Case Management Supervisor: Lead Discharge & Utilization

Sonoma Specialty Hospital; Sebastopol (CA); Hybrid; USD 110,000 - 170,000; Full time

Job summary

Sonoma Specialty Hospital in Sebastopol, CA seeks a Case Management Supervisor to lead the case management team in a LTACH, ensuring timely admission reviews, appropriate level-of-care determinations, and effective discharge planning.

The role blends clinical leadership with compliance and payer collaboration, guiding staff, promoting quality, and coordinating with physicians and IDT to optimize patient outcomes.

Qualifications

• RN licensure in CA required; BSN preferred.
• Master's degree in nursing or healthcare administration preferred.
• CCM/ACM-RN/CPHM certification preferred.
• Proficient in EMR and case management software; strong data use.

Responsibilities

• Oversee daily operations of the case management team in LTACH.
• Lead pre-admission screening, authorization reviews, and payer communications.
• Direct discharge planning and care transitions to appropriate post-acute settings.
• Monitor CMS requirements, quality metrics, and regulatory compliance.
• Collaborate with physicians, nurses, and caregivers in IDT meetings.
• Coach staff, manage performance, and support staff retention.

Skills

Leadership

Communication

Healthcare administration

Data analysis

EMR proficiency

Education

BSN required

Master's in Nursing/Healthcare Admin preferred

RN licensure in CA

Cert CCM/ACM-RN/CPHM preferred

BLS preferred

Tools

EMR

Microsoft Office

Case management software

Job description

Sonoma Specialty Hospital in Sebastopol, CA seeks a Case Management Supervisor to lead the case management team in a LTACH, ensuring timely admission reviews, appropriate level-of-care determinations, and effective discharge planning.

The role blends clinical leadership with compliance and payer collaboration, guiding staff, promoting quality, and coordinating with physicians and IDT to optimize patient outcomes.