Director of Care Management
Holy Cross Health
Position Purpose
The Director of Care Management develops, organizes, and leads an integrated, hospital-wide care management program to optimize resource utilization, care coordination, and discharge planning. This role ensures effective transitions of care, regulatory compliance, and high-quality patient outcomes through collaboration with hospital staff, medical teams, and external agencies.
What You Will Do
Oversee inpatient care coordination, utilization review, social work, and discharge planning.Direct staff interactions with payers and regulatory agencies regarding patient status and insurance matters.Collaborate with the Medical Director of Care Management to implement department policies and programs.Work closely with the Director of Documentation Quality and Care Transitions on denial prevention, readmission prevention, and palliative care.Provide education and guidance to hospital staff, patients, and families on care management processes.Lead department operations, ensuring compliance with best practices and hospital mission.Minimum Qualifications
Master’s degree or higher in nursing, social work, healthcare administration, or a related healthcare field.Active Maryland licensure in a clinical specialty (if applicable).Five years of experience in care management or a related field.At least two years of leadership experience in case management, utilization review, or a similar area.Strong knowledge of payer mechanisms, utilization management, and regulatory requirements.Proven ability to lead through collaboration and influence.Effective communication and relationship-building skills with interdisciplinary teams and external organizations.Position Highlights
Leadership role overseeing the Department of Care Management.Direct reports include the Manager of Utilization Review & Case Management, Manager of Continuum of Care, and Administrative Support Staff.Opportunity to make a meaningful impact on patient care and hospital operations.Benefits
Comprehensive benefit packages available, including medical, dental, vision, mental health, paid time off, 403B, education assistance and voluntary benefits (pet insurance, accident insurance, hospital indemnity and others) available from first day of employment.Work/Life balance with flexible schedules.Free onsite parking.DailyPay ProgramOur mission and core values are what drives each member of Holy Cross Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all.Pay rate: $54.94 - $82.40
Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.
Ministry/Facility Information:
Holy Cross Health is a Catholic, not-for-profit health system that serves the two most populous counties in Maryland, Montgomery and Prince George’s, with a commitment to being the most trusted provider of health-care services in the area. Founded in 1963 by the Sisters of the Holy Cross, Holy Cross Health is a member of Trinity Health of Livonia, Michigan. Holy Cross Hospital, in Silver Spring, is one of the largest hospitals in Maryland, and Holy Cross Germantown Hospital is the first hospital in the nation built on a community college campus, enhanced by an educational partnership. The Holy Cross Health Network operates primary-care practices and affordable health centers, and offers a wide range of innovative, community-based health and wellness programs. Specialty care, home care and hospice services round out Holy Cross Health’s high-quality and coordinated continuum of care that aims to improve health and let you live life on your own terms.
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.