RN Case Manager (PRN)

Community Memorial Health System; Ventura (CA); On-site; USD 197,713,000 - 203,444,000; Part time

Benefits offered by this job

Competitive Pay

Shift Differentials

Tuition Reimbursement

Job summary

Community Memorial Health System is seeking a PRN RN Case Manager to collaborate with patients, families, and the healthcare team in developing discharge plans and coordinating post-acute care services.

The role requires an ADN, current CA RN license, and BLS certification. Preferred BSN, Spanish bilingual abilities, and experience with InterQual, Allscripts, Meditech, or Epic.

Qualifications

• ADN required with CA RN license and BLS certification.
• Experience in case management and discharge planning preferred.
• PRN position compensation is based on years of experience and department policy.

Responsibilities

• Acts as liaison between physicians, nursing, and hospital departments.
• Conducts discharge and transitional care planning.
• Educates patients and families regarding discharge planning and community resources.
• Collaborates with community resources on behalf of patients.
• Pursues authorizations for acute stays and potential needs from third-party payers.
• Monitors length of stay and resource utilization and discusses delays with physicians.

Skills

Bilingual in Spanish

Education

Associate Degree in Nursing (ADN)

Current CA RN license

Current BLS certification

Tools

InterQual

Allscripts

Meditech

Epic

Job description

Compensation

Salary Range: $69.00 - $71.00 / hour

The pay range above represents the lowest possible rate for the position and the highest possible rate. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range.

If you are viewing this posting on a job site, please visit our company page and search for the opportunity to view the pay range: https://careers-mycmh.icims.com/jobs

Pay for PRN positions is calculated differently than Full-Time, Regular Part-Time, and Part-Time positions. PRN Rates depend on the position and other factors, including years of experience, or shift commitment according to the department policy. PRN differential is added in certain positions.

Responsibilities

Position Overview: The PRN RN Case Manager works collaboratively with patients, families, and the healthcare team to develop discharge plans and coordinate necessary post-acute care services. Additionally, the PRN RN Case Manager I assists with gathering data to ensure that patient care meets approved admission criteria, continued stay requirements, and the appropriate level of care.

The PRN RN Case Manager is a registered nurse with basic knowledge of case management principles and limited experience in the practical application of case management practices.

Qualifications

Comopensation Note: Compensation for the PRN RN Case Manager is based on years of applicable experience and is paid at a fixed hourly rate. Candidates with 0-5 years of applicable experience will be paid $69.00 per hour, and candidates with 6 or more years of experience will be paid $71.00 per hour.

Minimum Qualifications:

• Associate Degree in Nursing (ADN)
• Current CA Registered Nurse (RN) license
• Current Basic Life Support (BLS) certification

Preferred Qualifications:

• Bachelor's of Science in Nursing (BSN)
• Bilingual in Spanish
• Previous experience with InterQual
• Previous experience with Allscripts, Meditech, or Epic

Essential Functions and Responsibilities:

1. Acts as a liaison between physicians, nursing, other hospital departments, community agencies, health plans, patients, and families.
2. Conducts discharge and transitional care planning.
3. Involves and educates patients and families regarding discharge planning and community resources.
4. Collaborates with appropriate community resources on behalf of patients.
5. Refers patients to Social Services when appropriate.
6. Refers quality-of-care issues according to established policies and procedures.
7. Reports suspected or actual abuse.
8. Participates in Process Improvement activities.
9. Works independently while collaborating with the Lead Case Manager or Manager as a resource for challenging discharges and exercises sound judgment in interactions with physicians, payers, patients, and families.
10. Demonstrates strong organizational and time management skills, as evidenced by the ability to prioritize multiple tasks and role responsibilities.
11. Applies approved clinical criteria to monitor admissions and continued stays and documents findings according to department standards.
12. Pursues authorizations for acute stays and potential needs from third-party payers.
13. Monitors length of stay (LOS) and ancillary resource utilization on an ongoing basis. Takes appropriate action and discusses potential delays and/or LOS concerns with physicians.
14. Understands and acts in compliance with Medicare regulations.
15. Facilitates patients' right to appeal.
16. Assesses for and facilitates transitions of care and maintains communication with post-acute providers.
17. Utilizes critical thinking skills and judgment to evaluate the clinical and psychosocial condition of patients.
18. Involves and educates patients and families regarding discharge planning and community resources.
19. Effectively manages and teams cases with Social Work, the Palliative Care team, and Intensive Case Management.
20. Ensures that patient evaluations are complete and reflect a comprehensive assessment of the patient.
21. Ensures that the discharge plan is in place in a timely manner.
22. Acts as a liaison between physicians, nursing, other hospital departments, community agencies, health plans, patients, and families.
23. Promotes individual professional growth and development by meeting requirements for mandatory and continuing education and skills competency. Supports department-based goals.
24. Serves as a preceptor, mentor, and resource to less experienced staff.
25. Performs other duties as assigned.

Overview

Nationally Recognized. Community Focused.

Community Memorial Healthcare is proud to earn the 2026 Outstanding Patient Experience Award from Healthgrades, placing Community Memorial Hospital - Ventura among the top 15% of hospitals nationwide and one of only 13 hospitals in Southern California recognized for patient experience excellence. Extraordinary patient care begins with extraordinary teams.

View all of our awards and accreditations and learn more about us as you explore career opportunities with a team committed to compassionate, award-winning care.

Community Memorial Health System was established in 2005 when Community Memorial Hospital in Ventura merged with Ojai Valley Community Hospital. It is comprised of these two hospitals along with a network of primary and specialty care health centers serving various communities across west Ventura County. Our health system is a community-owned, not-for-profit organization. As such, we are not backed by a corporate or government entity, nor do we answer to shareholders. We depend on - and answer to - the communities we serve.

Community Memorial Healthcare Benefits

To help heal, comfort, and promote health for the communities we serve, Community Memorial Healthcare takes care of our community of employees so our local community can be cared for. That's why we provide competitive benefits, along with great career choices, training, and leadership development. Our total rewards package provides benefits that support you and your family's health and wellness in all aspects of life. From our top tier insurance plans to our employee assistance program, take advantage of what CMH has to offer so you and your loved ones can have peace of mind now and for years to come. CMH is here for you and your family every step of the way.

• Competitive Pay
• Shift Differentials
• In-House Registry Rates
• Fidelity 403(b) Retirement Plan
• Paid Time Off
• Medical (EPO/PPO), Dental, & Vision Insurance Coverage
• Voluntary Worksite Benefits
• Employee Assistance Program Available 24/7 (EAP)
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF)
• Recognition programs
• Employee service recognition events
• Home, Retail, Travel & Entertainment Discounts
• National Hospital Week and National Nurses Week celebrations

Community Memorial Healthcare is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. We strive to promote an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work in our community.

"We are an AA/EEO/Veterans/Disabled Employer"