RN Case Manager: Discharge & Care Coordination

Southern California Hospitals; Los Angeles (CA); On-site; USD 120,000 - 132,000; Full time

Benefits offered by this job

Sign-on bonus $25,000

Job summary

Alta Hospital seeks an experienced RN Case Manager to perform clinical assessments, utilization review, and discharge planning for acute inpatients. You will coordinate care with the interdisciplinary team to promote safe, cost-effective transitions and advocate for patient self-determination.

Responsibilities include evaluating medical necessity, documenting care plans, and leading discharge activities while ensuring compliance with CMS and Joint Commission standards.

Qualifications

• 1 year case management or nurse leadership experience.
• Current CA RN license.
• Strong knowledge of patient throughput and care planning processes.
• Ability to assess medical stability for discharge.
• Proficient with EMR systems.
• Familiarity with CMS/Medicare/Managed Care reimbursement.
• Excellent written and verbal English communication.
• Ability to collaborate across the organization.

Responsibilities

• Collaborates with patients and families to optimize outcomes and arrange transfers.
• Reviews medical necessity and documents utilization management.
• Coordinates discharge planning with multidisciplinary team.
• Acts as liaison to medical staff to ensure continuity of care.
• Participates in patient and family meetings and documents decisions.
• Contributes data to the Utilization Management Committee.

Skills

Care coordination

Discharge planning

EMR proficiency

Communication

Interdisciplinary collaboration

Utilization review

Medical necessity assessment

Education

Registered Nurse (CA)

Bachelor of Science in Nursing (preferred)

Tools

AllScripts Care Management

Milliman Care Guidelines

Interqual

Job description

Alta Hospital seeks an experienced RN Case Manager to perform clinical assessments, utilization review, and discharge planning for acute inpatients. You will coordinate care with the interdisciplinary team to promote safe, cost-effective transitions and advocate for patient self-determination.

Responsibilities include evaluating medical necessity, documenting care plans, and leading discharge activities while ensuring compliance with CMS and Joint Commission standards.