Manager Case Management - net2source : Job Details

Job Title: Manager of Case Management

Location: Riverside, CA

Employment Type: Full-Time

Schedule: Monday – Friday (8 AM – 5 PM) | Rotating Weekend On-Call

Salary Range: Depends on experience

Relocation Assistance: Case-by-Case Basis

About the Opportunity:

A well-established, full-service acute care hospital in the heart of the Inland Empire is seeking an experienced Manager of Case Management to join their dynamic team. This leadership role plays a critical part in ensuring effective and timely care coordination, proactive discharge planning, and regulatory compliance across all inpatient units.

This is an excellent opportunity for a results-driven Case Management professional ready to make an impact in a fast-paced environment focused on high-quality patient care and throughput excellence.

Key Responsibilities:

• Lead the day-to-day operations of the Case Management department, including staffing, scheduling, performance oversight, and staff development.
• Support patient throughput by evaluating direct admits and assisting with timely discharge planning.
• Build and maintain positive relationships with physicians, health plans, payers, patients, and families.
• Identify and escalate delays in care progression; partner with facility leadership to resolve barriers.
• Promote safe, appropriate discharge plans that align with hospital goals and patient/family needs.
• Serve as a resource and support to Case Management staff through rounding and direct engagement.
• Monitor regulatory compliance and ensure adherence to federal and non-federal program guidelines.
• Participate in a shared leadership on-call rotation to address emergent after-hours issues.

What You Bring:

• BSN required; MSN preferred
• Current California RN License (pending license considered)
• 3-5 years of Case Management or Nursing Leadership experience in an acute care hospital
• Strong working knowledge of InterQual and Milliman Care Guidelines
• Deep understanding of hospital reimbursement systems (Medicare, Medi-Cal, Managed Care, private payers)
• Proactive approach to discharge planning and patient/family communication
• Strong leadership, collaboration, and critical thinking skills

Department Overview:

• Leadership reports to the Director of Case Management
• Responsible for managing 15-18 FTEs including RN Case Managers and Case Management Assistants
• Supported by one Administrative Assistant
• All inpatient units are served by Case Management
• Total hospital capacity: 542 beds
• Organization culture rooted in Integrity, Compassion, Accountability, and Excellence (ICARE values)

Why Join Us?

This is more than just a job—it's a chance to lead a high-impact team that directly influences patient outcomes and hospital operations. If you are ready to hit the ground running, lead with purpose, and be part of a forward-thinking healthcare organization, we want to hear from you.

Apply today or reach out for a confidential discussion.

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