RN Case Manager: Care Coordination & Outcomes Champion

University of Southern California; Arcadia (CA); On-site; USD 69,000 - 106,000; Full time

Job summary

The Case Manager at University of Southern California Arcadia Hospital partners with physicians and the interdisciplinary team to coordinate utilization management, discharge planning, and patient care. The goal is to improve clinical outcomes and patient satisfaction while controlling costs and ensuring timely payer communications.

You will manage a designated patient caseload, facilitate pre-certification and payer authorizations, and support clinical documentation to reflect severity of

Qualifications

• Registered Nurse (CA Board of Registered Nursing).
• Basic Life Support (BLS) Healthcare Provider certification.
• Workplace Violence Training Program.

Responsibilities

• Facilitate pre-certification and payer authorization processes.
• Coordinate utilization management and discharge planning across care continuum.
• Lead collaboration with physicians, payers, and families to remove barriers.
• Coach clinical documentation efforts to reflect severity of illness and intensity of service.
• Manage a designated patient caseload and optimize length of stay.

Skills

Discharge planning

Utilization management

Payer coordination

Clinical documentation support

Interdisciplinary collaboration

Strong communication

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing

Job description

The Case Manager at University of Southern California Arcadia Hospital partners with physicians and the interdisciplinary team to coordinate utilization management, discharge planning, and patient care. The goal is to improve clinical outcomes and patient satisfaction while controlling costs and ensuring timely payer communications.

You will manage a designated patient caseload, facilitate pre-certification and payer authorizations, and support clinical documentation to reflect severity of