Job Description Summary

Reporting directly to the System Executive Director of Case Management, the Director of Case Management is responsible for the strategic leadership, administration, and operational oversight of the Case Management program across assigned areas.

Job Responsibilities:

• Directs, plans, and oversees daily operations of local case management services across the continuum of care in alignment with system case management policies, procedures, and established models of care.
• Utilize the Case Management and Post Acute Care dashboards to monitor and analyze key performance indicators, identify trends and actively assist with patient placement and discharges.
• Collaborate with system and division leaders on performance improvement in initiatives aimed at reducing barriers and enhancing coordination of care.
• Ensures effective discharge planning processes are in place 7 days/week.
• Partners with Utilization Management and clinical teams to optimize patient flow and length of stay.
• Supports budget development, financial performance monitoring, and resource allocation.
• Identifies and implements strategies to optimize cost efficiency while maintaining quality.
• Oversees high-cost resource utilization.
• Leads operational improvement initiatives aligned with system priorities.
• Collaborate with Case Management, Social Work, and clinical teams to proactively identify and manage complex patients.
• Facilitate interdisciplinary case reviews and barrier resolution meetings.
• Ensure timely progression of care and care setting transitions.
• Partner with post-acute providers, state agencies, and community organizations to expedite safe discharges.
• Ensures compliance with all mandatory health and safety standards established by CMS Conditions of Participation, including regulatory requirements for hospitals participating in the Medicare program.
• Ensures compliance with South Carolina Code Regulations § 61-17.1000.1013 related to patient discharge planning and safe transitions of care.
• Ensures adherence to applicable accreditation standards.
• Collaborates with the System Educator of Case Management on FCL audits and timely submission of corrective action plans.
• Tracks and analyzes key performance metrics.
• Demonstrates and promotes adherence to Medical University Hospital Authority (MUHA) Standards of Professional Behavior.
• Provides leadership and oversight of interdisciplinary teams.
• May oversee subordinate leaders and/or mid-level providers engaged in discharge planning activities.
• Provides leadership oversight and timely followup on local operational, patient care, staff, and physician concerns to ensure appropriate resolution, escalation when necessary, and sustained operational effectiveness.
• Recruits, develops, mentors, and evaluates staff to ensure high-performing teams.
• Promotes a culture of accountability, collaboration, and professional development.
• Leads change management and standardization efforts across departments.

Minimum Requirements:

Education:
Bachelor’s degree in nursing required OR Master’s degree in social work required. Master’s degree in healthcare or related field preferred.

Experience:
Minimum of 5 years of experience in case management, discharge planning, or related field. Minimum of 2–3 years of leadership/management experience.

Licensure/Certification:
Active South Carolina RN or Social Work licensure required. Certification in Case Management (CCM or ACM) preferred.

Other skills:
Strong organizational, time management and problem-solving skills required. Excellent interpersonal, organizational and written and verbal communication skills required. Highly detail-oriented; ability to independently take initiative and exercise good judgement in decision-making. Must be able to collaborate with multidisciplinary teams and anticipate needs/think ahead when completing work.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.