Sr. Director - Care Coordination/Care Transitions

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!
 

We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we’ve served the health care needs of the people of Memphis and the Mid-South.
 

The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values.

 

Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.

A Brief Overview
The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values.

What you will do

• Leads the strategic design and implementation of system-wide care management programs to ensure optimal clinical and financial outcomes for the MLH patient population.
• Oversees the planning, execution, and continuous improvement of case management and care coordination processes across all MLH facilities.
• Directs system-level initiatives to reduce extended length of stay and improve patient throughput, especially for complex discharge scenarios.
• Champions patient-centered care initiatives that align with MLH’s mission and promote efficient use of clinical resources.
• Serves as a senior advisor to MLH executive leadership on regulatory trends, policy changes, and their impact on care delivery and financial performance.
• Defines and standardizes roles, workflows, and performance expectations for case managers and social workers across the enterprise.
• Develops integrated care coordination models that support seamless transitions of care between inpatient, outpatient, community, and MLH-affiliated entities (e.g., Alliance).
• Collaborates with clinical departments to embed care management principles into service lines and care pathways.
• Leads system-wide planning and response efforts for regulatory audits, ensuring compliance and minimizing financial exposure.
• Partners with Patient Financial Services, Corporate Compliance, and Clinical Operations to enhance revenue cycle performance and care documentation practices.
• Works closely with system finance and contracting teams to evaluate payer agreements and identify opportunities for revenue optimization and care alignment.

Education Qualifications

• Master's Degree Clinical
• Master's Degree Business Administration

Experience Qualifications

• Five (5) years in clinical health care setting, including direct experience in care coordination, discharge planning, patient advocacy, and resource utilization.
• 7-9 years Social Work Eight (8) years of progressively responsible and leadership in social work, case management or nursing administrative
• Preferred: Work with EPIC EHR

Skills and Abilities

• Executive presence and strategic communication skills, with the ability to serve as a trusted advisor to MLH system leadership.
• Deep understanding of regulatory policies, healthcare reform initiatives, patient care delivery models, and advanced care management strategies.
• Proven expertise in clinical data analysis, performance metrics, and outcomes-based research to drive system-wide improvements.
• Exceptional oral and written communication skills, with the ability to influence and collaborate across diverse stakeholder groups.
• Strong working knowledge of financial management, strategic planning, and operational forecasting in a complex healthcare environment.
• Insight into internal and external forces shaping healthcare delivery, including policy, market dynamics, and community needs.
• Extensive knowledge of reimbursement practices, payer regulations, and value-based care models.
• Demonstrated leadership capabilities in coaching, mentoring, and navigating complex organizational challenges with resilience and diplomacy.
• Comprehensive understanding of care management systems, regulatory compliance, and standards of practice in case management and social work.
• Mastery of healthcare management principles, including budgeting, workforce planning, and operational oversight of large-scale clinical programs.

Licenses and Certifications

• Care Guidelines Specialist - ISC-GRC - Millman Care Guidelines
• Licensed Clinical Social Worker Tennessee - Tennessee Board of Social Workers
• Accredited Case Manager - American Case Management Association
• Case Manager - The Commission for Case Manager Certification
• Licensed Master Social Worker Mississippi - Mississippi Board of Examiners for Social Workers
• Licensed Advanced Practice Social Workers Tennessee - Tennessee Board of Social Workers
• Licensed Master Social Worker Tennessee - Tennessee Board of Social Workers
• Registered Nurse Arkansas - Arkansas State Board of Nursing
• Registered Nurse Mississippi - Mississippi Board of Nursing
• Registered Nurse Tennessee - Tennessee Board of Nursing

Supervision Provided by this Position

• Manages system utilization review team and facility level case management leadership.

Physical Demands

• The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
• Must have good balance and coordination.
• The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
• The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
• The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.

Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.

Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.