Director, RN Case Management

The Director, RN Case Management provides strategic and operational leadership for InnovAge’s RN Case Management division, overseeing all inpatient care coordination, post-acute transitions, utilization management, and related workflows across the PACE program. The Director reports to the VP of Nursing Operations and leads the RN Case Management team, ensuring compliance with regulatory requirements, operational excellence, and alignment with InnovAge’s mission and care model.

 

This role ensures high-quality participant outcomes, efficient care transitions, and consistent application of case management standards. The Director actively partners with interdisciplinary teams, facility leaders, and community partners to optimize participant health outcomes and minimize unnecessary hospital readmissions.

 

Essential Functions & Responsibilities

 

Functional Category: Clinical Operations & People Leadership

Estimated % of Time: 35%

• Leads, develops, and supports RN Case Managers, including recruitment, onboarding, coaching, and performance management.
• Establishes division-wide workflows, standards, and best practices for acute and post-acute care coordination.
• Partners with the VP of Nursing Operations and clinical leadership to implement staffing strategies, workload balancing, and coverage expectations for case management services.
• Oversees daily operational execution of case management functions, ensuring timely coordination, documentation, and communication across care teams.
• Ensures RNs receive training and ongoing development to maintain clinical competency in transitional care and utilization management.

Functional Category: Participant Service & Experience

Estimated % of Time: 20%

• Oversees the experience of participants during hospitalization and post-acute stays, ensuring high-quality transitions and strong communication.
• Responds to escalated participant concerns in coordination with Center Directors, providers, and Quality teams.
• Ensures RN Case Managers collaborate effectively with participants, families, caregivers, and IDT members to support person-centered care plans.
• Monitors service KPIs and drives improvements in communication, responsiveness, and participant satisfaction during transitional care periods.

Functional Category: Clinical Quality & Compliance Execution

Estimated % of Time: 20%

• Ensures division performance aligns with quality metrics related to readmissions, skilled days, length of stay, and transition-of-care outcomes.
• Ensures RN Case Management workflows comply with all federal and state regulations and PACE requirements.
• Partners with QA, Compliance, and Center Operations on audits, corrective action plans, monitoring, and documentation standards.
• Ensures appropriate and compliant review of medical necessity, levels of care, discharge planning, and utilization standards.

Functional Category: Growth, Market Development & Network Partnerships

Estimated % of Time: 15%

• Builds and maintains strong relationships with hospitals, SNFs, and community-based partners to enhance transitional care pathways.
• Supports market teams in preparing for enrollment growth, expansion, and network development through standardized case management practices.
• Represents the RN Case Management division in external partner discussions, strengthening care coordination channels.
• Monitors participant retention and collaborates on strategies to address barriers related to post-acute care experiences.

Functional Category: Resource Management, Performance & Financials

Estimated % of Time: 10%

• Oversees performance related to ED/IP utilization, SNF days, and avoidable hospital readmissions.
• Reviews utilization data and trends to identify opportunities for efficiency, improved care transitions, and cost stewardship.
• Partners with Finance, Population Health, and Transformation teams to analyze drivers of cost and implement interventions to improve performance and reduce unnecessary utilization.

Travel Requirements

 

10–20% travel across centers and markets.

 

Qualifications

 

Required

• Bachelor’s degree in Nursing (BSN)
• Current state-issued Registered Nurse (RN) license
• 5+ years of experience in acute care coordination, case management, or discharge planning
• 2+ years of leadership or supervisory experience in a clinical setting
• Demonstrated success in performance management, operational execution, and cross-functional collaboration
• Experience in quality improvement, compliance adherence, or care coordination oversight

Preferred

• 3+ years of experience coordinating care and discharge planning
• 3+ years of experience in geriatrics or value-based care models
• Certification as a Gerontological Nurse or related specialty
• Bilingual preferred

InnovAge is dedicated to empowering seniors to live independently, allowing them to age in their own homes and communities safely. InnovAge offers an alternative to nursing homes through its Program of All-inclusive Care for the Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. These centers are staffed by medical professionals who are committed to creating personalized care plans for each participant. At InnovAge, our team members are our greatest asset and have a significant impact on the lives of our participants every day. When you join InnovAge, you'll work alongside talented, respectful, and passionate colleagues within a patient-centered care model.

 

InnovAge is committed to equal opportunity and affirmative action, and we strive to create a diverse and inclusive workplace. We consider all qualified candidates for employment without discrimination based on race, color, religion, sex, sexual orientation, gender identity/expression, national origin, disability, protected veteran status, pregnancy, or any other protected status. Salaries are determined by various factors such as qualifications, experience, and location, and do not include potential bonuses or benefits. Our extensive benefits package includes medical/dental/vision insurance, short and long-term disability, life insurance and AD&D, supplemental life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays.

 

Applicants are considered until the position is filled.

$115,700 - $150,500

Compensation Disclaimer

The pay may vary depending on job related factors, such as work location, experience, knowledge, skills, education, certifications, training and internal equity.  InnovAge offers a comprehensive benefits package, which includes medical, dental, vision, 401(k) plan with company match, short and long-term disability, life insurance, supplemental life insurance, ADD, flexible spending account, paid time off and company paid holidays.

 

Attention Florida Applicants
This position requires a background screening through the Florida Care Provider Background Screening Clearinghouse.
For more information, please visit the Clearinghouse Education and Awareness website:  https://info.flclearinghouse.com

 

Agency Disclaimer

InnovAge will not accept unsolicited resumes from search firms for this employment opportunity. Regardless of past practices, all candidates/resumes submitted by search firms to InnovAge by any means without a valid written search agreement in place for that position will be deemed the property of InnovAge and no fee will be paid in the event such candidate is hired by InnovAge.