New

Case Management Director

TEKsystems
$55.00 - $65.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, Texas, Lubbock
May 12, 2026
Case Management Director Lubbock, TX \| Onsite \| Contract-To-Hire About the Opportunity A physician-owned specialty cardiac surgical hospital in Lubbock, TX is looking for an experienced Case Management Director to lead and grow their case management function. This is a highly visible role reporting directly to the CFO, with close partnership across executive leadership and physicians. The position is open due to internal growth - you'd be stepping in to propel an already-established team forward while navigating regulatory change and increasing organizational sophistication. What You'll Do * Partner 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 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 * Provide clinical and financial guidance to executive leadership through data-driven insights and recommendations * Serve as the escalation point for complex cases, payer challenges, and cross-functional issues * Collaborate across nursing leadership, physicians, finance, and revenue cycle * Adapt processes and strategies in response to evolving payer requirements and regulatory changes * Foster a positive, collaborative culture aligned with the hospital's physician-owned model What You Bring * Deep experience in utilization review and denial management * Proven ability to communicate effectively with executives - presenting clinical and financial information clearly and persuasively * Strong data-driven mindset with experience developing strategy informed by analytics * Demonstrated ability to escalate, troubleshoot, and resolve complex issues through collaboration * High emotional intelligence with the ability to work effectively across all organizational levels * Positive, adaptable attitude with openness to change in a growing organization Technical Skills * Strong working knowledge of MCG (Milliman) utilization review criteria * Experience with Cerner (preferred) * Proficiency in Microsoft Excel, SharePoint, and Microsoft Teams Details * 5 days onsite in Lubbock, TX * Expert-level experience required Job Type & Location This 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) Workplace TypeThis is a fully onsite position in Lubbock,TX. Application DeadlineThis position is anticipated to close on May 19, 2026. 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. San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records. Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.