Regional Director – Case Management

PACS

Regional Director of Case Management providing leadership across skilled nursing facilities to optimize resident care transitions and manage financial sustainability.

Posted 5/23/2026full-timeRemote • California • 🇺🇸 United StatesLead💰 $165,000 - $175,000 per yearWebsite

About the role

Key responsibilities & impact

Provide strategic and operational leadership for case management and utilization review functions across all regional skilled nursing facilities.
Focus on optimizing resident transitions of care, maximizing reimbursement accuracy under the Patient-Driven Payment Model (PDPM) and Managed Care contracts.
Manage Length of Stay (LOS), and reduce acute care readmissions.
Oversee the managed care authorization process across the region.
Ensure timely initial certifications, concurrent reviews, and appeals to minimize insurance denials and peer-to-peer reviews.
Partner with Regional MDS Directors and Therapy Directors to ensure clinical documentation accurately reflects patient acuity.
Analyze regional hospital readmission data and implement protocols to manage acute changes in resident conditions.
Serve as the primary regional liaison for discharge planners and healthcare organizations to drive preferred-provider status and census growth.

Requirements

What you’ll need

Bachelor's degree in Nursing (BSN) or Master's degree in Social Work (MSW), Healthcare Administration, or a related field required
Minimum of 5 years of case management experience in a skilled Nursing (SNF) or Post-Acute environment, with at least 2-3 years in a regional or multi-site supervisory role.
Deep understanding of PDPM, Medicare Part A & B, Medicaid, Managed Care contracts, and Triple Check processes.
Active, unrestricted RN, LPN/L VN, or LCSW/LIS W license in the state (s) of operations.
RAC-CT (Resident Assessment Coordinator) or CCM (Certified Case Manager) is highly desirable.

Benefits

Comp & perks

We are 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, age, disability, protected veteran status, or any other legally protected status.
Elevated Care Starts With You.

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Applicant Tracking System Keywords

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Hard Skills & Tools

case managementutilization reviewpatient-driven payment model (PDPM)managed care contractslength of stay (LOS) managementclinical documentationdata analysisdischarge planninginsurance authorizationacute care management

Soft Skills

strategic leadershipoperational leadershipcollaborationcommunicationproblem-solvinginterpersonal skillsorganizational skillsliaison skillsteam managementprotocol implementation

Certifications

RN licenseLPN licenseLCSW licenseRAC-CTCCM