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 while ensuring high-quality patient care.
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 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 or multi-site supervisory role
Active unrestricted RN, LPN/LVN, or LCSW license
Deep understanding of PDPM, Medicare Part A & B, Medicaid