Senior RN Case Manager & Care Coordination Leader

PIH Health; Whittier (CA); On-site; USD 120,000 - 145,000; Full time

Job summary

PIH Health is seeking an experienced Lead RN Case Manager to support Care Management leadership with clinical and operational duties. The role includes supervising audits, adherence to regulatory standards, and leading performance improvement initiatives to ensure timely discharge planning and high-quality care.

The Lead will guide staff, support onboarding, coordinate preceptor programs, and collaborate with academic partners to maintain competency and education across the team.

Qualifications

• Current California RN license.
• BSN degree in Nursing.
• 3+ years of hospital inpatient case management experience.
• Evidence of continuing education and ACM certification within 3 years of hire.

Responsibilities

• Provide clinical and operational support to Care Management leadership.
• Lead and participate in performance improvement projects.
• Ensure standardization and quality in utilization review, care coordination, and discharge planning.
• Provide real-time guidance to team members and support onboarding and competency development.
• Lead audits and throughput initiatives; implement workflows to support safe, timely transitions of care.
• Manage Student Internship and Preceptor Program with academic partners; coordinate onboarding and ongoing education.

Skills

Staff coaching

Performance evaluations

CMS Conditions

Regulatory knowledge

Leadership

Multitasking

Critical thinking

Communication skills

Education

BSN (Bachelor of Science in Nursing)

Job description

PIH Health is seeking an experienced Lead RN Case Manager to support Care Management leadership with clinical and operational duties. The role includes supervising audits, adherence to regulatory standards, and leading performance improvement initiatives to ensure timely discharge planning and high-quality care.

The Lead will guide staff, support onboarding, coordinate preceptor programs, and collaborate with academic partners to maintain competency and education across the team.