Care Continuum Case Manager: Discharge & Utilization

University of Southern California; Arcadia (CA); On-site; USD 96,000 - 158,000; Full time

Job summary

University of Southern California Arcadia Hospital is seeking a Case Manager to support physicians and the care team in coordinating utilization management, discharge planning, and care facilitation to improve outcomes and patient satisfaction.

You will manage a designated caseload, collaborate with multidisciplinary staff, document plans in the Affinity GUI, and act as a resource for coders while ensuring timely payer communication and cost-effective care.

Qualifications

• RN license with CA registration and CPR certification.
• BLS for Healthcare Providers required.
• Experience in discharge planning and utilization management.

Responsibilities

• Participate in discharge planning from admission to transition of care.
• Apply InterQual criteria to monitor admissions and stays.
• Collaborate with medical staff and payers to resolve issues.
• Document care plans and communications in the Affinity GUI.
• Coordinate referrals to Home Health, hospice, and equipment as needed.

Skills

Discharge planning

Utilization management

Case management

Performance improvement

Interdisciplinary collaboration

Data analysis

PC skills

Education

Associate’s Degree Nursing

Tools

Affinity GUI

Job description

University of Southern California Arcadia Hospital is seeking a Case Manager to support physicians and the care team in coordinating utilization management, discharge planning, and care facilitation to improve outcomes and patient satisfaction.

You will manage a designated caseload, collaborate with multidisciplinary staff, document plans in the Affinity GUI, and act as a resource for coders while ensuring timely payer communication and cost-effective care.