Manager of Case Management

Riverside, California

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Inland Empire, CA Full-Time Rotating Weekends Admin Hours

We are seeking an experienced and motivated Manager of Case Management to lead a high-performing team in a busy acute care setting. This full-time leadership role is ideal for a Registered Nurse with strong clinical expertise and a background in case management or nursing leadership.

Position Overview

The Manager of Case Management is responsible for the day-to-day operations of the Case Management department. This includes oversight of staffing, workflows, and patient throughput processes to ensure efficient, high-quality care and discharge planning. The role reports directly to the Director of Case Management & Social Services.

Key Responsibilities

  • Support case management staff through scheduling, workload balancing, and rounding on clinical units.
  • Oversee timely and appropriate discharge planning to ensure continuity of care.
  • Develop strong relationships with physicians, payers, and care teams to support effective care coordination.
  • Ensure departmental compliance with hospital policies and regulatory requirements.
  • Provide coaching, training, and ongoing support to team members.

Qualifications

  • Bachelor of Science in Nursing (BSN) required; Master's degree (MSN) preferred.
  • Current California Registered Nurse (RN) license.
  • Minimum of 5 years of experience in acute care case management and/or nursing management.
  • Strong knowledge of federal and non-federal case management regulations.
  • Familiarity with InterQual and M&R criteria.
  • Understanding of hospital reimbursement models and payer systems, including Medicare, Medi-Cal, managed care, and private insurance.

Compensation

  • Salary range: $142,771 - $214,032 annually
  • Relocation assistance available on a case-by-case basis

Date Posted: 28 April 2025
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