Case Management Nurse

MASC Medical Recruitment Firm; Los Angeles, California (CA, MO); Hybrid; USD 60,000 - 110,000; Full time

Benefits offered by this job

401K

Medical, Dental, and Vision insurance

3 weeks paid time off

Job summary

A medical recruitment agency in Los Angeles is seeking an RN Case Manager to facilitate safe and timely transitions of patients from Long-Term Acute Care to lower levels of care. The ideal candidate will have at least 3 years of experience in care coordination and must hold an Associate degree in Nursing or a related field. This full-time position offers a salary between $60,000 and $110,000 annually, with benefits including paid time off and health insurance.

Qualifications

• Minimum 3 years’ experience in care coordination, discharge planning, or case management.
• Valid California driver's license and reliable transportation.
• Experience with CalAIM, ECM, or Community Supports preferred.

Responsibilities

• Facilitate patient transitions from Long-Term Acute Care to other levels of care.
• Attend interdisciplinary rounds and discharge planning meetings.
• Communicate with health plans for authorizations and placement.

Skills

Care coordination

Communication skills

Critical thinking

Organizational skills

Education

Associate degree in Nursing, Health Sciences, or related field

Bachelor’s degree (BSN, BA/BS in Health Administration, Public Health, or Social Work)

Job description

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

Base pay range

$60,000.00/yr - $110,000.00/yr

Physician Recruiter - I provide clinicians more career opportunities and negotiate better compensation terms.

RN Case Manager

The RN Case Manager – LTAC Transitions facilitates safe, timely, and well-coordinated transitions of patients from Long-Term Acute Care (LTAC) settings to lower—but medically appropriate—levels of care, including skilled nursing facilities, sub acute units, or home and community-based programs.

Working within a hybrid model, the Coordinator spends designated days on-site at partner LTACs to participate in care rounds, engage with discharge planners, and coordinate directly with facility teams, while performing administrative and follow-up tasks remotely on non-onsite days.

This position serves as the operational bridge between LTAC staff, Presidium providers, external facilities, and community partners—ensuring continuity, compliance, and strong communication across all transitions of care.

Compensation & Schedule

Compensation: $60,000 – $110,000 annually

Schedule: Full-time

Benefits: 3 weeks paid time off (2 weeks + 6-7 federal holidays), 401K, Medical, Dental, and Vision.

Onsite (LTAC-Facing) Responsibilities

• Attend scheduled onsite days (typically 2–3 per week) at assigned LTAC facilities.
• Participate in interdisciplinary rounds and discharge planning meetings on behalf of Presidium.
• Serve as the point of contact for LTAC case managers, social workers, and clinical staff regarding patients attributed to Presidium.
• Review provider discharge readiness decisions and ensure orders, documentation, and authorizations are initiated promptly.
• Identify barriers to discharge (e.g., authorization delays, placement availability) and escalate to the Director of Care Management or supervising provider.
• Support family and caregiver education on post-discharge instructions, follow-up appointments, and care continuity resources.

Remote (Administrative & Follow-Up) Responsibilities

• Complete discharge documentation, coordination notes, and communication logs in the EHR or designated coordination platform.
• Arrange logistics including transportation, DME, pharmacy coordination, home health orders, and post-discharge appointments.
• Communicate with SNFs, home health agencies, and community partners to ensure readiness to receive the patient.
• Confirm successful transfers and monitor members for 30-day readmission or escalation risk.
• Conduct post-transition outreach calls to verify continuity and patient satisfaction.
• Coordinate with internal ECM and Community Supports teams for warm handoffs into ongoing wraparound programs.

Cross-Functional Collaboration

• Collaborate closely with Presidium providers and interdisciplinary teams to align discharge plans with the patient’s clinical needs and social circumstances.
• Communicate proactively with health plans or managed care organizations to confirm authorizations or clarify next-level placement requirements.
• Participate in internal quality-improvement initiatives focused on readmission prevention and transition efficiency.
• Maintain compliance with HIPAA, CMIA, and all internal privacy and data security policies.

Documentation and Reporting

• Ensure all transition and coordination notes are entered within 24 hours of activity.
• Track and report transition status metrics (timeliness, barriers, outcomes) through dashboards or assigned templates.
• Support monthly performance review meetings by providing updates on active transitions, resolved barriers, and quality indicators.

Education & Licensure Requirements

• Preferred: Registered Nurse (RN) or equivalent clinical training.
• Minimum: Associate degree in Nursing, Health Sciences, Social Services, or related field; or equivalent combination of education and healthcare coordination experience.
• Desirable: Bachelor’s degree (BSN, BA/BS in Health Administration, Public Health, or Social Work).
• Valid California driver’s license and reliable transportation (for travel to partner LTAC facilities).

Experience Requirements

• Minimum 3 years’ experience in care coordination, discharge planning, or case management within LTAC, acute hospital, SNF, or managed‑care environment.
• Experience coordinating services and authorizations with health plans, providers, and community partners.
• Familiarity with CalAIM, ECM, or Community Supports preferred.
• Strong interpersonal skills with the ability to communicate effectively across clinical and administrative teams.
• Highly organized with the ability to manage multiple transitions and shifting priorities in a fast‑paced environment.

Seniority level

Mid‑Senior level

Employment type

Full‑time

Job function

Health Care Provider