RN Case Manager: Hospital Care & Discharge Lead

Martin Luther King, Jr. Community Hospital; Whittier (CA); On-site; USD 85,000 - 120,000; Full time

Job summary

Martin Luther King, Jr. Community Hospital is seeking a Case Manager to support physicians and the interdisciplinary team in planning and coordinating patient care from admission through discharge.

You will focus on optimizing outcomes, patient satisfaction, and efficient resource use, while navigating payer processes and regulatory requirements. The role requires assessing patient needs, coordinating care transitions, and collaborating with medical staff to resolve barriers to timely care and

Qualifications

• Bachelor of Science degree in nursing preferred.
• 1–3 years hospital or related experience; internal with 18 months acute care case mgmt considered.
• Navigate outside provider networks (Health Plans, IPA, FQHCs).
• Bilingual Spanish preferred; basic computer skills.
• Current California Nursing license; BLS.
• Certification in Case Management preferred.
• Workplace Violence Prevention Program annually within 90 days.

Responsibilities

• Completes comprehensive assessments to identify intervention opportunities for patient/family.
• Assesses healthcare needs and goals across physical, functional, psychosocial domains.
• Documents timely reviews of medical necessity per hospital policy and payer requirements.
• Communicates with attending physician regarding admissions, utilization, and documentation.
• Interacts with interdisciplinary team to reassess plan for care progression and transition.
• Facilitates discharge planning, coordinates transfers, and expedites care progression.
• Maintains professionalism and ensures compliance with Medicare/Joint Commission requirements.

Skills

Bilingual

Spanish

Education

Bachelor of Science in Nursing preferred

Tools

Computer literacy

Job description

Martin Luther King, Jr. Community Hospital is seeking a Case Manager to support physicians and the interdisciplinary team in planning and coordinating patient care from admission through discharge.

You will focus on optimizing outcomes, patient satisfaction, and efficient resource use, while navigating payer processes and regulatory requirements. The role requires assessing patient needs, coordinating care transitions, and collaborating with medical staff to resolve barriers to timely care and