Clinical Case Manager Per Diem (CASE MGR PD)

University of California- Davis Health; Sacramento (CA); On-site; USD 116,000 - 157,000; Part time

Job summary

University of California Davis Health is seeking a Per Diem Clinical Case Manager in Sacramento to support discharge planning and utilization management. The role emphasizes coordinating care, reviewing authorizations, and ensuring timely patient transitions on a 20% time basis.

The ideal candidate has an RN license, a BSN preferred, and strong knowledge of Medicare/Medicaid and third-party payor processes. This on-site position offers a dynamic healthcare team environment.

Qualifications

• Valid California RN license without restriction.
• Graduate from an accredited school of nursing.
• Minimum 2 years case management experience in discharge planning or utilization management.
• Active knowledge of discharge planning, utilization management, and reimbursement.
• Knowledge of Medicare, Medi-Cal, and HMO legislation and payor contracts.
• Familiar with Nursing Practice Act and ethics standards.
• Ability to read English and medical terminology; assess admissions and discharge needs.
• Ability to analyze charts and develop care plans.
• Coordinate health care team and maintain professional relationships.
• Work under pressure and manage multiple priorities with confidentiality.

Responsibilities

• Utilization reviews and case finding.
• Coordination and implementation of discharge plans.
• Communication, coordination, and documentation.
• Secure authorization for care and reimbursement.
• Denials and appeals management.
• Quality and education.

Skills

RN license

Discharge planning

Utilization management

Performance improvement

Managed care

Medicare knowledge

Nursing ethics

Medical terminology

Conflict management

Interpersonal communication

Education

BSN

Job description

Location: Sacramento

Full/Part Time: Part Time

Apply By Date: September 25th, 2026 at 11:59pm PST.

Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position

• Valid California Registered Nurse License without restriction
• Graduation from an accredited school of nursing.
• Minimum of 2-years recent Case Management experience in discharge planning and/or utilization management in an acute hospital.
• Licensed RN with current working knowledge of discharge planning, utilization management, performance improvement and managed care reimbursement.
• Knowledge of Medicare, Medi-Cal, and HMO legislation, third party payor contracts, Title XXII, the Joint Commission. Demonstrated knowledge of how these programs/regulations affect the functions and role of the department. Demonstrated ability to incorporate them into departmental systems/processes.
• Knowledge of professional and ethical standards related to Clinical Case Management such as the Nursing Practice Act, the Codes of Ethics from the American Nurses Association and the Standards of Practice & Scope of Services by the American Case Management Association.
• Ability to read and comprehend English text and medical terminology; knowledge of medical and nursing treatment plans, levels of care, and area resources; skill in assessing the appropriateness of medical admissions and continued stay.
• Skill to perform in-depth chart analysis to provide accurate information in a concise, informative manner, identify/analyze problems or issues related to areas of responsibility, developing an appropriate plan, and considering medical needs and resources available.
• Ability to organize and direct varied health care team professionals in a manner that establishes a good rapport and professional working relationship.
• Ability to work efficiently and independently, maintaining a calm manner while under pressure. Ability to organize work to accommodate special projects, deadlines and priorities; ability to be both flexible and adaptable in order to coordinate multiple variables and to respond to the need of a multi-faceted work area.
• Possess clinical skills and knowledge base to assess and refer to discharge planning, possible needs for care necessary to meet patient's needs on discharge.
• Understands the need to utilize discretion and maintain confidentiality when discussing patient matters.
• Successfully applies interpersonal communication skills in areas such as conflict management.

Preferred Qualifications

• Bachelor of Science in Nursing (BSN)

Key Responsibilities

• 30% - Utilization Reviews and Case Finding
• 30% - Coordination and Implementation of Discharge Plans
• 15% - Communication, Coordination, and Documentation
• 10% - Secure Authorization for Care and Reimbursement for Hospital and Physician
• 10% - Denials and Appeals Management
• 5% - Quality and Education

Department Overview

The purpose of the Clinical Case Management Department is to support the interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. In addition, the Clinical Case Manager helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements, patient satisfaction).

The Clinical Case Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and create a safe discharge plan. Facilitation of the collaborative management of patient care across the continuum, completing utilization review around LOC and authorization concerns, and intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement.

Department Specific Job Scope

The purpose of the Clinical Case Manager Per Diem is to support the interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. In addition, the Clinical Case Manager helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements, patient satisfaction). The Clinical Case Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and create a safe discharge plan. Facilitation of the collaborative management of patient care across the continuum, completing utilization review around LOC and authorization concerns, and intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement.

