Case Management Director
TEKsystems
Posted Thursday, May 7, 2026
Posting ID: JP-006010158
Description
A TEKsystems client is seeking an experienced Case Management Director to lead and grow their case management function at a physician‑owned specialty cardiac surgical hospital with fewer than 100 beds. This is a highly visible leadership role reporting directly to the CFO and partnering closely with executive leadership and physicians. The ideal candidate brings strong utilization review and denial management expertise, executive‑level communication skills, and a positive, adaptable leadership mindset.
This role is 5 days onsite in Lubbock TX.
Skills
cerner core, communciation, MCG, Sharepoint, teams, excel, Management skills
Top Skills Details
cerner core,communciation,MCG,Sharepoint,teams,excel
Additional Skills & Qualifications
Provide clinical and financial guidance to executive leadership, including presenting data‑driven insights and recommendations
Partner closely with the CFO and hospital leadership on utilization review strategy, denial management, and regulatory compliance
Lead, mentor, and develop a team of three case management professionals
Oversee utilization review activities using MCG (Milliman) guidelines to support medical necessity and payer compliance
Drive effective denial prevention and appeals strategies, identifying trends and opportunities for improvement
Analyze and present utilization, length‑of‑stay, and authorization data to influence operational and financial outcomes
Serve as an escalation point for complex cases, payer challenges, and cross‑functional issues
Collaborate across departments and levels of the organization, including nursing leadership, physicians, finance, and revenue cycle
Adapt processes and strategies in response to regulatory changes and evolving payer requirements
Foster a positive, collaborative culture aligned with the hospital’s physician‑owned model
Required Skills and Experience:
Proven ability to communicate effectively with executives, including presenting clinical and financial information clearly and persuasively
Strong data‑driven mindset with experience developing strategy informed by analytics
Deep experience in utilization review and denial management
Demonstrated ability to escalate, troubleshoot, and resolve complex issues through collaboration
High level of emotional intelligence with the ability to work effectively across all organizational levels
Positive, adaptable attitude with openness to change in a growing organization
Preferred Technical Skills:
Experience working with Cerner
Proficiency in Microsoft Excel, SharePoint, and Microsoft Teams
Strong working knowledge of MCG (Milliman) utilization review criteria
Experience Level
Expert Level
Job Type & LocationThis is a Contract to Hire position based out of Lubbock, TX.
Pay and BenefitsThe pay range for this position is $55.00 - $65.00/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)
This is a fully onsite position in Lubbock,TX.
Application DeadlineThis position is anticipated to close on May 15, 2026.
h4>About TEKsystems:We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Contact Information
Email: shpollard@teksystems.com
On-Site