Director of Case Management (RN / MSW)

At Kingman Regional Medical Center (KRMC) we are seeking a highly skilled and experienced Director of Case Management to join our dynamic team. This leadership role is integral to ensuring the delivery of high-quality, patient-centered care and effective case management services.

KRMC is located in beautiful northwest Arizona. Experience the magic of Kingman's stunning Arizona sunsets and thrive in an outdoor enthusiast's dream destination with picturesque mountain ranges, nearby lakes, vibrant parks, and plenty of outdoor activity.  Kingman is an incredible community to live, work, thrive, and play! 

Ideal Candidate Profile: The ideal candidate is a dynamic leader who excels in utilizing data to drive decisions, plan, and implement process improvement strategies, and possesses a strong analytical mindset. They should have substantial experience in clinical case management and managed care, with a proven track record of enhancing patient outcomes through strategic planning and effective team management.

Hours/Shift: Full Time/Days On-Site

Benefits: We offer you an excellent total compensation package, including a competitive salary, comprehensive benefits, and growth opportunities. We invest in you!

• Relocation Assistance Available 
• Health and Well-Being
  • Medical, Dental, Vision, Employer Paid HSA for HDHP participants, Robust Wellness and Employee Assistance Program, Employer Paid Group Life, Short & Long-Term Disability
  • Generous Paid Leave Accruals and Cash Out Opportunities
  • 403b Retirement Plan with Employer Contributions
  • Employee Recognition Programs, Employee Discounts, and Employee Referral Bonus Program
  • Employee Identity Theft Protection
  • On-site daycare exclusive to our employees’ children of all ages
• Career Growth and Development
  • Tuition Reimbursement/Scholarships for full-time employees
  • As a not-for-profit organization, our employees who have qualified student loans may be eligible for the Public Service Loan Forgiveness program
• So much more!

Key Responsibilities 

• Regularly directs the work of the Case Management department. Has the authority to hire, fire and counsel staff.
• Directs Case Management activities to control cost of high risk and high-cost populations.
• Interfaces with Physicians, nurses, social workers, Medical Records, Administration, outside agencies and other hospital departments to affect changes in the management of cases for the improvement in quality of care and/or the efficiency with which the hospital resources are utilized.
• Develops, implements and manages budget, customer service and financial indicators set for Case Management department.
• Oversees Discharge Planning, Utilization Review, Case Management, Social Services, Transitional Care processes and personnel.
• Provides concurrent and retrospective reviews to insurance companies for authorization of services.
• Presents reports and statistics to the Utilization Review/Health Information Management Committee.
• Responsible for Quality Improvement, Budgets, Policies/Procedures and daily intervention.
• To facilitate appropriate utilization of hospital and community resources to provide cost-efficient care, provision of services and meet the requirements of regulatory and accrediting agencies.
• Updates and expands the UM/Case Management programs as necessary.
• Provides budgetary management and supervisory responsibilities of the Case Management Department.
• Designs and maintains a Case Management reporting process, utilizing available computer/IS programs.
• Analyzes and reports Utilization Management Committee activities to the Quality Council, Administration, medical staff and other involved entities.
• Responsible for orienting, training, establishing work standards, conducting performance evaluations, hiring/disciplinary actions for the Case Management staff.
• Designs, implements, and oversees the Case Management Department.
• Coordinates the development and integration of Disease State Management programs in conjunction with the medical staff, nursing and ancillary departments.
• Responsible for assuring that Case management Staff who provide direct services are consistently maintaining a high level of ability and skills in developing Case Management Plans and are provided with updated clinical, medical necessity criteria and community resource information.
• Assures hospital compliance in regard to the requirements of regulatory agencies related to Utilization Review, Discharge Planning and Case Management functions.
• Proactively assists physicians in the management of their patient by facilitating care delivery through