Regional Director Of Case Management

Aviarahealthcare

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 of Case Management provides strategic and operational leadership for case management and utilization review functions across all regional skilled nursing facilities

Job Summary

  • The Regional Director of Case Management provides strategic and operational leadership for case management and utilization review functions across all regional skilled nursing facilities.
  • This role focuses on optimizing resident transitions of care, maximizing reimbursement accuracy under the Patient-Driven Payment Model (PDPM), and reducing acute care readmissions.
  • The ideal candidate will bridge the gap between clinical excellence and financial sustainability, ensuring high-quality patient care while safeguarding the organization's financial health.

Matching Summary

The Regional Director of Case Management provides strategic and operational leadership for case management and utilization review functions across all regional skilled nursing facilities.

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 compliance with CMS guidelines
  • Partner with Regional MDS Directors

Nice-to-have

  • Bridge clinical excellence and financial sustainability
  • Collaborate with ACOs and MCOs
  • Implement protocols for at-risk residents

Key Requirements

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

Work Rights

Not specified

Tailored Resume

Cover Letter