RN Case Manager - Care Coordination - Part Time 8 Hours Day Shift (7:30 AM to 4:00 PM) (Union, Non-Exempt)

C018 University of Southern California- HS; United States; On-site; USD 85,000 - 110,000; Full time

Job summary

University of Southern California Case Manager role supports physicians and interdisciplinary teams to improve patient outcomes and satisfaction while managing care costs. It integrates utilization management, care facilitation, and discharge planning for a designated patient caseload and timely reimbursement.

Key duties include coordinating pre-certification, collaborating across the continuum of care, and ensuring documentation reflects severity of illness.

Qualifications

• RN certification in California (Board of Registered Nursing).
• BLS Healthcare Provider certification.
• Workplace Violence Training completed.
• Bachelor’s degree in nursing preferred.
• 3 years clinical Utilization Review and Discharge Planning experience preferred.

Responsibilities

• Coordinate pre-certification and payer authorization processes.
• Collaborate with physicians, payers, and patients across the care continuum.
• Facilitate discharge planning and remove barriers to timely care.
• Coach clinical documentation to accurately reflect severity and intensity.
• Engage with care teams to optimize resource utilization.

Skills

Independent work

Clinical interactions

Discharge planning

Utilization management

Communication

Time management

Education

Associate’s Degree Nursing

Bachelor’s Degree Nursing (preferred)

Job description

The purpose of the Case Manager position is to support the physician and interdisciplinary team in the provision of patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. The role integrates and coordinates utilization management, care facilitation, and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and promote efficient utilization of resources. Specific functions within this role include: facilitation of pre-certification and payer authorization processes, facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement, application of process improvement methodologies in evaluating outcomes of care support and coaching of clinical documentation efforts and serving as a clinical resource for coders, ensuring that documentation accurately reflects severity of illness and intensity of service coordinating communication with physicians.

• Minimum Education: Associate’s Degree Nursing
• Minimum Skills: Ability to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their families. Current working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement. Excellent interpersonal communication and negotiation skills. Strong organizational and time management skills, as evidenced by a capacity to prioritize multiple tasks and role components. Understanding of pre-acute and post-acute venues of care and post-acute community resources. Strong analytical, data management, and PC skills.
• Required Certifications: Registered Nurse - RN (CA Board of Registered Nursing) Basic Life Support (BLS) Healthcare Provider from American Heart Association Workplace Violence Training Program
• Preferred Education: Bachelor’s Degree Nursing
• Preferred Experience: 3 years Clinical experience in Utilization Review and Discharge Planning in an Acute Hospital strongly preferred

USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety.

Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying. We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at [phone], or by email at [e-mail]. Inquiries will be treated as confidential to the extent permitted by law.

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Keck Medicine of USC is the University of Southern California’s medical enterprise, one of only two university-based medical systems in the Los Angeles area. Keck Medicine combines academic excellence, world‑class research and state‑of‑the‑art facilities to provide highly specialized care for some of the most acute patients in the country. Our internationally renowned physicians and scientists provide world‑class patient care at Keck Hospital of USC, USC Norris Cancer Hospital, USC Verdugo Hills Hospital, USC Arcadia Hospital and more than 100 unique clinics in Los Angeles, Orange, Kern, Tulare and Ventura counties. Keck Medical Center of USC, which includes Keck Hospital and USC Norris Cancer Hospital, is among the top 50 hospitals in the country in 8 specialties, as well as the top three hospitals in metro Los Angeles and top 10 hospitals in California, according to U.S. News & World Report’s 2024‑25 Best Hospitals rankings.