Manager Case Management

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This range is provided by Net2Source Inc.. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$142,771.00/yr - $214,032.00/yr

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Location: Riverside, California

Position Summary:

We are seeking a skilled and experienced Manager of Case Management to lead a dynamic team in a large, acute care hospital setting. This individual will be responsible for overseeing the daily operations of the case management department, ensuring compliance with regulatory standards, optimizing patient throughput, and promoting high-quality, patient-centered care. The Manager will serve as a key leader in supporting effective care coordination, discharge planning, and utilization management throughout the hospital.

Key Responsibilities:

• Provide leadership and oversight to the case management department, including Registered Nurse Case Managers and Case Management Assistants.
• Monitor departmental processes to ensure alignment with hospital policies, regulatory requirements, and professional standards.
• Foster interdisciplinary collaboration to ensure safe, efficient, and timely discharge planning and care coordination.
• Assist with patient throughput by evaluating direct admits and supporting real-time discharge planning.
• Engage in proactive discharge discussions with patients and families to set appropriate expectations and minimize delays.
• Manage staffing schedules, attendance, productivity, and daily rounding to support case management team members.
• Ensure consistent application of utilization review criteria (e.g., InterQual, MCG Guidelines) to support medical necessity and level of care determinations.
• Address delays in patient care progression, escalate barriers, and collaborate with other hospital departments to implement solutions.
• Provide ongoing staff education and hold team members accountable for process adherence and quality outcomes.
• Serve as a weekend/evening on-call resource to resolve time-sensitive case management concerns, including transportation and higher level of care (HLOC) transfers.

Qualifications:

• Education:
• Bachelor’s Degree in Nursing (BSN) – Required
• Licensure/Certification:
• Current Registered Nurse (RN) License in California – Required (Pending license may be considered)

Experience:

• 3–5 years of case management experience in an acute care hospital – Required
• Prior leadership or management experience in a clinical or case management setting – Required

Department Structure:

• Reports to: Director of Case Management
• Support: Administrative Assistant
• Facility Size: 540+ inpatient beds
• Schedule: Monday – Friday, 8:00 AM – 5:00 PM
• On-Call: Rotational (Evenings/Weekends) to support escalations, service recovery, transportation issues, or emergent HLOC approvals.

Department Culture:

The team is rooted in values of Integrity, Compassion, Accountability, and Excellence (ICARE) . The ideal candidate will be a proactive leader, skilled in communication and collaboration, who prioritizes seamless discharge planning and patient satisfaction.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care and Hospitals

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Inferred from the description for this job

Disability insurance

Tuition assistance

Paid paternity leave

Student loan assistance

Paid maternity leave

Child care support

Pension plan

Medical insurance

Vision insurance

401(k)

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