The Director of Case Management works in a collaborative environment at Holy Cross Health to deliver excellent patient care as part of an interdisciplinary team providing evidence-based medicine and individualized patient care. This position is a great opportunity to work in an organization that focuses on treating the whole person physically, emotionally and spiritually.
Be a part of a dedicated team at Holy Cross Health and contribute to our mission of providing compassionate, high-quality care to our community. We value leaders who drive positive change and inspire others. This role is crucial in shaping a comprehensive, hospital-wide approach to care management, focusing on optimizing resource utilization, discharge planning, and care coordination. Through data analysis, documentation, and collaborative guidance, the Director will support our mission to deliver high-quality care.
Responsibilities:
- Develop, organize, and direct a hospital-wide care management program focused on utilization, discharge planning, and coordinated care.
- Supervise the activities of hospital staff in inpatient care coordination, social work, utilization review, and discharge planning.
- Collaborate with the Medical Director of Care Management and the Director of Documentation Quality and Care Transitions on initiatives for denial prevention, readmission reduction, and palliative care.
- Guide hospital staff, medical personnel, patients, and families through education, consultation, and ongoing support.
Minimum Qualifications:
- Master's degree or higher in a healthcare-related field (nursing, social work, healthcare administration, or medicine).
- RN with active preference Maryland license highly preferred.
- Maryland-recognized licensure in clinical specialty if applicable.
- Minimum 5 years in acute care management, with 2+ years in a leadership role in case management, utilization review, or similar areas.
- Extensive understanding of payer mechanisms and clinical utilization management.
- Strong interpersonal skills with a track record of effective interdisciplinary collaboration.
- Knowledge of relevant regulatory standards and proven experience interacting with external review organizations.
Why Holy Cross Health?
At Holy Cross Health, we recognize the importance of work-life balance and offer a comprehensive benefits package from day one, including:
- Health and wellness: Medical, dental, and vision coverage, as well as mental health support.
- Retirement and savings: 403B retirement plan options.
- Paid time off: Generous PTO to support your personal and family needs.
- Professional development: Education assistance to help you grow and expand your career in healthcare.
- Voluntary benefits: Including pet insurance, accident insurance, hospital indemnity, and more.
- Flexibility: Work-life balance with flexible schedules and free onsite parking.
Our Culture and Mission:
At Holy Cross Health, we are united by our mission to provide compassionate, high-quality care. Our core values of respect, communication, and teamwork shape a culture where every member of the team contributes to a supportive and healing environment for our patients. You'll be part of a healthcare organization recognized for its excellence in care and commitment to improving the well-being of our communities.
About Us:
Holy Cross Health is a Catholic, not-for-profit health system serving over 240,000 individuals annually across Montgomery and Prince George's counties. With national recognition for clinical excellence and a commitment to innovation in patient care, Holy Cross Health remains a leader in healthcare services, offering specialized care across a wide range of disciplines.
We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.