RN Case Manager: Care Coordination & Outcomes

C018 University of Southern California- HS; United States; On-site; USD 69,000 - 106,000; Full time

Job summary

Keck Medicine of USC seeks a Case Manager to support the physician and interdisciplinary team in delivering high-quality patient care, coordinating utilization management, discharge planning, and communication with payers.

The role focuses on managing a designated patient caseload, ensuring timely care, and promoting efficient resource use while supporting accurate clinical documentation and collaboration with physicians.

Qualifications

• RN licensure required (CA Board of Registered Nursing).
• Basic Life Support (BLS) certification.
• Healthcare Provider from American Heart Association.
• Workplace Violence Training Program.
• Preferred: Bachelor’s Degree Nursing.
• 3 years clinical experience in Utilization Review and Discharge Planning in an Acute Hospital.

Responsibilities

• Facilitation of pre-certification and payer authorization processes.
• Facilitation of collaborative management of patient care across the continuum.
• Intervening to remove barriers to timely and efficient care delivery and reimbursement.
• Apply process improvement methodologies to evaluate outcomes of care; support and coaching of clinical documentation efforts.
• Serve as a clinical resource for coders; ensure documentation reflects severity of illness and intensity of service.
• Coordinate communication with physicians.

Skills

Discharge planning

Utilization management

Analytical skills

Interpersonal communication

Time management

Education

Associate’s Degree Nursing

Bachelor’s Degree Nursing

Job description

Keck Medicine of USC seeks a Case Manager to support the physician and interdisciplinary team in delivering high-quality patient care, coordinating utilization management, discharge planning, and communication with payers.

The role focuses on managing a designated patient caseload, ensuring timely care, and promoting efficient resource use while supporting accurate clinical documentation and collaboration with physicians.