About this opportunity
MissionHires lists this Director of Case Management - Las Cruces, New Mexico opportunity in las cruces, New Mexico. Review the employer’s description below for duties, qualifications and application requirements.
Job description
MissionHires is supporting a healthcare organization in southern New Mexico in hiring a Director of Case Management. This leader will oversee case management operations—spanning utilization review, discharge planning, and care coordination—to drive clinical, financial, and operational performance while ensuring patients progress efficiently through the continuum of care. The role manages a multidisciplinary team (RNs, social workers, and support staff), ensures regulatory compliance, tracks quality metrics, and partners with clinical and administrative leaders to optimize outcomes and resource utilization.
Responsibilities
Lead daily operations of the case management department, including staffing, workflow management, and performance oversight
Oversee utilization review, discharge planning, and care coordination processes
Ensure compliance with regulatory standards, accreditation requirements, and organizational policies
Monitor quality, throughput, and efficiency metrics; identify trends and implement process improvements
Collaborate with clinical and administrative leadership to optimize patient outcomes and resource utilization
Develop and execute departmental goals, training programs, and performance improvement initiatives
Manage departmental budgets and support financial objectives, including cost-effective care delivery
Coach, mentor, and evaluate case management staff (RNs, social workers, support personnel)
Standardize best practices, documentation, and escalation pathways across the continuum of care
Support effective communication and interdisciplinary collaboration across units and service lines
Requirements
Active RN license in New Mexico or an eligible compact state (required)
Minimum 3 years of experience in case management and/or utilization review (required)
At least 2 years of leadership experience in a healthcare setting (required)
Certification in case management (CCM or ACM) preferred
Familiarity with InterQual or certification through a recognized healthcare quality organization preferred
Demonstrated leadership and team management capabilities
Expertise in care coordination, utilization review, and discharge planning
Proven knowledge of regulatory compliance and quality improvement methodologies
Experience with financial and operational oversight within a clinical department
Strong communication skills and ability to collaborate across interdisciplinary teams
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Worksite address
las cruces, NM, 88005, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.