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Mary Washington Healthcare·Fredericksburg, VA

Medical Director, Utilization Management, Clinical Documentation Integrity, and Care Coordination

Social Work / Case ManagementFull time
iPosting details
ScheduleFull time
RequirementsRN license
EducationBSN · Master's degree
Experience5+ years
SourceMary Washington Healthcare · posted Oct 7, 2026
✓Requirements
Licensure
✓For RNs - Registered Nurse licensed to practice in the Commonwealth of Virginia
✓For Social Workers - Licensed Social Worker licensed to practice in the Commonwealth of Virginia.
Certifications
✓Consults, coordinates, and educates the medical staff and healthcare team on issues of appropriate placement, utilization of resources, pre-certification and payer requirements, government regulations and appropriate levels of care.
Professional Nursing Leadership Certification (ANCC or AONL), or content expert certification preferred.
Education
✓Registered Nurse with Bachelor’s degree in Nursing and a minimum of 5 years clinical nursing experience OR Social Worker with Master’s degree in Social Work/Health-related field with a minimum of 5 years hospital work experience
For RNs - Master’s degree in nursing/health-related field preferred
Qualifications
✓Minimum 5 years of healthcare management experience
✓Able to demonstrate strong communication and interpersonal skills with ability to work effectively and collaboratively with nursing colleagues, physicians, administrators, and the entire healthcare team.
✓Able to develop strong and productive working relationships with other leaders
✓Able to teach/educate and motivate others
✓Able to form strong team bonds and enhance team performance
✓Strong organizational and quality management skills with ability to handle multiple, competing tasks and priorities
✓Able to cope with rapidly changing information in a fast-paced environment
✓Experience with computer technology, specifically experience with Windows based programs, e-mail, and Microsoft Word.
+Mary Washington Healthcare
4case management roles open
FredericksburgVA · 49 mi to Washington
✓You’ll need
Licensure
✓For RNs - Registered Nurse licensed to practice in the Commonwealth of Virginia
✓For Social Workers - Licensed Social Worker licensed to practice in the Commonwealth of Virginia.
Certifications
✓Consults, coordinates, and educates the medical staff and healthcare team on issues of appropriate placement, utilization of resources, pre-certification and payer requirements, government regulations and appropriate levels of care.
Professional Nursing Leadership Certification (ANCC or AONL), or content expert certification preferred.
Education
✓Registered Nurse with Bachelor’s degree in Nursing and a minimum of 5 years clinical nursing experience OR Social Worker with Master’s degree in Social Work/Health-related field with a minimum of 5 years hospital work experience
For RNs - Master’s degree in nursing/health-related field preferred
Qualifications
✓Minimum 5 years of healthcare management experience
✓Able to demonstrate strong communication and interpersonal skills with ability to work effectively and collaboratively with nursing colleagues, physicians, administrators, and the entire healthcare team.
✓Able to develop strong and productive working relationships with other leaders
✓Able to teach/educate and motivate others
✓Able to form strong team bonds and enhance team performance
✓Strong organizational and quality management skills with ability to handle multiple, competing tasks and priorities
✓Able to cope with rapidly changing information in a fast-paced environment
✓Experience with computer technology, specifically experience with Windows based programs, e-mail, and Microsoft Word.

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About the role

The Director of Care Coordination is responsible for directing and supporting the organization-wide Care Coordination Model to drive improvements in patient throughput performance and overall hospital length of stay for Mary Washington and Stafford hospitals.