Regional Director Of Case Management

Santa Cruz Post Acute

Base: $165,000-$175,000; bonus/equity: not specifi...
Oversee managed care authorization process
Drive regional strategies for optimal los
Analyze hospital readmission data
The Regional Director provides strategic leadership to optimize resident transitions of care and maximize reimbursement accuracy under the Patient-Driven Payment Model

Job Summary

  • The Regional Director provides strategic leadership to optimize resident transitions of care and maximize reimbursement accuracy under the Patient-Driven Payment Model.
  • This role is responsible for analyzing regional hospital readmission data and implementing protocols to identify at-risk residents early.
  • The position serves as the primary liaison for hospital discharge planners and Managed Care Organizations to drive census growth.

Matching Summary

The Regional Director provides strategic leadership to optimize resident transitions of care and maximize reimbursement accuracy under the Patient-Driven Payment Model.

Salary

Base: $165,000-$175,000; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Oversee managed care authorization process
  • Drive regional strategies for optimal LOS
  • Analyze hospital readmission data
  • Ensure CMS and OIG regulatory compliance
  • Partner with MDS and Therapy Directors

Nice-to-have

  • Bridge clinical excellence and financial sustainability
  • Drive preferred-provider status growth
  • Collaborate with ACOs and MCOs

Key Requirements

  • Bachelor's degree in Nursing or Master's in Social Work/Healthcare Admin
  • Minimum 5 years case management experience in Skilled Nursing
  • 2-3 years in regional multi-site supervisory role
  • Active unrestricted RN, LPN/LVN, or LCSW license
  • Deep understanding of PDPM, Medicare Part A & B, Medicaid

Work Rights

Not specified

Tailored Resume

Cover Letter