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Case Management Director Jobs (NOW HIRING)

Champion Care

Case Management Director

Milwaukee, WI · On-site

) Case Management Director - Skilled Nursing & Post-Acute Care Multi-Facility Leadership Role | Full-Time | Competitive Salary Based on Experience Champion Care is seeking an experienced and driven ...

Encompass Health

Case Management Director

Yuma, AZ

Case Management Director Career Opportunity Highly regarded for your Case Management Director expertise Are you an experienced and compassionate healthcare professional with a background in case ...

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$45K

$123.6K

$199.5K

How much do case management director jobs pay per year?

As of May 29, 2026, the average yearly pay for case management director in the United States is $123,611.00, according to ZipRecruiter salary data. Most workers in this role earn between $98,000.00 and $141,500.00 per year, depending on experience, location, and employer.

What Does a Case Management Director Do?

As a case management director, you typically work in a hospital or healthcare facility, ensuring that the patient care meets organizational standards. Duties in a case management director role involve overseeing a team of case managers, guiding and training personnel, developing policies and procedures for the work, establishing and adhering to budgets, communicating with physicians and nurses, providing educational resources to patients, and managing related in-facility projects and patient outreach. Responsibilities can also include analytical tasks such as producing and evaluating reports, tracking department progress, reviewing treatment plans and goals, and providing feedback to case managers.

What are the key skills and qualifications needed to thrive as a Case Management Director, and why are they important?

To thrive as a Case Management Director, you need a comprehensive background in healthcare, social work, or nursing, often supported by a bachelor's or master's degree and relevant licensure such as RN or LCSW. Familiarity with case management software, electronic health records (EHRs), and certifications like ACM or CCM is highly valued. Leadership, strategic thinking, and strong communication skills help drive team performance and coordinate care effectively. These competencies are crucial for ensuring optimal patient outcomes, regulatory compliance, and efficient resource management across healthcare settings.

What are some common challenges faced by Case Management Directors, and how can they effectively address them?

Case Management Directors often encounter challenges such as coordinating multidisciplinary teams, managing caseloads efficiently, and ensuring compliance with evolving healthcare regulations. To address these issues, strong communication and leadership skills are essential, as is staying up to date with regulatory changes and best practices in care coordination. Building collaborative relationships across departments and implementing data-driven strategies can help streamline processes and improve patient outcomes.

What is the difference between Case Management Director vs Case Manager?

AspectCase Management DirectorCase Manager
CredentialsRelevant certifications (e.g., CCM, ACM), bachelor’s or master’s degree in healthcare or social servicesRelevant certifications (e.g., CCM), bachelor’s degree in related field
Work EnvironmentHealthcare facilities, insurance companies, social service agencies, overseeing teamsHospitals, clinics, community agencies, directly working with clients
ResponsibilitiesOverseeing case management programs, strategic planning, staff supervisionAssessing client needs, developing care plans, coordinating services

The main difference is that a Case Management Director oversees the entire program and manages staff, while a Case Manager works directly with clients to coordinate care. The director has broader responsibilities and strategic oversight, whereas the case manager focuses on individual client needs.

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Case Management Director jobs near you
Case Management Director

Case Management Director

Champion Care

Milwaukee, WI • On-site

Full-time

Posted 16 days ago

Job description

) Case Management Director - Skilled Nursing & Post-Acute Care
Multi-Facility Leadership Role | Full-Time | Competitive Salary Based on Experience
Champion Care is seeking an experienced and driven Case Management Director to lead insurance authorization, managed care, and clinical case management operations across multiple skilled nursing and post-acute care facilities.
This is a high-impact leadership opportunity for someone with strong SNF, managed care, Medicare, Medicaid, and utilization review experience who thrives in a fast-paced healthcare environment and understands how strong case management directly impacts reimbursement, census growth, length of stay management, and clinical outcomes.
If you are a current SNF Case Management Director, Managed Care Specialist, Insurance Authorization Leader, Clinical Reimbursement Professional, or Utilization Review Nurse looking for your next opportunity, we want to connect with you.
Key Responsibilities
  • Lead and oversee a team of Clinical Case Managers supporting multiple skilled nursing facilities
  • Manage insurance authorization workflows for Medicare, Medicaid, Managed Care, and commercial insurance plans
  • Ensure timely submission of authorizations, concurrent reviews, updates, and appeals
  • Reduce denials and support optimal reimbursement outcomes across facilities
  • Monitor payer portals, authorization statuses, and documentation requirements
  • Assist with complex admissions, re-admissions, denials, and escalated payer concerns
  • Partner with facility leadership, admissions, MDS, therapy, and billing teams to improve financial and clinical outcomes
  • Track discharge planning, length of stay, and authorization trends
  • Conduct daily team huddles and workflow management meetings
  • Train and mentor case management staff on managed care processes, ABNs, NOMNCs, payer requirements, and compliance standards
  • Lead hiring, onboarding, coaching, and performance management for the case management team
  • Participate in weekly Medicare and managed care review meetings
  • Ensure compliance with state, federal, and payer-specific regulations
Qualifications
  • RN or LPN license highly preferred
  • Experience in skilled nursing facility (SNF) case management, insurance authorization, managed care, or utilization review required
  • Strong knowledge of Medicare, Medicaid, Managed Care, and post-acute reimbursement processes
  • Leadership experience within healthcare or long-term care preferred
  • Ability to manage multiple facilities, priorities, and deadlines
  • Strong communication, organizational, and problem-solving skills
  • Experience working with payer portals, authorization systems, and interdisciplinary clinical teams
Why Join Champion Care
  • High-visibility leadership role within a growing multi-facility healthcare organization
  • Opportunity to lead and build a high-performing case management team
  • Collaborative and supportive leadership environment
  • Direct impact on census growth, reimbursement, and patient outcomes
  • Career growth opportunities within post-acute and long-term care leadership

Champion Care is an Equal Opportunity Employer (EOE). We are committed to creating an inclusive workplace for all employees and applicants and do not discriminate based on race, color, religion, sex, national origin, age, disability, genetic information, or any other protected status.
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