Case Manager - RN - Per Diem, Days

PIH Health; Downey (CA); On-site; USD 85,000 - 120,000; Full time

Job summary

PIH Health is seeking an RN Case Manager to oversee the continuum of care from pre-admission to post-discharge. You will guide patients and families through hospitalization, ensuring efficient progression and optimal utilization of hospital services.

The role emphasizes education of medical staff and maximizing reimbursement from third-party payors. Ideal candidates hold an active California RN license and have strong assessment, discharge planning, and healthcare delivery system knowledge.

Qualifications

• Must have broad knowledge of disease processes, pathophysiology, and treatment plans.
• Strong assessment skills with developed critical thinking and analysis abilities.
• Good understanding of psychosocial and cognitive assessments.
• Familiarity with discharge planning and care options.

Responsibilities

• Manage continuum of care from pre-admission through post-discharge for assigned patients.
• Ensure patients and families navigate care efficiently and safely.
• Focus on appropriate utilization of hospital services and maximizing reimbursement.

Skills

Broad knowledge of disease processes

Assessment and critical thinking

Discharge planning familiarity

Psychosocial and cognitive assessment

Job description

The RN Case Manager manages a continuum of care from pre-admission through post-discharge for assigned patients. Assure that patients and families proceed efficiently throughout the course of hospitalization. Focus of the position is the appropriate utilization of hospital services, maximizing reimbursement from all third party payors, and education of medical/hospital staff about healthcare options.

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.

Required Skills

• Broad knowledge of disease process, pathophysiology and treatment plan
• Strong assessment skills with high-developed critical thinking skills and analysis abilities
• Good understanding of psychosocial and cognitive assessment
• Familiarity with discharge planning process and care options

Required Experience

Required:

• Maintain an active California RN license.
• Computer proficiency.

Preferred:

• Previous experience in case management preferred.
• Minimum of one (1) year acute hospital nursing experience.
• Organizational abilities and familiarity with medical assessment. Understands treatment plans and healthcare delivery system.