Director Case Management
Detroit, MI · On-site
$103K - $155K/yr
... processes • Ensure compliance with CMS regulations and Joint Commission standards • Manage ... case management experience required
Quick apply
Detroit, MI · On-site
$103K - $155K/yr
... processes • Ensure compliance with CMS regulations and Joint Commission standards • Manage ... case management experience required
Quick apply
Detroit, MI · On-site
$103K - $155K/yr
... processes • Ensure compliance with CMS regulations and Joint Commission standards • Manage ... case management experience required
Detroit, MI · On-site
Utilization Management • Implements and monitors processes to ensure medical necessity review ... Five years acute hospital case management experience preferred. McKesson InterQual ® experience ...
Detroit, MI · On-site
Utilization Management • Implements and monitors processes to ensure medical necessity review ... Five years acute hospital case management experience preferred. McKesson InterQual ® experience ...
Detroit, MI · On-site
Monitors case management processes and staff productivity to ensure medical necessity reviews are completed timely and accurately, payer communications are sent, and authorizations or denials ...
Detroit, MI · On-site
Monitors case management processes and staff productivity to ensure medical necessity reviews are completed timely and accurately, payer communications are sent, and authorizations or denials ...
Monitors case management processes and staff productivity to ensure medical necessity reviews are completed timely and accurately, payer communications are sent, and authorizations or denials ...
Monitors case management processes and staff productivity to ensure medical necessity reviews are completed timely and accurately, payer communications are sent, and authorizations or denials ...
Utilization Management • Implements and monitors processes to ensure medical necessity review ... Accredited Case Manager (ACM) preferred.
Utilization Management • Implements and monitors processes to ensure medical necessity review ... Accredited Case Manager (ACM) preferred.
Bingham Farms, MI · On-site
$28 - $32/hr
At Horizon Case Management Corp, we are dedicated to providing compassionate, patient-centered care ... Educate patients and families on healthcare processes, rights, and available support services.
Bingham Farms, MI · On-site
$28 - $32/hr
At Horizon Case Management Corp, we are dedicated to providing compassionate, patient-centered care ... Educate patients and families on healthcare processes, rights, and available support services.
... one weekend orientation consisting of onsite Sat/Sun 7:30-4pm. The new hire will get one day off ... Analyze patient outcomes and identify opportunities for improvement in care processes.
... one weekend orientation consisting of onsite Sat/Sun 7:30-4pm. The new hire will get one day off ... Analyze patient outcomes and identify opportunities for improvement in care processes.
... one weekend orientation consisting of onsite Sat/Sun 7:30-4pm. The new hire will get one day off ... Analyze patient outcomes and identify opportunities for improvement in care processes.
... one weekend orientation consisting of onsite Sat/Sun 7:30-4pm. The new hire will get one day off ... Analyze patient outcomes and identify opportunities for improvement in care processes.
... one weekend orientation consisting of onsite Sat/Sun 7:30-4pm. The new hire will get one day off ... Analyze patient outcomes and identify opportunities for improvement in care processes.
... one weekend orientation consisting of onsite Sat/Sun 7:30-4pm. The new hire will get one day off ... Analyze patient outcomes and identify opportunities for improvement in care processes.
Kalamazoo, MI · On-site
$18.75 - $24.25/hr
As a Case Management Supervisor, you'll help carry this mission forward and make a meaningful ... Receive and process intake and referrals in a timely manner; * Establish and maintain post ...
Kalamazoo, MI · On-site
$18.75 - $24.25/hr
As a Case Management Supervisor, you'll help carry this mission forward and make a meaningful ... Receive and process intake and referrals in a timely manner; * Establish and maintain post ...
Detroit, MI · On-site
$19.75 - $25.50/hr
... Case Management and Social Work/Discharge Planning departments at the assigned DMC hospital(s), in ... Ensures consistent and coordinated delivery of all assigned processes within the hospital. Manages ...
New
Detroit, MI · On-site
$19.75 - $25.50/hr
... Case Management and Social Work/Discharge Planning departments at the assigned DMC hospital(s), in ... Ensures consistent and coordinated delivery of all assigned processes within the hospital. Manages ...
New
$14.90 - $29.06/hr
... processing, data entry and telephone and clerical support for team facilitating care management ... Facilitates initial review of assigned case levels and assists in case management assignment to ...
$14.90 - $29.06/hr
... processing, data entry and telephone and clerical support for team facilitating care management ... Facilitates initial review of assigned case levels and assists in case management assignment to ...
Detroit, MI · On-site
$19.75 - $25.50/hr
... Case Management and Social Work/Discharge Planning departments at the assigned DMC hospital(s), in ... Ensures consistent and coordinated delivery of all assigned processes within the hospital. Manages ...
New
Detroit, MI · On-site
$19.75 - $25.50/hr
... Case Management and Social Work/Discharge Planning departments at the assigned DMC hospital(s), in ... Ensures consistent and coordinated delivery of all assigned processes within the hospital. Manages ...
New
$14.90 - $29.06/hr
Essential Job Duties • Facilitates administrative support including case assignment, member ... processing, data entry and telephone and clerical support for team facilitating care management ...
