Case Manager, Registered Nurse

9 hours ago


Downey, California, United States PIH Health Full time
Job Description

The RN Case Manager plays a vital role in ensuring the efficient management of patient care from pre-admission to post-discharge. This position requires strong assessment skills, critical thinking, and analysis abilities to optimize hospital services and maximize reimbursement from third-party payors.

As a key member of the healthcare team, the RN Case Manager educates medical and hospital staff about healthcare options, promoting the appropriate utilization of hospital services. PIH Health, a nonprofit regional healthcare network, values this role in its mission to provide exceptional patient care and patient experience.

Key Responsibilities:

  • Develop and implement effective care plans to ensure seamless transitions throughout the patient's hospital stay
  • Collaborate with interdisciplinary teams to optimize patient outcomes and reduce hospital readmissions
  • Conduct thorough assessments to identify patient needs and develop targeted interventions
  • Communicate effectively with patients, families, and healthcare providers to ensure informed decision-making
  • Stay up-to-date with industry developments and best practices in case management and healthcare delivery

Requirements:

  • Active California RN license
  • Computer proficiency
  • Previous experience in case management preferred
  • Minimum of one (1) year acute hospital nursing experience
  • Organizational abilities and familiarity with medical assessment

  • Nurse Case Manager

    4 days ago


    Downey, California, United States Kaiser Permanente Full time

    Job SummaryKaiser Permanente is seeking a skilled Registered Nurse to join our team as a Case Manager. In this role, you will work collaboratively with physicians to coordinate and screen for the appropriateness of admissions and continued stays. You will make recommendations to physicians for alternate levels of care when patients do not meet the medical...


  • Downey, California, United States HealthEcareers - Client Full time

    Position Overview:The role involves collaborating with healthcare professionals, including physicians and support staff, as well as external providers and facilities, to ensure effective patient care and management for designated geriatric or specialized patient groups. The objective is to develop and execute a thorough, multidisciplinary strategy for...


  • Downey, California, United States HealthEcareers - Client Full time

    Position Overview: The role involves collaborating with healthcare professionals, including physicians and staff, as well as external providers and facilities, to ensure optimal patient care and effective management of specific patient populations, particularly within geriatric care. The aim is to design and execute a comprehensive, multidisciplinary...


  • Downey, California, United States Savant Senior Living Full time

    Job Title: Hospice Case ManagerJob Summary:The Hospice Case Manager Registered Nurse is responsible for planning, organizing, and directing hospice care services to meet the needs of individuals and families within their homes and communities. This position requires a strong background in nursing, with emphasis on community health education and...


  • Downey, California, United States Access Healthcare Full time

    Travel Nurse RN Case Management Job OpportunityAccess Healthcare is seeking a skilled travel nurse RN Case Management professional to join our team in Downey, California.Job DetailsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeksHours: 40 hours per weekShift: 8 hours, daysEmployment Type: TravelOur travel nurse RN Case Management position offers a...


  • Downey, California, United States Travel Nurses, Inc. Full time

    Job Title: RN - Case MgmtWe are seeking a skilled Case Management RN to join our team at Travel Nurses, Inc. This 13-week contract opportunity is available in Downey, California, and requires a strong background in case management and a willingness to adapt to new environments.Job Requirements:Specialty: Case ManagementDiscipline: RNDuration: 13 weeksShift:...


  • Downey, California, United States Travel Nurses, Inc. Full time

    Job OpportunityTravel Nurses, Inc. is seeking a skilled travel nurse RN Case Management professional for a travel nursing assignment in Downey, California.Job DetailsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeksHours: 40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are looking for a dedicated Case Mgmt RN with 1-2 years of recent...

  • ICMS Case Manager

    1 day ago


    Downey, California, United States The Whole Child - Mental Health & Housing Services Full time

    Job Title: ICMS Case ManagerJob Summary:The ICMS Case Manager is a critical role in our organization, responsible for providing intensive home-based services to families at risk of becoming homeless or currently experiencing homelessness. This position requires a strong understanding of community resources and the ability to connect families with necessary...

  • ABA Case Manager

    4 days ago


    Downey, California, United States Ohana Behavioral Group Full time

    Job Title: ABA Case ManagerOhana Behavioral Group is seeking a highly skilled ABA Case Manager to join our team. As a key member of our team, you will be responsible for providing specialized behavior intervention services, program management, and executing changes in program under the supervision of a Board Certified Behavior Analyst (BCBA) to individuals...


