Director of Case Management
Company: Tenet
Location: Rutland
Posted on: April 7, 2026
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Job Description:
The individual in this position has overall responsibility for
hospital utilization management, transition management, and
operational management of the Case Management Department in order
to promote effective utilization of hospital resources, timely and
accurate revenue cycle processes, denial prevention, safe and
timely patient throughput, and compliance with all state and
federal regulations related to case management services. This
position integrates national standards for case management scope of
services including: Utilization Management supporting medical
necessity and denial prevention; Transition Management promoting
appropriate length of stay, readmission prevention and patient
satisfaction; Care Coordination by demonstrating throughput
efficiency while assuring care is the right sequence and at
appropriate level of care; Compliance with state and federal
regulatory requirements, TJC accreditation standards, and Tenet
policy; and Education provided to physicians, patients, families,
and caregivers Manage department operations to assure effective
throughput and reimbursement for services provided Lead the
implementation and oversight of the hospital Utilization Management
Plan using data to drive hospital utilization performance
improvement Ensure medical necessity and revenue cycle processes
are completed accurately and in compliance with CMS regulations and
Tenet policy Ensure timely and effective patient transition and
planning to support efficient patient throughput develop and
provide physician education and feedback on hospital utilization
other duties as assigned. Are you a results-driven leader ready to
make a meaningful impact to patients, caregivers, and your
community? At Saint Vincent Hospital hospital, were seeking an
innovative and experienced healthcare leader to drive excellence
and inspire our team towards exceptional patient outcomes and
operational success. At Saint Vincent Hospital, we understand that
our greatest asset is our dedicated team of professionals. That's
why we offer more than a job - we provide a comprehensive benefit
package that prioritizes your health, professional development, and
work-life balance. The available plans and programs include:
Medical, dental, vision, and life insurance 401(k) retirement
savings plan with employer match Generous paid time off Career
development and continuing education opportunities Health savings
accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program Voluntary
benefits include pet insurance, legal insurance, accident and
critical illness insurance, long term care, elder & childcare, auto
& home insurance Note : Eligibility for benefits may vary by
location and is determined by employment status Saint Vincent
Hospital has been providing high-quality healthcare to Worcester
and the surrounding communities for more than 125 years. At Saint
Vincent Hospital, we believe you should have access to the
treatments you need without having to travel far from home. We are
proud to have been the first hospital in central Massachusetts to
offer robotically assisted surgical procedures and minimally
invasive, computer-assisted joint replacements. Some of the
distinctions we have received include designations as a Blue
Distinction Center for Cardiac Services, Bariatric Surgery, and
both Knee and Hip Replacement. We continue to be leaders in
advanced treatments like ourCyberKnife Radiosurgery, and our
Cardiac Rehabilitation Program whichoffers a unique, specialized
approach to overcoming heart health challenges. Healthgrades
awarded Saint Vincent Hospital 1 in Cardiology in the state and one
of Americas 100 Best Hospitals for Coronary Intervention in 2023
and 2024, which puts Saint Vincent Hospital in the top 5% of
hospitals nationwide for coronary intervention. At Saint Vincent
Hospital, you can grow your career skills through a wide range of
specialties and help support the overall health of our community.
Join our team! Required: Education: Bachelor's degree in Business,
Nursing or Health Care Administration for RN or Master's in Social
Work for MSW Experience: 3 years of acute hospital case management
or healthcare leadership experience Licensure/Certification:
Registered Nurse or LCSW/LMSW license. Must be currently licensed,
certified or registered to practice profession as required by law
or regulation in state of practice or policy. Active RN or
LCSW/LMSW license for state(s) covered. Preferred: Experience: 5
years of acute hospital case management leadership multi-site
experience Education: MSN, MBA, MSW, or MHA
Licensure/Certification: Accredited Case Manager
(ACM)5c143e31-5e48-4549-b638-05792d185386
Keywords: Tenet, Utica , Director of Case Management, Healthcare , Rutland, New York
