Systems Manager of Case Management
Insight Global
Job Description
Insight Global is assisting a client in identifying a compassionate, experienced, and strategic System Manager of Case Management to join our collaborative team at a regional medical center. This role is responsible for overseeing case management operations, including utilization review and discharge planning, while ensuring compliance with regulatory standards and hospital policies. The ideal candidate will bring strong clinical expertise, leadership experience, and a passion for patient-centered care.
Key Responsibilities:
Provide leadership and oversight for case management, discharge planning, and utilization review functions.
Collaborate with interdisciplinary teams to ensure efficient, high-quality patient care and safe transitions across the continuum.
Support the Director in strategic planning, policy development, and performance improvement initiatives.
Supervise and mentor case management staff, setting clear expectations and addressing performance issues consistently.
Monitor departmental compliance with DNV, CMS, and other regulatory requirements.
Utilize data and reporting tools (e.g., Epic) to assess and improve departmental performance.
Foster a culture of collaboration, innovation, and accountability.
We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form (https://airtable.com/app21VjYyxLDIX0ez/shrOg4IQS1J6dRiMo) . The EEOC "Know Your Rights" Poster is available here (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRights6.12ScreenRdr.pdf) .
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Skills and Requirements
Bachelor of Science in Nursing (BSN)
Active RN license (Compact license preferred)
35 years of experience in case management, including utilization review and discharge planning
1+ year of leadership experience in a hospital or clinic setting
Proficiency in electronic medical records (Epic experience preferred)
Strong communication, organizational, and problem-solving skills Masters degree in Nursing, Healthcare Administration, MBA, or related field
Certification in Case Management (e.g., CCM)
Background as a nurse or social worker with a long-standing commitment to patient advocacy
Experience working with diverse patient populations null
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.
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