SLH Case Manager RN

Alameda Health Sytem; San Leandro (CA); On-site; USD 88,000 - 147,000; Part time

Job summary

Alameda Health System is seeking a part-time Case Manager RN for the SLH Social Services team in San Leandro, CA. This internal-only role supports coordinating complex care and discharge planning, focusing on community transition and self-management for at-risk patients.

The position requires an active California RN license and BLS certification, with 2+ years in acute care or utilization review preferred. Pay is $64.15–$106.92 per hour, FTE 0.7, day shift.

Qualifications

• Education requirements include an associate degree; a bachelor’s degree is preferred.
• Minimum two years of acute care or utilization review experience.
• Active California RN license with BLS certification.

Responsibilities

• Conduct discharge planning assessments in a timely manner.
• Coordinate disposition and transfer readiness with physicians and payers.
• Educate patients and families to develop self-management plans.
• Coordinate with interdisciplinary team to transition patients to home or other settings.
• Maintain documentation meeting Medicare/Medicaid and regulatory standards.
• Provide mentoring and staff education on care coordination and advance directives.

Skills

Case management

Utilization review

Discharge planning

Education

Associate degree in a related field

Bachelor’s degree preferred

Job description

SLH Case Manager RN Internal Only

Available to current Alameda Health System employees only

• San Leandro, CA
• San Leandro Hospital
• SLH Social Services
• Part Time - Day
• Care Management
• $64.15 - $106.92
• Req #: 44863-33372
• FTE: 0.7
• Posted: October 1, 2026

Summary

Job Summary: The SLH Case Manager RN is responsible for providing comprehensive case management services to clients identified with complex health conditions and social challenges that are at risk for health status decline. The goals and focus of these service efforts are to provide timely delivery of intensive case management services during the transitional period beginning with hospitalization and culminating with integration back into the community setting to prevent further health deterioration and reduce the need for more costly services such as acute care hospitalization and to develop self-management skills that improve his or her long-term health status. Performs related duties as required.

1. Conducts discharge planning assessments in a timely and complete manner. Assessments and interventions; considers the age and cultural or religious influences of the patient/family.
2. Coordinates disposition of Medi-Cal, self-pay, and out-of-plan patients, including working with physician to determine readiness for transfer, securing placement and completing TAR and other documentation; contacts with payers conducting phone reviews and initiates denial appeals as needed.
3. Encourages patients to develop realistic plans. Makes direct contact with or refers patient/family to appropriate community resources. Maintains knowledge of currently available resources in the community.
4. Guides the patient in understanding the nature of his illness; confers with patients and their families to prepare for the patients’ discharge.
5. Provides community resource education and coaching, focusing on individual client self-management principles. This includes preparing for provider visits and supporting the disease management principles introduced by the nursing team.
6. Reassesses the client’s condition when changes occur and revises the care plan as appropriate. Coordinates and arranges for needed services with appropriate local resources. Serves as client advocate to secure services and financial benefits.
7. Reviews all the patients in his/her caseload in the following areas; admission criteria for medical necessity and appropriateness of care; continued stay criteria for medical necessity and appropriateness of care; resource Management issues; other issues including concerns involving under/over utilization, avoidable days and quality issues. Coordinate daily with interdisciplinary team in transitioning patient throughout hospital stay; provides discharge planning services, working with patient/family and receiving multi disciplinary input, so that an appropriate plan is developed enabling a patient to go home, or facilitates the relocation of the patients to another setting.
8. Serves as a mentor and educator to the organization’s health care team assisting with care coordination, training, and quality improvement activities; provides staff education regarding Advance Directives and POLST when requested.
9. Understands insurance, governmental, and accrediting agency standards to determine criteria concerning admissions, treatment, and length of stay of patients. Takes appropriate action when cases do not meet criteria - coordinates denials with the attending physician, and the UR physician advisor. Prepares case reports; documents treatment plan, progress notes and discharge summary related information as required by Medicare, MediCal, Title 22 and other mandated regulations according to Department standards. Keeps required statistics.

Qualifications:

• Education: Associates’s degree in a related field. Bachelor’s Degree preferred.
• Minimum Experience: Two years related in acute care facility and/or utilization review training.
• Minimum Experience: Varied clinical experience or experience in case management/community health preferred.
• Preferred Licenses/Certification: Public Health Nurse, Case Management, or Home Health.
• Required Licenses/Certifications: BLS - Basic Life Support Certification - issued by AHA-American Heart Association.
• Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.

Pay Range $64.15 - $106.92

The pay range for this position reflects the base pay scale for the role at Alameda Health System. Final compensation will be determined based on several factors, including but not limited to a candidate’s experience, education, skills, licensure and certifications, departmental equity, applicable collective bargaining agreements, and the operational needs of the organization. Alameda Health System also offers eligible positions a generous comprehensive benefits program.