Manager Case Management

Net2Source Inc.; Riverside (CA); On-site; USD 142,771 - 214,032; Full time

Benefits offered by this job

Disability insurance

Tuition assistance

Paid paternity leave

Student loan assistance

Paid maternity leave

Child care support

Pension plan

Medical insurance

Vision insurance

401(k)

Job summary

A leading healthcare provider in Riverside, CA is seeking a Manager of Case Management to lead a team in a large acute care hospital. The role involves overseeing operations, ensuring compliance, and promoting high-quality patient care. The ideal candidate will have a BSN and experience in case management and leadership. This position offers a competitive salary and various benefits.

Qualifications

• 3–5 years of case management experience in an acute care hospital.
• Prior leadership or management experience in a clinical or case management setting.

Responsibilities

• Oversee daily operations of the case management department.
• Ensure compliance with regulatory standards and optimize patient throughput.
• Provide ongoing staff education and hold team members accountable.

Skills

Leadership

Communication

Collaboration

Education

Bachelor’s Degree in Nursing (BSN)

Job description

3 days ago Be among the first 25 applicants

This range is provided by Net2Source Inc.. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$142,771.00/yr - $214,032.00/yr

Direct message the job poster from Net2Source Inc.

Location: Riverside, California

Position Summary:

We are seeking a skilled and experienced Manager of Case Management to lead a dynamic team in a large, acute care hospital setting. This individual will be responsible for overseeing the daily operations of the case management department, ensuring compliance with regulatory standards, optimizing patient throughput, and promoting high-quality, patient-centered care. The Manager will serve as a key leader in supporting effective care coordination, discharge planning, and utilization management throughout the hospital.

Key Responsibilities:

• Provide leadership and oversight to the case management department, including Registered Nurse Case Managers and Case Management Assistants.
• Monitor departmental processes to ensure alignment with hospital policies, regulatory requirements, and professional standards.
• Foster interdisciplinary collaboration to ensure safe, efficient, and timely discharge planning and care coordination.
• Assist with patient throughput by evaluating direct admits and supporting real-time discharge planning.
• Engage in proactive discharge discussions with patients and families to set appropriate expectations and minimize delays.
• Manage staffing schedules, attendance, productivity, and daily rounding to support case management team members.
• Ensure consistent application of utilization review criteria (e.g., InterQual, MCG Guidelines) to support medical necessity and level of care determinations.
• Address delays in patient care progression, escalate barriers, and collaborate with other hospital departments to implement solutions.
• Provide ongoing staff education and hold team members accountable for process adherence and quality outcomes.
• Serve as a weekend/evening on-call resource to resolve time-sensitive case management concerns, including transportation and higher level of care (HLOC) transfers.

Qualifications:

• Education:
• Bachelor’s Degree in Nursing (BSN) – Required
• Licensure/Certification:
• Current Registered Nurse (RN) License in California – Required (Pending license may be considered)

Experience:

• 3–5 years of case management experience in an acute care hospital – Required
• Prior leadership or management experience in a clinical or case management setting – Required

Department Structure:

• Reports to: Director of Case Management
• Support: Administrative Assistant
• Facility Size: 540+ inpatient beds
• Schedule: Monday – Friday, 8:00 AM – 5:00 PM
• On-Call: Rotational (Evenings/Weekends) to support escalations, service recovery, transportation issues, or emergent HLOC approvals.

Department Culture:

The team is rooted in values of Integrity, Compassion, Accountability, and Excellence (ICARE). The ideal candidate will be a proactive leader, skilled in communication and collaboration, who prioritizes seamless discharge planning and patient satisfaction.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care and Hospitals

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Inferred from the description for this job

Disability insurance

Tuition assistance

Paid paternity leave

Student loan assistance

Paid maternity leave

Child care support

Pension plan

Medical insurance

Vision insurance

401(k)

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