Manager, Case Management at KDMC Ashland Hospital

About The Role

At UK King's Daughters, we’re not just a healthcare facility — we’re a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. We’re more than just a place to work; we’re a place to grow, thrive, and contribute to our community.

Job Description

Job Summary

Responsible for directing daily operations of Case Management nursing staff to ensure effective workflow and patient care. Establishes goals, assesses organizational structure, and implements process improvements to optimize clinical and cost outcomes. Serves as primary communication liaison with clinical leadership and promotes Case Management initiatives. Manages staffing needs through recruitment, training, coaching, and corrective action. Ensures compliance with payer guidelines, coordinates interdisciplinary care, and escalates complex cases for resolution.

Essential Functions

Aligns and sustains resources and standard work to ensure consistent, standardized social services and optimal patient outcomes.
Oversees daily operations, policy development, and implementation for social work and case management services.
Hires, supervises, and provides disciplinary action for staff, fostering high employee engagement and professional growth.
Utilizes data, metrics, and performance indicators to drive departmental decisions, process improvements, and positive patient transitions.
Ensures compliance with government, regulatory, and payer requirements, including Medicare, Medicaid, and third-party guidelines.
Manages departmental budgets and achieves strategic and financial goals.
Collaborates with medical, interdisciplinary, and quality teams to coordinate care, facilitate communication, and support enterprise objectives.
Maintains and reports key metrics, dashboards, and outcomes to leadership and stakeholders.
Performs other duties as assigned.

Education Requirement

Bachelor’s degree in social work, nursing, psychology, sociology, or a related field

Experience Requirement

4-5 years of experience in nursing, case management, or a relevant area
An equivalent combination of education and experience may be considered.
All experience must be paid and in the same related field.
Part-time and PRN experience will be prorated based on hours worked per week.
Volunteer work and internships for academic credit are not counted.

Certifications & Licensures

Current and active Registered Nurse (RN) license, Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ)

Working Conditions

A. Lifting, pushing, and/or pulling objects up to 50lbs: 2. Occasional (< 10% of the time)
B. Lifting, pushing, and/or pulling objects over 50lbs: 1. Never
C. Standing or walking with objects up to 10lbs: 3. Intermittent (10% - 50% of the time)
D. Standing or walking with objects up to 25lbs: 2. Occasional (< 10% of the time)
E. Sitting at computer workstation for extended periods: 3. Intermittent (10% - 50% of the time)
F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials: 1. Never
G. Repetitive motion: 3. Intermittent (10% - 50% of the time)
H. Working at heights above 4 feet: 1. Never
I. Working in confined spaces: 1. Never
J. Risk of injuries from use of equipment on the job: 1. Never
K. Job-related travel: 2. Occasional (< 10% of the time)
L. Loud noises: 1. Never
M. Temperature extremes: 1. Never
N. Hazardous chemicals and fumes including waste: 1. Never
O. Radiation: 1. Never
P. Burns: 1. Never
Q. Cuts/Punctures: 1. Never
R. Bloodborne/airborne pathogens: 1. Never
S. Recombinant DNA or viral vectors: 1. Never
T. Combative/violent people: 2. Occasional (< 10% of the time)
U. Animal handling (including carcasses): 1. Never
V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A

Physical Demands

This position requires intermittent sitting at a computer workstation for extended periods of time; intermittent standing or walking with objects up to 10 pounds; occasional standing or walking with objects up to 25 pounds; occasional lifting, pushing, and/or pulling objects weighing up to 50 pounds; and performing tasks with intermittent repetitive motions (such as typing or writing). Also involves occasional job-related travel and occasional interaction with combative or violent people.