RN Case Manager II - Discharge & Utilization Lead (FT)

Sharp; Oceanside (CA); Hybrid; USD 79,000 - 103,000; Full time

Job summary

Sharp Tri-City Medical Center is hiring a Case Manager II to coordinate patient care, discharge planning, and utilization management. The role emphasizes collaboration with the health care team and insurers to optimize outcomes.

Requirements include CA RN licensure with 2+ years in case management; BSN preferred or 5 years' alternative experience; ACM/CCM preferred. On-site, day shift with W/E responsibilities.

Qualifications

• Registered Nurse in CA with active license; BSN preferred.
• 2+ years RN case management or utilization management experience.
• California RN license required; ACM/CCM preferred.

Responsibilities

• Coordinate services to maximize patient outcomes and ensure efficient care delivery.
• Assess, evaluate, and coordinate discharge planning and utilization management.
• Serve as contact person for patient, family, health team, and insurers.
• Document assessments and interactions in the EHR per standards.
• Provide mentorship and participate in quality improvement initiatives.

Skills

Prospective Payment System

Joint Commission standards

Utilization management

Discharge planning

EHR documentation

Payer types knowledge

Referral management

Decision‑making

Prioritization

Verbal & written communication

Education

Bachelor's Degree in Nursing

Associate's Degree in Nursing

CA RN license

Tools

Microsoft Word

EHR systems

Job description

Sharp Tri-City Medical Center is hiring a Case Manager II to coordinate patient care, discharge planning, and utilization management. The role emphasizes collaboration with the health care team and insurers to optimize outcomes.

Requirements include CA RN licensure with 2+ years in case management; BSN preferred or 5 years' alternative experience; ACM/CCM preferred. On-site, day shift with W/E responsibilities.