Manager of Case Management

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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