Case Management RN: Discharge Planning & Utilization Expert

Salinas Valley Health; Salinas (CA); On-site; USD 102,000 - 123,000; Full time

Job summary

Salinas Valley Health in California seeks a Case Manager to perform utilization review and discharge planning for assigned patients, ensuring medical necessity and appropriate hospital service use. The role supports families with discharge planning, post-discharge resources, and follow-up care coordination across NICU and pediatric populations.

Requires ASN with BSN preferred and 3+ years in acute care nursing; must hold an active California RN license and BLS certification.

Qualifications

• ASN required; BSN preferred.
• Three years acute medical-surgical nursing experience.
• At least one year in utilization review, case management, or discharge planning in acute care.

Responsibilities

• Perform Utilization Review and Discharge Planning for assigned patients.
• Analyze medical records for medical necessity and level of care.
• Develop formal discharge plans and coordinate post-discharge needs.
• Coordinate with hospital personnel to manage care delivery and discharge teaching.
• Ensure NICU and pediatric discharge information is culturally and linguistically appropriate.

Skills

Utilization review

Discharge planning

Care coordination

Education

ASN in nursing

BSN preferred

Tools

BLS/Healthcare Provider

California RN license

Job description

Salinas Valley Health in California seeks a Case Manager to perform utilization review and discharge planning for assigned patients, ensuring medical necessity and appropriate hospital service use. The role supports families with discharge planning, post-discharge resources, and follow-up care coordination across NICU and pediatric populations.

Requires ASN with BSN preferred and 3+ years in acute care nursing; must hold an active California RN license and BLS certification.