Director Case Management Kentucky Region

Job description

The KY Regional Director of Case Management is responsible for providing strategic leadership and oversight of Case Management programs throughout the Kentucky region. This position ensures consistent practices, effective utilization of resources, and compliance with regulatory requirements across assigned facilities. Responsibilities include supporting throughput and capacity management initiatives, ensuring compliance with discharge planning regulations, and participating in facility, regional, and system meetings. The Regional Director works collaboratively with hospital leadership, physicians, and care teams to support quality patient care, and positive patient outcomes.
Essential Functions
• Provide regional leadership and oversight of Case Management throughout Kentucky.
• Ensure consistent implementation of case management practices, policies, and procedures across assigned facilities.
• Promote appropriate resource utilization and efficient patient progression throughout the continuum of care.
• Collaborate with hospital leadership, physicians, nursing teams, and other healthcare professionals to address case management needs.
• Support compliance with applicable regulatory requirements, payer guidelines, and organizational policies.
• Identify opportunities to improve case management processes, operational efficiency, and patient outcomes.
• Foster communication, collaboration, and accountability among case management teams throughout the region.

Education
• Bachelor's Degree in Nursing required.
• Master's Degree in Nursing, MHA, or MBA required.

Work Experience
• Minimum of five years of Case Management experience required.
• Minimum of three years of multi-site leadership experience preferred.

Knowledge, Skills, and Abilities
• Excellent communication and interpersonal skills.
• Ability to collaborate effectively with physicians, hospital leadership, and members of the healthcare team.
• Strong organizational, problem-solving, and decision-making skills.
• Ability to provide leadership and support across multiple facilities.
• Knowledge of case management practices.

Licenses and Certifications
• Active Registered Nurse (RN) license in Kentucky required.
• Certification in Case Management (ACM or CCM) required.