Manager of Case Management

Location: Riverside, CA
Schedule: Full-Time | Administrative Hours | Rotating Weekends
Salary Range: $142,771 - $214,032 (based on experience)
Relocation Assistance: Available (case-by-case basis)

Position Overview

Join a leading acute-care hospital as the Manager of Case Management, where you'll play a vital role in overseeing daily operations, ensuring quality care transitions, regulatory compliance, and effective discharge planning. You'll serve as a clinical leader and operational expert supporting a team of skilled case managers and collaborating across multidisciplinary teams.Key Responsibilities

Oversee and coordinate day-to-day operations of the Case Management department
Support timely admissions and discharges to optimize length of stay and throughput
Round on units to provide real-time support and guidance to case management staff
Manage staffing, scheduling, attendance, and case load balancing
Collaborate with physicians, payers, families, and post-acute providers to ensure appropriate care transitions
Monitor compliance with hospital policies, federal regulations, and accreditation standards
Promote positive relationships across the continuum of care, ensuring high patient satisfaction and system efficiency

Qualifications

Education:
- Bachelor's Degree in Nursing (BSN) required
- Master's Degree in Nursing (MSN) preferred
Licensure:
- Current RN license in the State of California
Experience:
- 5+ years of case management and/or nursing leadership experience in an acute care hospital
- Strong understanding of InterQual and Milliman criteria
- Expertise in payer systems (Medicare, Medi-Cal, Managed Care, private insurance)
- Familiarity with utilization review and reimbursement practices

Why This Role?

Lead one of the region's most respected and innovative hospital case management teams
Work in a facility with a Level III NICU, transplant program, and nationally recognized heart care
Competitive salary with relocation assistance
Opportunity to make a high-impact contribution to patient care and hospital operations

Comprehensive Benefits Include:

Medical, dental, vision & prescription drug coverage
Free telemedicine & AirMed medical transportation services
401(k) with 100% match on 3-9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% discount
Education assistance for tuition, student loans, and certifications
Paid time off, family leave, long- & short-term disability
Fertility, adoption, and family building support
Wellness programs, employee discounts, legal and identity protection
Employee Health Assistance Fund with free coverage for eligible employees

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Manager of Case Management