RN Case Manager: Care Coordination & Discharge

Keck Medicine of USC; Arcadia (CA); On-site; USD 63,369 - 104,697; Full time

Job summary

University of Southern California Arcadia Hospital is seeking a Case Manager to support physicians and the multidisciplinary team in patient care, aiming to improve clinical outcomes and satisfaction while controlling costs. The role coordinates utilization management, care facilitation, and discharge planning for a designated caseload, ensuring timely care and accurate documentation for payers.

Key functions include pre-certification, collaboration across the continuum, and effective

Qualifications

• Associate’s Degree Nursing is required.
• Ability to work independently and exercise sound judgment.
• Knowledge of discharge planning, utilization management, and case management.
• Excellent interpersonal communication and negotiation skills.
• Strong organizational and time-management skills.
• Current RN license in CA; BLS certification.

Responsibilities

• Actively participates in clinical performance improvement activities.
• Applies approved InterQual criteria to monitor admissions and stays.
• Assist in compilation of physician profile data related to LOS and cost.
• Assist in collection and reporting of financial indicators including case mix and readmission rates.
• Collaborates with multidisciplinary team in discharge planning across the continuum.
• Coordinate care progression and communicate with payers and care team.

Skills

Independent work

Judgment

Interpersonal communication

Negotiation skills

Time management

Data management

Education

Associate’s Degree Nursing

Job description

University of Southern California Arcadia Hospital is seeking a Case Manager to support physicians and the multidisciplinary team in patient care, aiming to improve clinical outcomes and satisfaction while controlling costs. The role coordinates utilization management, care facilitation, and discharge planning for a designated caseload, ensuring timely care and accurate documentation for payers.

Key functions include pre-certification, collaboration across the continuum, and effective