Corporate Director of Case Management and Utilization Review

Job overview

The Corporate Director of Case Management and Utilization Review is an onsite, full-time role in Houston, TX; compensation is not specified. Nexus Health Systems provides specialized medical, neurobehavioral, rehabilitation, and behavioral healthcare services for pediatric and adult populations. The role establishes system-wide direction and operational oversight for case management, utilization review, care coordination, discharge planning, and transitions of care. It aligns workflows and performance across facilities to support patient outcomes, regulatory compliance, operational efficiency, and financial stewardship.

What you'll do

• Develop unified case management and utilization review strategy
• standardize policies and workflows across facilities
• oversee medical necessity reviews, payer authorizations, care coordination, discharge planning, denial prevention, performance reporting, budgets, staffing, and team development.

What we're looking for

Skills & competencies

corporate director

case management

utilization review

healthcare leadership

care coordination

discharge planning

medical necessity

denial prevention

houston tx

nexus health systems

Work arrangement

• Weekend coverage required

Benefits & perks

• Competitive compensation, comprehensive benefits, and professional growth opportunities are mentioned
• specific benefit details are not provided.

Why this role

Leads integration of case management and utilization review across a multi-facility health system serving complex medical and behavioral health populations.

About the employer

Nexus Health Systems Ltd is hiring for this role. Industry: Other Residential Care Facilities. Sector: 62.