Interim Care Management Director
Hattiesburg, Mississippi
Merit Health Wesley

Interim Care Management Director - Hattiesburg, Mississippi

Position Overview

• Role: Interim Care Management Director
• Employment Type: Interim Leader
• Location: Hattiesburg, Mississippi
• Contract Length: 12 weeks

Key Responsibilities

• Oversee implementation, development, and management of Care Management and Resource Management programs.
• Ensure compliance with regulatory and accreditation standards (CMS, Joint Commission, etc.).
• Lead and direct Care Management staff, ensuring accountability and adherence to scope of practice.
• Conduct chart reviews to evaluate severity of illness and intensity of services for admissions, continued stays, and discharge planning.
• Refer cases not meeting criteria to Physician Advisor or Utilization Management Committee and ensure follow-up.
• Identify avoidable days and implement communication systems to resolve them.
• Coordinate discharge planning and social services functions in compliance with federal/state laws and Joint Commission standards.
• Act as liaison to community agencies for post-hospital placement and support.
• Ensure timely reporting of Child Protective Services (CPS) or Adult Protective Services (APS) cases and educate staff on mandatory reporting.
• Participate in Patient Care Conferences and Length of Stay meetings.
• Perform other duties as assigned and comply with all policies and standards.

Qualifications

• Bachelor’s Degree in Nursing (required)
• Master’s Degree in Nursing, Healthcare Administration, or related field (preferred)
• 4-6 years clinical nursing experience (required)
• 3-5 years experience in care management or utilization review (required)
• 1-3 years leadership experience in healthcare setting (required)

Skills and Abilities

• In-depth knowledge of care management principles, discharge planning, and regulatory compliance.
• Strong leadership and team-building skills.
• Excellent communication and interpersonal skills for collaboration with multidisciplinary teams and external partners.
• Analytical and problem-solving skills.
• Proficiency with electronic medical records (EMR) and care management software.
• Commitment to patient-centered care and continuous quality improvement.

Licenses and Certifications

• Registered Nurse (RN) with State Licensure and/or Compact State Licensure (required)
• Basic Life Support (BCLS) certification within 7 days of hire or transfer (required)