:TotalMed Case Management Staffing is seeking a travel nurse RN case manager for a travel nursing job in a dynamic healthcare setting. As a case manager, you will be responsible for coordinating patient care and ensuring seamless transitions between healthcare providers. This is a great opportunity to work...


  • San Francisco, California, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing assignment.Job DetailsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are looking for a skilled Case Manager-Registered Nurse to join our team.TotalMed Case Management Staffing offers a unique opportunity for a Case Manager-Registered Nurse to...


  • San Diego, California, United States TotalMed Case Management Staffing Full time

    Job Title: Travel Nurse RN Case ManagerJob Description:TotalMed Case Management Staffing is seeking a travel nurse RN case manager for a travel nursing job in California. The ideal candidate will have experience in case management and be able to work in a fast-paced environment.Job Requirements:Specialty: Case ManagementDiscipline: RNStart Date:...


  • San Diego, California, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Case Management professional for a travel nursing opportunity.Job DetailsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are looking for a skilled Case Manager-Registered Nurse to join our team in California.TotalMed Case Management Staffing offers competitive pay packages and a...


  • San Diego, California, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing job.Job Details:Specialty:Case ManagementDiscipline:RNEmployment Type:TravelWe are seeking a Case Manager-Registered Nurse for an assignment in California.TotalMed Case Management Staffing is a partner who works for and with you in the fast-paced healthcare...


  • San Francisco, California, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Case Management professional for a travel nursing assignment in California.Job DetailsSpecialty: Case ManagementDiscipline: RNDuration: 14 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are looking for a skilled Case Manager-Registered Nurse to join our team in San Francisco,...


  • San Diego, California, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Case Management professional to fill a travel nursing position in a dynamic healthcare setting.Job Details: ~ Shift: 10 hours, nights ~ Employment Type: Travel As a travel nurse RN Case Management, you will have the opportunity to work with a top-rated healthcare staffing agency that prioritizes...


  • San Diego, California, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing job.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are seeking a Case Manager-Registered Nurse for an assignment.TotalMed Case Management Staffing Job ID #1641851. Pay package is based on 10 hour shifts and 40...


  • San Francisco, California, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing assignment in a major metropolitan area.Job DetailsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are looking for a skilled Case Manager-Registered Nurse to join our team for a short-term...