Lead, RN Case Manager, Full time, Days

PIH Health; Whittier (CA); Presencial; USD 120 000 - 145 000; Tempo integral

Resumo da oferta

PIH Health is seeking an experienced Lead RN Case Manager to support Care Management leadership with clinical and operational duties. The role includes supervising audits, adherence to regulatory standards, and leading performance improvement initiatives to ensure timely discharge planning and high-quality care.

The Lead will guide staff, support onboarding, coordinate preceptor programs, and collaborate with academic partners to maintain competency and education across the team.

Qualificações

• Current California RN license.
• BSN degree in Nursing.
• 3+ years of hospital inpatient case management experience.
• Evidence of continuing education and ACM certification within 3 years of hire.

Responsabilidades

• Provide clinical and operational support to Care Management leadership.
• Lead and participate in performance improvement projects.
• Ensure standardization and quality in utilization review, care coordination, and discharge planning.
• Provide real-time guidance to team members and support onboarding and competency development.
• Lead audits and throughput initiatives; implement workflows to support safe, timely transitions of care.
• Manage Student Internship and Preceptor Program with academic partners; coordinate onboarding and ongoing education.

Conhecimentos

Staff coaching

Performance evaluations

CMS Conditions

Regulatory knowledge

Leadership

Multitasking

Critical thinking

Communication skills

Formação académica

BSN (Bachelor of Science in Nursing)

Descrição da oferta de emprego

The Lead, RN Case Manager is an experienced RN Case Manager who provides clinical and operational support to the Care Management leadership team. In addition to performing the full scope of an RN Case Manager, the Lead is responsible for supporting department operations, conducting audits, reinforcing regulatory compliance, leading assigned performance improvement projects, and ensuring standardization and quality in utilization review, care coordination, and discharge planning. Provides real-time guidance to team members, supports onboarding and competency development, leads quality and documentation audits, participates in throughput initiatives, and assists in implementing workflows and education to support safe and timely transitions of care. Manages the Student Internship and Preceptor Program for RN case management students, serving as liaison to academic partners and coordinating onboarding, preceptor assignments, and ongoing education.

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

• Demonstrated ability to provide consultation and instruction to staff regarding their assessment, intervention, planning and evaluation of cases.
• Contributes to staff performance annual evaluation, performs staff annual competencies evaluations, provides staff orientation and training.
• Strong working knowledge of CMS Conditions of Participation for Discharge Planning and Utilization Review, InterQual/MCG criteria, payer requirements, and hospital policies.
• Knowledge with regulatory agency requirements, policies, and protocols.
• Demonstrate leadership and organizational skills.
• Independent performer and manages multiple assignments in a fast-paced environment.
• Strong critical thinking and problem-solving skills to identify and resolve problems and or escalates barriers to support throughput.
• Excellent communication and writing skills

Required Experience

• Current California license as current California RN license
• Bachelor’s degree of Science in Nursing
• 3 or more years of work experience as a case manager in hospital inpatient healthcare setting
• Evidence of continuing education and obtain ACM (Accredited Case Manager) within 3 years of hire.