Case Manager, RN - Pre Access

Henry Mayo Newhall Hospital; Santa Clarita (CA); On-site; USD 107,000 - 164,000; Full time

Job summary

Henry Mayo Newhall Hospital in Valencia, CA is seeking an RN Case Manager-Pre Access to screen, coordinate, and facilitate admission reviews for acute patients, ensuring adherence to medical guidelines in collaboration with credentialed medical staff.

You will work with interdisciplinary teams to coordinate transfers and communicate admissions with the Director of Case Management and Physician Advisor as needed. A CA RN license and BLS are required, with Case Management certification preferred.

Qualifications

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

Responsibilities

• Screen, coordinate, and facilitate admission review of all acute patients.
• Coordinate admissions/transfers with credentialed medical staff and Director of Case Management/Physician Advisor.
• Facilitate transfers into the hospital ensuring adherence to medical guidelines.
• Communicate requested admissions/transfers clearly to the Director of Case Management and Physician Advisor.

Skills

Interpersonal skills

Communication

Organizational skills

Leadership

Negotiation

Payer knowledge

Regulatory knowledge

Utilization management

Education

Diploma/AA/BS in Nursing

MS in Nursing preferred

Tools

InterQual

Job description

Job Brief

1 Opening

Pay Range: CASE MANAGER, RN - $51.31 to $78.76

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 our 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-Pre Access is responsible for screening, coordinating, and facilitating admission review of all acute patients. Working collaboratively with all interdisciplinary staff, facilitates admission and transfer of patients, ensure that each patient is admitted meeting established medical guidelines in collaboration with credentialed medical staff, assist with the coordination of patient transfers into the hospital, and communicates all requested and questionable admissions/transfers to the Director of Case Management , and/or Physician Advisor.

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, andevidence-based clinical practice is essential
• Knowledge of State and Federal regulations; e.g. EMTALA, Medi-Cal, HMOs, etc.
• Understanding of Medicare, Medi-Cal and other Third Party Payer regulations
• Understanding of current utilization/quality management principles, techniques and procedures

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.
• Experience in Critical Care setting 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.
• Advanced experience utilizing InterQual required.