  • Downey, California, United States PIH Health Full time

    Position Overview: The Licensed Vocational Nurse (LVN) specializing in Utilization Management (UM) is responsible for conducting utilization review processes. This includes, but is not limited to, precertification activities, ensuring that patients receive the appropriate level of care, whether it be Inpatient, Outpatient, or Observation, throughout their...


  • Downey, California, United States Neogen Care Full time

    Job OpportunityJob Title: Home Health Registered NurseJob Type: Full-Time/Part-TimeLocation: Downey, CA and surrounding areasJob Summary:We are seeking a highly skilled and compassionate Home Health Registered Nurse to join our team at Neogen Care. As a Home Health Registered Nurse, you will provide direct patient care in the patient's home under the...


  • Downey, California, United States NeoGenCare Full time

    Job Title: Home Health Registered NurseNeoGenCare is seeking a highly skilled and compassionate Registered Nurse (RN) to join our Home Health team in Downey, California.Job Summary:The successful candidate will provide direct patient care in the patient's home under the supervision of a physician. Responsibilities include following start of care plans,...


  • Downey, California, United States Travel Nurse Source Full time

    About The PositionWe are seeking a skilled Critical Care Registered Nurse to join our team in Downey, California. This is a 13-week contract with potential extension.ResponsibilitiesDeliver comprehensive care to critically ill patients.Float to a high-intensity PCU unit for constant cardiac monitoring.Work 36 hours weekly, including weekends and...


  • Downey, California, United States Ohana Behavioral Group Full time

    Benefits:401(k) PlanCompany gatheringsEmployee discountsFlexible working hoursProfessional development opportunitiesJob OverviewThe Behavioral Intervention Case Manager is responsible for delivering specialized behavioral intervention services and overseeing program management for individuals diagnosed with Autism Spectrum Disorder (ASD) and related...


  • Downey, California, United States GQR Healthcare Full time

    Job Title: Critical Care Registered NurseWe're seeking a skilled Critical Care Registered Nurse for a 13-week contract role, involving three 12-hour night shifts per week, including potential weekends and holidays.Responsibilities:Deliver high-quality critical care from initial assessment to end-of-life.Occasionally serve in a high-intensity PCU unit with...


  • Downey, California, United States Lead Health Full time

    Unlock Your Potential as a Travel Nurse RNWe're seeking a skilled Case Management Registered Nurse to join our team at Lead Health. As a Travel Nurse RN, you'll have the opportunity to make a positive impact on patient care while enjoying a high-paying and flexible lifestyle.Key Responsibilities:Provide exceptional patient care as a Case Management...

  • Nurse Manager

    3 weeks ago


    Downey, California, United States PIH Health Full time

    About PIH HealthPIH Health is a nationally recognized organization that excels in patient care and patient experience.Job SummaryWe are seeking a skilled Registered Nurse to join our team as a Nurse Manager. As a key member of our clinical team, you will be responsible for providing exceptional patient care and leading our team of healthcare...


  • Downey, California, United States Surgery Care Affiliates Full time

    Job SummaryWe are seeking a highly skilled Registered Nurse to join our team as a Perioperative Registered Nurse. This role will be responsible for providing exceptional care to patients undergoing surgical procedures in the Preoperative and Postoperative Care Unit (PACU).Key ResponsibilitiesAssess patient's preoperative and postoperative status to ensure...

  • Clinical Manager

    4 days ago


    Downey, California, United States PIH Health Full time

    About the RoleWe are seeking a highly skilled Clinical Manager to join our Utilization Management team at PIH Health. As a key member of our team, you will be responsible for overseeing the operations and direction of our Utilization Management department.Key ResponsibilitiesAssist the UM Clinical Director in developing and implementing effective utilization...

  • Clinical Manager

    2 days ago


    Downey, California, United States PIH Health Full time

    About the RoleWe are seeking a highly skilled Clinical Manager to join our Utilization Management team at PIH Health. As a key member of our team, you will be responsible for overseeing the operations and direction of our Utilization Management department.Key ResponsibilitiesAssist with the overall operations and direction of the Utilization Management...