RN Care Manager: Care Coordination & Transitions

Martin Luther King, Jr. Community Hospital; Carson (CA); On-site; USD 90,000 - 110,000; Full time

Job summary

Martin Luther King, Jr. Community Hospital is seeking a Case Manager to support physicians and the interdisciplinary team in facilitating patient care, with emphasis on quality outcomes, patient satisfaction, cost control, and timely information for payors.

The role spans utilization management, care progression, and care transition, with accountability for a designated patient caseload and effective planning to meet needs, manage length of stay, and promote efficient resource use.

Qualifications

• Bachelor of Science degree in nursing is preferred.
• Minimum of 1–3 years hospital or related experience required.
• Able to navigate and connect with outside provider networks (health plans, IPA's, and FQHC's).

Responsibilities

• Facilitate precertification and payor authorization processes.
• Coordinate care progression and discharge planning with the interdisciplinary team.
• Communicate with attending physicians regarding appropriateness of admissions and resource utilization.
• Collaborate with medical staff, nursing staff, and ancillary staff to remove barriers to efficient care.

Skills

Bilingual Spanish

Nursing license

Communication skills

Education

Bachelor of Science in Nursing

Certification in Case Management

Tools

Basic computer skills

Job description

Martin Luther King, Jr. Community Hospital is seeking a Case Manager to support physicians and the interdisciplinary team in facilitating patient care, with emphasis on quality outcomes, patient satisfaction, cost control, and timely information for payors.

The role spans utilization management, care progression, and care transition, with accountability for a designated patient caseload and effective planning to meet needs, manage length of stay, and promote efficient resource use.