RN Case Manager: Care Coordination & Discharge Planning

University of Southern California; Arcadia (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

The Case Manager at University of Southern California roles to support physicians and the care team in delivering quality patient outcomes while managing care costs. It integrates utilization management, care facilitation, and discharge planning to maintain appropriate length of stay and resource use.

The position emphasizes collaboration with payers, clinicians, and families, with responsibility for a designated patient caseload and timely information to support optimal reimbursement and

Qualifications

• Active RN license with CA BRN.
• BLS Healthcare Provider certification.
• Workplace Violence Training required.

Responsibilities

• Facilitate pre-certification and payer authorization processes.
• Coordinate collaborative patient care across the continuum with physicians and payers.
• Identify and remove barriers to timely and efficient care delivery and reimbursement.
• Apply process improvement methodologies to evaluate outcomes of care.
• Coach clinical documentation efforts and serve as a resource for coders to ensure accurate severity of illness and intensity of service.
• Coordinate communication with physicians and care teams to optimize discharge planning and resource utilization.

Skills

Discharge Planning

Utilization Management

Interdisciplinary Collaboration

Communication Skills

Time Management

Data Management

Education

Associate's Degree Nursing

Bachelor's Degree Nursing

Job description

The Case Manager at University of Southern California roles to support physicians and the care team in delivering quality patient outcomes while managing care costs. It integrates utilization management, care facilitation, and discharge planning to maintain appropriate length of stay and resource use.

The position emphasizes collaboration with payers, clinicians, and families, with responsibility for a designated patient caseload and timely information to support optimal reimbursement and