$14.90 - $29.06/hr
Essential Job Duties • Facilitates administrative support including case assignment, member ... processing, data entry and telephone and clerical support for team facilitating care management ...
Detroit, MI · On-site
$19.75 - $25.50/hr
... Case Management and Social Work/Discharge Planning departments at the assigned DMC hospital(s), in ... Ensures consistent and coordinated delivery of all assigned processes within the hospital. Manages ...
New
Detroit, MI · On-site
$19.75 - $25.50/hr
... Case Management and Social Work/Discharge Planning departments at the assigned DMC hospital(s), in ... Ensures consistent and coordinated delivery of all assigned processes within the hospital. Manages ...
New
Sterling Heights, MI · On-site
$14.90 - $29.06/hr
Essential Job Duties • Facilitates administrative support including case assignment, member ... processing, data entry and telephone and clerical support for team facilitating care management ...
Sterling Heights, MI · On-site
$14.90 - $29.06/hr
Essential Job Duties • Facilitates administrative support including case assignment, member ... processing, data entry and telephone and clerical support for team facilitating care management ...
Rochester, MI · On-site
$14.90 - $29.06/hr
Essential Job Duties • Facilitates administrative support including case assignment, member ... processing, data entry and telephone and clerical support for team facilitating care management ...
Rochester, MI · On-site
$14.90 - $29.06/hr
Essential Job Duties • Facilitates administrative support including case assignment, member ... processing, data entry and telephone and clerical support for team facilitating care management ...
$14.90 - $29.06/hr
... processing, data entry and telephone and clerical support for team facilitating care management ... Facilitates initial review of assigned case levels and assists in case management assignment to ...
$14.90 - $29.06/hr
... processing, data entry and telephone and clerical support for team facilitating care management ... Facilitates initial review of assigned case levels and assists in case management assignment to ...
Detroit, MI · On-site
$14.90 - $29.06/hr
Essential Job Duties • Facilitates administrative support including case assignment, member ... processing, data entry and telephone and clerical support for team facilitating care management ...
Detroit, MI · On-site
$14.90 - $29.06/hr
Essential Job Duties • Facilitates administrative support including case assignment, member ... processing, data entry and telephone and clerical support for team facilitating care management ...
$14.90 - $29.06/hr
... processing, data entry and telephone and clerical support for team facilitating care management ... Facilitates initial review of assigned case levels and assists in case management assignment to ...
$14.90 - $29.06/hr
... processing, data entry and telephone and clerical support for team facilitating care management ... Facilitates initial review of assigned case levels and assists in case management assignment to ...
| Aspect | Weekend Case Management Processor | Weekend Medical Coder |
|---|---|---|
| Credentials | Typically requires case management or healthcare certifications | Requires coding certifications like CPC or CCS |
| Work Environment | Healthcare facilities, insurance companies, or case management agencies | Hospitals, clinics, or medical billing companies |
| Employer & Industry | Healthcare and insurance industries | Medical billing and coding industry |
| Search & Comparison Intent | Understanding roles in healthcare case management | Comparing healthcare coding roles |
The Weekend Case Management Processor focuses on coordinating patient care and managing cases, often requiring case management certifications. In contrast, a Weekend Medical Coder specializes in translating medical records into billing codes, requiring coding certifications. Both roles operate in healthcare settings but serve different functions within the industry.
$103K - $155K/yr
Contractor
Re-posted 4 days ago
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Director Case Management – Full-Time
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Location: Detroit, Michigan
Setting: Acute Care Hospital
Employment Type: Full-Time
Experience Level: Director Level
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Guaranteed Hours
40 hours per week
Estimated Pay Rate
$103,000 – $155,000 annually
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Shift Information
Number of Shifts: 5 shifts per week
Shift Start Time: 08:00 AM
Shift End Time: 05:00 PM
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Job Overview
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We are seeking an experienced Director of Case Management to oversee hospital utilization management, transition management, care coordination, and operational leadership within a high-volume acute care hospital setting. This role is responsible for driving performance improvement, ensuring compliance with regulatory standards, and optimizing patient throughput and resource utilization.
The Director will lead multidisciplinary teams to ensure safe, efficient, and timely patient care delivery while supporting revenue cycle integrity, denial prevention, and hospital operational effectiveness.
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Key Responsibilities
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• Oversee Case Management Department operations and staffing
• Lead utilization management and medical necessity review processes
• Ensure compliance with CMS regulations and Joint Commission standards
• Manage patient transition planning and discharge coordination
• Monitor patient throughput, avoidable days, and length of stay metrics
• Implement performance improvement and quality initiatives
• Provide physician and staff education on utilization and documentation
• Coordinate care across interdisciplinary hospital teams
• Support revenue cycle processes and denial prevention efforts
• Ensure regulatory compliance across all case management functions
• Develop departmental goals, policies, and operational procedures
• Participate in audits, compliance reviews, and reporting initiatives
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Requirements
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• Bachelor’s degree in Nursing or health-related field (or equivalent experience) OR Master’s in Social Work (MSW)
• Active RN or LCSW/LMSW license in applicable state(s)
• 3–5 years of acute hospital case management leadership experience
• Hospital case management experience required