Director Registered Nurse (RN) - Care Manager
Medical Solutions Direct Hire
Albany, GA
5x8 hrs, Days

Director of Care Management

Direct Hire | Full-Time | Onsite (Not Remote)

A large acute care healthcare organization is seeking an experienced Director of Care Management to lead and oversee all care management operations. This onsite, direct-hire leadership role is responsible for strategic direction, operational oversight, regulatory compliance, and performance outcomes across utilization review, care coordination, denial management, social work, and transitions of care. The Director provides system-level leadership to ensure safe discharges, appropriate utilization of resources, and readmission prevention.

Position Overview

· Permanent, full-time, direct-hire leadership role
· Onsite position (not remote)
· Executive-level oversight of the Care Management program
· Responsibility for staffing, budgeting, planning, and resource allocation
· Leadership of utilization review, care coordination, denial management, social work, and transition planning
· Collaboration with Physician Advisors and executive stakeholders
· Focus on quality outcomes, regulatory compliance, and revenue cycle alignment

Shift Details

· Standard business hours with leadership flexibility
· Occasional extended hours based on operational needs
· Onsite presence required

Compensation & Incentives

· Annual salary range: $87,713.60 – $146,182.40 (commensurate with experience)
· Comprehensive executive-level benefits package
· Retirement plan and paid time off
· Professional development support

Key Responsibilities

· Direct the overall Care Management program, staff, and daily operations
· Set departmental priorities and provide administrative and strategic leadership
· Oversee utilization review, care management, denial management, social work, and transitions of care
· Ensure appropriate level-of-care determinations and effective resource utilization
· Support safe patient discharge planning and readmission prevention initiatives
· Collaborate with Physician Advisors on utilization management and clinical alignment
· Partner with internal and external stakeholders to optimize care coordination
· Ensure compliance with payer, regulatory, and accreditation requirements
· Provide education on evolving payer regulations, industry trends, and system impact
· Participate in system-wide performance improvement initiatives

Requirements

Education

· Bachelor’s degree in Nursing or Healthcare Administration (required)
· Master’s degree in Nursing or related field (preferred)

Experience

· 4+ years of acute care case management experience (required)
· 5+ years of management and leadership experience (required)
· Minimum of 2+ years at the Director level in a comparable acute care setting (required)

Certifications & Licensure

· Active Registered Nurse (RN) license (Georgia) OR Licensed Clinical Social Worker (LCSW) (required)
· Certified Case Manager (CCM), ACM, or CMAC (preferred)

Why This Opportunity

This is a high-impact leadership role for a seasoned care management professional ready to influence system-level outcomes. The position offers authority, visibility, and the opportunity to drive meaningful improvements in utilization, patient flow, and care transitions within a complex acute care environment.

Location Highlights

· Stable healthcare market
· Reasonable cost of living
· Strong professional community
· Onsite leadership presence with organizational influence

Job Type: Full-time

Benefits

· Medical, dental, and vision insurance
· Prescription coverage
· Flexible spending accounts
· Disability and life insurance
· Paid time off
· Retirement plan
· Tuition assistance and professional development
· Employee assistance program

Work Location: In person (Onsite only)