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Texas Nursing Services

Manager of Case Management

Texas Nursing Services, Riverside, California, United States, 92504

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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 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 Create a job alert for this search #J-18808-Ljbffr