Case Manager, RN – mid shift

Working Nurse; Santa Clarita (CA); On-site; USD 70,000 - 107,000; Full time

Job summary

Henry Mayo Newhall Hospital in Santa Clarita seeks an RN Case Manager to coordinate care across the patient’s continuum, supporting discharge planning and post-hospital needs. You will interact with insurers and medical groups to ensure efficient use of services and clinical resources.

The role requires a CA RN license and a BLS card; Case Management certification is preferred. You will work within an interdisciplinary team to optimize patient outcomes and throughput during acute episodes.

Qualifications

• Current CA RN license.
• Current BLS provider card (Case Management certification preferred).
• Diploma, AA, or BS in Nursing; MS in Nursing preferred.

Responsibilities

• Coordinate care across the continuum and manage patient throughput in partnership with a multidisciplinary team.
• Oversee care coordination and post-hospital needs; ensure timely, efficient use of services.
• Refer patients to clinical social workers for psycho-social issues and complex discharge planning.
• Collaborate with insurers, medical groups, and community resources to optimize care and resource use.

Skills

Interpersonal skills

Leadership

Negotiation

Payer knowledge

Education

Diploma/AA/BS in Nursing

MS in Nursing preferred

Job description

Job Description

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.

RN Job

Case Manager, RN – mid shift

Shift

Full Time 3p - 11:30p

Pay Range

$51.31 to $78.76

Job ID

30375

Location

Santa Clarita, 91355

Qualifications

Licensure and Certification

• Current CA RN license
• Current BLS provider cardCase 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

About The Hospital

Be a part of the team at Henry Mayo Newhall Hospital, the healthcare leader in the Santa Clarita Valley.