RN Case Manager - Utilization & Discharge Planner

Socket.dev; Riverside (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

Socket.dev seeks an experienced registered nurse to collaborate with physicians and the multidisciplinary team to coordinate admissions, screen for appropriateness, and plan safe, cost-efficient discharge paths. You will advocate for patients, coordinate post-acute referrals, ensure compliance with TJC, Medicare and Medi-Cal, and monitor utilization to maintain high-quality outcomes across settings.

This role requires strong critical thinking, organization and the ability to multitask in a

Qualifications

• Two (2) years RN experience in acute care or case management.
• Must hold a California RN license and BLS certification.
• Familiarity with utilization review and discharge planning processes.

Responsibilities

• Coordinate and screen admissions and discharge plans with a multidisciplinary team.
• Recommend alternative levels of care when medical necessity for inpatient hospitalization is not met.
• Educate patients and families and coordinate post-hospital resources.
• Ensure compliance with TJC, Medicare, Medi-Cal, and other regulatory standards.
• Perform daily reviews for utilization/quality management in various care settings.

Skills

Clinical nursing expertise

Case management

Communication skills

Education

Accredited RN program

Bachelor's degree in nursing (preferred)

Tools

Computer literacy

Job description

Socket.dev seeks an experienced registered nurse to collaborate with physicians and the multidisciplinary team to coordinate admissions, screen for appropriateness, and plan safe, cost-efficient discharge paths. You will advocate for patients, coordinate post-acute referrals, ensure compliance with TJC, Medicare and Medi-Cal, and monitor utilization to maintain high-quality outcomes across settings.

This role requires strong critical thinking, organization and the ability to multitask in a