Lead Case Manager: Transitions of Care & Compliance

Torrance Memorial Medical Center; Torrance (CA); On-site; USD 81,000 - 126,000; Full time

Job summary

Torrance Memorial Medical Center is seeking a Lead Case Manager to oversee the hospital census and ensure swift transitions of care. The role educates case managers on health plans and regulatory changes, and collaborates with discharge planners and post-acute providers to optimize outcomes.

The Lead participates in peer review, mentors staff, and ensures compliance with CMS discharge planning requirements. Five years of acute care case management experience and an RN license are required.

Qualifications

• Bachelor's degree in Nursing with RN licensure.
• Minimum of 5 years of case management experience in an acute care setting.
• Registered Nurse license with BLS or ACLS certification.

Responsibilities

• Oversee daily hospital census to ensure timely transitions of care.
• Educate case managers on health plans and regulatory changes.
• Collaborate with health plan case managers and discharge planners.
• Monitor length of stay and secure post-acute authorization.

Skills

Peer Review

Preceptor

Patient Education

Magnet Model

Quality Metrics

Discharge Planning

Utilization Review

Chart Review

Bed Utilization

Education

Bachelor's degree in Nursing

Job description

Torrance Memorial Medical Center is seeking a Lead Case Manager to oversee the hospital census and ensure swift transitions of care. The role educates case managers on health plans and regulatory changes, and collaborates with discharge planners and post-acute providers to optimize outcomes.

The Lead participates in peer review, mentors staff, and ensures compliance with CMS discharge planning requirements. Five years of acute care case management experience and an RN license are required.