RN Case Manager - Care Coordination & Discharge Planning

Keck Medicine of USC; Arcadia (CA); On-site; USD 95,000 - 130,000; Full time

Job summary

Keck Medicine of USC is seeking a Case Manager to support physicians and the interdisciplinary team in delivering high-quality patient care while managing costs and ensuring payer authorization.

The role combines utilization management, care facilitation, and discharge planning for a designated patient caseload, with a focus on timely care delivery and accurate documentation to support reimbursement.

Qualifications

• Associate's degree in nursing is required.
• RN license in CA (CA Board of Registered Nursing) is required.
• Experience with discharge planning, utilization management, and case management is preferred.

Responsibilities

• Coordinate utilization management, care facilitation, and discharge planning.
• Collaborate with physicians, payers, and patients to remove barriers to timely care.
• Document clinical information accurately to support reimbursement and coding.
• Provide a clinical resource for coders and ensure documentation reflects severity of illness.

Skills

Independent work

Interpersonal skills

Time management

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing (preferred)

Job description

Keck Medicine of USC is seeking a Case Manager to support physicians and the interdisciplinary team in delivering high-quality patient care while managing costs and ensuring payer authorization.

The role combines utilization management, care facilitation, and discharge planning for a designated patient caseload, with a focus on timely care delivery and accurate documentation to support reimbursement.