RN Case Manager – Acute Care

Location: Riverside County
Compensation: $52-$80/hour, depending on experience
Schedule: Full-Time | 4x10s | 40 hours/week

We are seeking experienced RN Case Managers to join an acute care hospital team in Rancho Mirage, CA. This position is ideal for nurses with a strong acute care background who enjoy care coordination, utilization management, discharge planning, and working closely with interdisciplinary teams.

The team is primarily seeking candidates with recent hospital-based case management experience. Candidates who have previous acute care experience and later transitioned into home health case management may also be considered if they are interested in returning to the hospital setting.

What You’ll Be Doing

• Complete comprehensive assessments addressing patients’ clinical, psychosocial, financial, and discharge planning needs.
• Develop and coordinate individualized plans of care with physicians, patients, families, and interdisciplinary teams.
• Proactively manage discharge planning and transitions of care to promote safe and timely discharges.
• Conduct admission and continued-stay reviews and help ensure patients are receiving care at the appropriate level.
• Monitor clinical progression and identify barriers that could delay treatment, discharge, or transitions of care.
• Collaborate closely with physicians, nursing, social work, therapy, pharmacy, and other members of the care team.
• Coordinate referrals and transitions to post-acute providers and community resources.
• Support appropriate utilization of hospital resources while maintaining high-quality, patient-centered care.
• Communicate with insurance carriers and third-party payers regarding authorization, coverage, and clinical information.
• Educate patients and families regarding discharge plans, follow-up care, appointments, medications, and available resources.
• Maintain accurate and timely case management documentation.

Qualifications

• BSN or Master’s degree in Nursing required
• Active California RN license required
• Minimum of 2 years of recent RN experience in an acute care or case management setting
• Recent acute care case management experience strongly preferred
• Case Management certification preferred
• Strong understanding of discharge planning, utilization management, levels of care, and interdisciplinary care coordination
• Strong communication, organization, critical-thinking, and problem-solving skills