Job Description
Key Responsibilities:
Provide daily leadership and oversight to 15–18 Case Management FTEs
Manage throughput and discharge planning across all inpatient units
Lead rounds, escalate care barriers, and troubleshoot delays in progression
Coordinate with physicians, social services, and payers to ensure safe transitions of care
Supervise CM processes such as Interqual/M&R, insurance authorization, and placement
Ensure compliance with Medicare, Medi-Cal, commercial payer, and federal regulations
Deliver training, accountability, and mentorship to CM staff and assistants
Serve in a rotational on-call leadership role for LOA/HLOC/transport escalation
Qualifications
Bachelor’s Degree in Nursing (BSN) required
Current CA RN license (or pending)
At least 3–5 years of recent acute hospital case management experience
At least 1–2 years of experience in a leadership role in case management
Strong knowledge of Interqual, M&R, and payer-driven reimbursement models
Ability to engage with patients and families in discharge discussions with empathy and clarity
Proficient in identifying barriers to progression of care and resolving system-level issues
Ideal Candidate Profile:
Highly autonomous and able to hit the ground running with minimal onboarding
Skilled in staff coaching, throughput management, and interdepartmental collaboration
Familiar with leading in a union or high-volume acute care environment
Calm under pressure with strong critical thinking and service recovery skills
Department Highlights:
All inpatient units covered by centralized CM team
ICU/Telemetry/Med-Surg/Post-Acute coordination
Leadership culture focused on ICARE values (Integrity, Compassion, Accountability, Respect, Excellence)
Excellent collaboration between CM, social services, and clinical operations
Additional Information
Benefits Include:
Medical, dental, and vision coverage
Free telehealth and emergency transportation services
401(k) with employer match (up to 9%)
Paid time off and family leave
Education and certification assistance
Counseling and wellness resources
Life, disability, and supplemental coverage options
Employee stock purchase program
Discounts on travel, retail, insurance, and more
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