Senior Case Manager: Acute Care & Discharge Planning

AHMC Healthcare; Whittier (CA); On-site; USD 95,000 - 120,000; Full time

Job summary

AHMC Healthcare in California seeks an experienced Case Manager (RN) to advocate for patients, coordinate services, and ensure cost-effective, quality care across the hospital continuum. Under the Case Management Director, you will assess admissions, plan discharges, and collaborate with interdisciplinary teams to optimize outcomes.

The role emphasizes utilization review, education, and data tracking, with responsibility for ensuring appropriate resources, maintaining confidentiality, and

Qualifications

• Active CA RN license.
• Minimum 5 years of acute care experience.
• Experience with InterQual IS-SI and Milliman guidelines.

Responsibilities

• Assess level of care and admission appropriateness.
• Coordinate discharge planning and resources.
• Educate patients and families about care plans.
• Collaborate with MDs, nurses, social services and other teams.
• Maintain bed tracking data and support QA processes.

Skills

Case Management

Discharge Planning

Care Coordination

InterQual IS-SI

Milliman & Robertson Guidelines

Education

BSN

Health Care Administration

Job description

AHMC Healthcare in California seeks an experienced Case Manager (RN) to advocate for patients, coordinate services, and ensure cost-effective, quality care across the hospital continuum. Under the Case Management Director, you will assess admissions, plan discharges, and collaborate with interdisciplinary teams to optimize outcomes.

The role emphasizes utilization review, education, and data tracking, with responsibility for ensuring appropriate resources, maintaining confidentiality, and