Vice President, Case Management

TL;DR

Vice President, Case Management (Healthcare): Providing executive leadership and strategic direction for case management initiatives and clinical priorities with an accent on regulatory compliance, utilization management, and care coordination. Focus on advancing operational strategies, ensuring evidence-based clinical standards, and integrating social work services across the continuum.

Location: Must be based in Brooklyn, NY, USA

Salary: $210,000–$225,000

Company

hirify.global is a healthcare organization focused on clinical priorities and operational efficiency in case management.

What you will do

• Provide executive management and strategic direction for all case management and social work activities.
• Develop and implement action plans aligned with organizational goals and regulatory requirements.
• Collaborate with department leaders to integrate services across the care continuum.
• Monitor quality of care and ensure adherence to JCAHO, federal, and state regulatory standards.
• Formulate and revise administrative policies and procedures for case management.
• Ensure compliance with HIPAA standards regarding protected health information.

Requirements

• Bachelor’s Degree in Nursing required; Master’s Degree preferred.
• New York State Licensed Registered Professional Nurse.
• Minimum 10 years of acute care clinical experience.
• Minimum 10 years of case management leadership experience.
• Certification in Case Management and Patient Review Instrument (PRI).
• Strong understanding of CMS Conditions of Participation and HIPAA regulations.

Nice to have

• Certification in Hospital Management.

Culture & Benefits

• Professional office environment with a focus on clinical excellence.
• Opportunity to lead strategic initiatives in a high-impact healthcare role.
• Commitment to non-discrimination and inclusive employment practices.