POSITION INFORMATION

• Salary or Pay Range: $99.24
• Salary Frequency: Hourly
• Salary Grade: 163
• UC Job Title: CASE MGR PD
• UC Job Code: 009463
• Number of Positions: 1
• Appointment Type: Staff: Per Diem
• Percentage of Time: 20%
• Shift (Work Schedule): Days
• Location: Medical Records Building (HSP012)
• Union Representation: HX-Healthcare Professionals
• Benefits Eligible: No
• This position is 100% on-site

Benefits

Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals. Learn more about the benefits below and eligibility by visiting UCnet Benefits Page or Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees.

• High quality and low-cost medical plans to choose from to fit your family's needs
• UC pays for dental and vision coverage for you and your family
• Retirement plans for eligible employees including Pension and other Retirement Saving Plans
• Supplemental insurance offered including additional life, short/long term disability, pet insurance, legal coverage, accident, critical illness and hospital indemnity
• Pregnancy and Parental Leave, Family & Medical Leave, Adoption Assistance and Pay for Family Care and Bonding for eligible employees
• Lactation Support Program and Family Care discounts and resources
• Employee Well-being resources and programming to support thriving in all aspects of employee's lives
• On-site Employee Assistance Program including access to free mental health services
• Generous amount of paid Holidays annually as outlined in the UC Policies or Collective Bargaining Agreements
• Paid Time Off/Vacation/Sick Time as outlined in the UC Policies or Collective Bargaining Agreements
• Continuing Education (CE) allowance and Staff Education Reimbursement Program for eligible employees
• Access to free professional development courses and learning opportunities for personal and professional growth
• Public Service Loan Forgiveness (PSLF) Qualified Employer and Student Loan Debt Counseling Program for eligible employees

Physical Demands

• Standing - Occasional Up to 3 Hours
• Walking - Occasional Up to 3 Hours
• Sitting - Frequent 3 to 6 Hours
• Lifting/Carrying 0-25 Lbs - Occasional Up to 3 Hours
• Pushing/Pulling 0-25 Lbs - Occasional Up to 3 Hours
• Bending/Stooping - Occasional Up to 3 Hours
• Squatting/Kneeling - Occasional Up to 3 Hours
• Twisting - Occasional Up to 3 Hours
• Climbing (e.g., stairs or ladders) - Occasional Up to 3 Hours
• Reaching overhead - Occasional Up to 3 Hours
• Keyboard use/repetitive motion - Frequent 3 to 6 Hours

Environmental Demands

• Loud noise levels - Occasional Up to 3 Hours
• Marked changes in humidity or temperature - Occasional Up to 3 Hours

Mental Demands

• Sustained attention and concentration - Frequent 3 to 6 Hours
• Complex problem solving/reasoning - Frequent 3 to 6 Hours
• Ability to organize & prioritize - Frequent 3 to 6 Hours
• Communication skills - Frequent 3 to 6 Hours
• Numerical skills - Occasional Up to 3 Hours
• Constant Interaction - Frequent 3 to 6 Hours
• Customer/Patient Contact - Frequent 3 to 6 Hours
• Multiple Concurrent Tasks - Frequent 3 to 6 Hours

Work Environment

UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e-cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space.

Works overtime as defined by the collective bargaining agreements, floats to other areas and works weekends and holidays. References reflect an overall meet or exceeds.

Special Requirements - Please contact your recruiter with questions regarding which activities apply by position

• This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation clearance and functional capacity assessment
• This position is designated as a mandated reporter under CANRA and UC policy, and employment is contingent on compliance with applicable policies, procedures and training requirements

A Culture of Opportunity and Belonging

At UC Davis, we're committed to solving life's most urgent challenges and building a healthier, more resilient world. We believe in growing through every challenge, continually striving to improve, and welcoming new perspectives that strengthen our community. We recognize that a vibrant and innovative organization values both individual strengths and shared purpose. The best ideas often emerge when people with different experiences come together.

As you consider joining UC Davis, we invite you to explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education. We believe you belong here. The University of California, Davis is an Equal Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.

To view the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

Because we want you to feel seen and valued, our recruitment process at UC Davis supports openness and authenticity. Research shows that some individuals hesitate to apply unless they meet every qualification. You may be an excellent fit for this role-or the next one. We encourage you to apply even if your experience doesn't match every listed requirement. #YouBelongHere

To learn more about our background check program, please visit: https://hr.ucdavis.edu/departments/recruitment/ucd/selection/background-checks