Job Description
Responsibilities
Manage day-to-day case management operations, including scheduling, attendance, and staff development
Drive throughput and facilitate timely discharge planning to avoid delays in patient progression
Provide leadership to RN Case Managers and Assistants (15–18 FTEs per manager)
Serve as a key escalation point for post-acute discharge barriers, transportation delays, HLOC transfers, and service recovery
Engage in hospital-wide care coordination and ensure compliance with federal, state, and payer-specific regulations
Educate staff on processes related to care coordination, MCG/InterQual criteria, discharge planning, and reimbursement
Collaborate with physicians, insurance providers, and families for proactive planning and expectation setting
Qualifications
Required: BSN; Preferred: MSN
California RN license (will consider pending license)
Minimum 3–5 years acute hospital case management experience and leadership experience
Strong understanding of post-acute care criteria, payer requirements, and reimbursement frameworks (Medicare, Medi-Cal, managed care)
Proficiency in InterQual and MCG guidelines
Proven ability to lead in high-acuity inpatient environments and address barriers to discharge
Additional Information
Schedule & On-Call
Typical Hours: Monday – Friday, 8:00 AM – 5:00 PM (exempt position)
On-Call: Rotating weekly within leadership team; weekend call involves issue resolution, authorizations, transportation, and team support
Work Culture
Fast-paced, mission-driven environment with a strong commitment to Integrity, Compassion, Accountability, and Excellence (ICARE)
High emphasis on proactive discharge planning , staff accountability, and transparent communication with patients and families
All inpatient units are supported by the case management team
Benefits
Competitive salary based on experience
Relocation assistance (case-by-case)
Full suite of medical, dental, and vision plans
Prescription drug coverage & telemedicine services
Life, AD&D, and disability coverage
Flexible spending accounts & supplemental health plans
401(k) with employer match (up to 9% based on tenure)
Employee Stock Purchase Program
Education assistance (tuition, certification, loan support)
Paid time off, family leave, and employee health fund
Free and discounted services including pet insurance, legal help, counseling, and more
If you're ready to lead a forward-thinking Case Management team and improve care outcomes in one of California’s most impactful hospitals, we encourage you to apply today.
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