Case Manager, RN

International Executive Service Corps; Northern (KY); Hybrid; USD 90,000 - 110,000; Full time

Job summary

Henry Mayo Newhall Hospital in Valencia, California, seeks an experienced RN Case Manager to coordinate care, utilization review, and discharge planning across the continuum of care. You will work with a multidisciplinary team to ensure timely and efficient use of services for patients and families.

The role requires a CA RN license, current BLS card, and preferred Case Management certification. Strong communication, leadership, and problem-solving skills are essential for success in this

Qualifications

• Two (2) years as a Case Manager in an acute care setting or five years recent acute care nursing experience preferred.
• Licensure as a CA RN; BLS provider card; Case Management certification preferred.

Responsibilities

• Coordinate care and utilization review across the patient care continuum.
• Act as a resource to patient, family and nursing units with referrals to clinical social work for psycho-social issues and discharge planning.
• Interact with insurance companies, medical groups and community resources to ensure timely, efficient use of services.

Skills

Communication

Interpersonal skills

Teamwork

Problem solving

Leadership

Negotiation

Independent work

Education

Diploma/AA/BS in Nursing

MS in Nursing preferred

Job description

Your Work Here Matters. Your Career Here Thrives.

Imagine coming to work every day knowing that what you do genuinely changes lives. At Henry Mayo Newhall Hospital, that's not just a tagline — it's the reality for every member of our team.

We're not just a hospital. We're the heartbeat of the Santa Clarita Valley — a 357-bed, not-for-profit Level II Trauma Center that has been a trusted pillar of this community since 1975. And we're looking for passionate, driven professionals who want to be part of something bigger than themselves.

Where Clinical Excellence Meets Cutting-Edge Care

Here, you'll work alongside an award-winning team delivering some of the most advanced medical services in the region, including:

• Comprehensive heart and vascular care
• Advanced stroke treatment
• Cancer care in partnership with Keck Medicine of USC
• Women's imaging and breast health services
• Emergency and trauma care
• Cardiac rehabilitation and wellness programs

As a key part of Los Angeles County's STEMI receiving network, we provide lifesaving cardiac intervention through our state-of-the-art Roberta G. Veloz Cardiac Cath Lab. We continuously invest in the latest technology and innovation — which means you'll always be working at the forefront of modern medicine.

A Culture You'll Be Proud to Be Part Of

Our vision — To Be the Most Patient-Centric Hospital Anywhere — drives everything we do. But it's people who make that vision a reality. Physicians, nurses, staff, and volunteers come together here in a culture rooted in compassion, collaboration, and excellence.

When you join Henry Mayo, you're not just accepting a job offer. You're joining a family that genuinely cares — about our patients, our community, and you.

Located in Beautiful Valencia, California

Nestled in the vibrant Santa Clarita Valley, you'll enjoy an exceptional quality of life both inside and outside of work — with top-rated schools, scenic surroundings, and a welcoming community that generations of families proudly call home.

Ready to make your mark? Join the team that's been setting the standard for compassionate, innovative healthcare for nearly 50 years. Your next great chapter starts here.

Job Summary

The RN Case Manager is responsible for coordination of care, utilization review, acting as a resource to patient, family and nursing units; referrals to clinical social worker for psycho-social issues and complicated discharge planning issues; and overseeing coordination of post-hospital care needs; interacting with insurance companies, medical groups, and community resources to ensure timely, efficient use of all services. Applies knowledge of the expected clinical process, available resources, medical necessity criteria, regulatory requirements, and relevant standards of care in anticipating patient needs. Responsible for case management across the continuum of care utilizing an interdisciplinary approach to managing patient throughput in a fiscally responsible manner to achieve optimal outcomes. Works as a member of a multidisciplinary team to actively facilitate those functions associated with the patient throughout an acute episode of care.

What You'll Bring to the Team:

• Develops, maintains, and models professional, objective and value-oriented interpersonal skills. Continuously promotes a patient-centered philosophy.
• Maintains positive and proactive communication with patients, families, staff members, and physicians.
• Fosters team-building relationships
• Excellent organizational skills and the ability to problem solve are essential
• Strong interpersonal skills, leadership, negotiation skills, good leadership talent
• Knowledge of the payer industry, resource management, reimbursement, and evidence-based clinical practice is essential
• Ability to work independently

Licensure and Certification:

• Current CA RN license
• Current BLS provider card
• Case Management certification preferred

Education:

• Diploma, AA, BS in Nursing
• MS in Nursing preferred

Experience:

• Two (2) years as a Case Manager in an acute care setting or five years recent acute care nursing experience preferred.
• Demonstrates strong interpersonal skills, leadership ability, negotiation skills, and knowledge of hospital operations. General knowledge of the payer industry, resource management, reimbursement, and evidence-based clinical practice is essential.
• Knowledge of InterQual and/or Milliman preferred