Case Management

Case Manager – Acute Care | Los Angeles, CA

Day Shift | 13-Week Contract

This inpatient Case Management role is a day-shift, 5x8-hour position (8:00 AM – 5:00 PM) supporting a diverse patient population including adolescents, adults, and geriatrics. The unit collaborates closely with social services and transportation teams to coordinate care and facilitate timely, appropriate discharges.

Clinical Scope

• Utilization review and management using InterQual Criteria and Milliman Guidelines
• Discharge planning and care coordination across the continuum
• Application of CMS guidelines, DRG and ICD-10 coding knowledge, and CPT familiarity
• Workers' compensation case management
• Adherence to HIPAA, Joint Commission standards, and NCQA requirements

Schedule & Coverage

• Monday–Friday days; no weekends, no float, no on-call
• No scheduling requests can be accommodated — flexibility is required
• Orientation: 16 hours

Requirements

• Active, permanent California RN License — no temp or pending licenses accepted
• Minimum 2 years of acute care case management experience; California-specific CM experience required (6 months minimum)
• BLS certification
• Flu vaccine required — no exemptions
• 2 supervisor-level references from within the past year required at submission

Preferred

• Experience with a major hospital EMR system

Additional Notes

• No radius restriction; local candidates welcome
• All previous employment at this facility system must be disclosed on your profile
• Maximum 2 weeks RTO per contract; no RTO in the first 2 weeks