Case Manager*
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Before you apply
SalaryNo pay range posted
LocationMurrieta, CA, United States
Work modeon-site
SeniorityMid
Experience2+ yrs
Company size10,000+ people
First seenOct 22, 2026 · 2w ago
Verified live4d ago
At a glanceSummarised by Seekless from the posting.
Bachelor of Science degree in nursing (BSN)
Minimum two years of hospital nursing experience
Active and unrestricted California Registered Nurse (RN) license
Current Basic Life Support (BLS) certification issued by the American Heart Association
Basic knowledge of case and utilization management practice and methodologies and state and federal healthcare regulations and accreditation
Able to use computer, printer and software programs necessary to the position, e.g., Microsoft Office Suite, Outlook, electronic medical record, electronic event reporting program
Able to relate and communicate positively, effectively and exhibit professional behavior at all times
Able to work calmly and respond courteously when under pressure
Able to be assertive and consistent in following policies
Able to teach and collaborate
Able to accept direction
Able to think critically
Able to work independently with minimal supervision
Able to perform basic math and statistical functions
Able to manage multiple assignments effectively
Able to organize and prioritize workload
Able to problem solve
Able to recall information with accuracy
Able to pay close attention to detail
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment
Nationally recognized certification in Utilization Management or Case Management
Spanish preferred
Able to speak, read and write legibly in English
Able to hear sufficiently for general conversation in person and on the telephone
Able to identify and distinguish various sounds associated with the work place
Able to see adequately to read computer screens, medical records, and written documents necessary to position
Skills
Microsoft Office Suite
Outlook
electronic medical record
electronic event reporting program
About the role
MH: Case Management and Social- ( Unscheduled, Varied Shift) -
Job Summary: The Case Manager serves as a key member of the patient care delivery team and works efficiently in a fast-paced environment and utilizes clinical expertise, discretion and independent judgment in performing the nursing process (assessment, care planning, intervention, evaluation) within a patient-centered care professional practice model (Duffy’s Quality-Caring Model) as it relates to case management functions. Maintains a solid working knowledge of specialized case and utilization management methodologies and practices and applies concepts to everyday practice. Ensures medical appropriateness criteria (medical necessity) are met for level of care provided and is documented from admission through discharge. Practices in a collaborative healthcare environment to oversee implementation of a well-thought-out interdisciplinary plan of care with an individualized discharge plan that is comprehensive and best meets the continuing healthcare needs of the patient. Reevaluates plan of care and ensures continued appropriateness based on the patients changing needs and condition. Represents nursing as an empowered profession and readily embraces new knowledge, innovations and improvements. Exhibits positivity and serves as an instrumental change agent and expertly minimizes resistance to change in the workforce, clinical practice and operational setting. Engages in opportunities to directly or indirectly influence decision-making for clinical practice by supporting and participating in committees, task forces and staff meetings. Performs other duties as needed.
Requirements
Education and Experience: Bachelor of Science degree in nursing (BSN) required. Minimum two years of hospital nursing experience required. Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred.
Knowledge and Skills: Basic knowledge of case and utilization management practice and methodologies and state and federal healthcare regulations and accreditation required. Able to: speak, read and write legibly in English (and Spanish preferred) with professional quality; use computer, printer and software programs necessary to the position, e.g., Microsoft Office Suite, Outlook, electronic medical record, electronic event reporting program. Relate and communicate positively, effectively and exhibit professional behavior at all times; work calmly and respond courteously when under pressure; be assertive and consistent in following policies; teach, and collaborate; accept direction; think critically; work independently with minimal supervision; perform basic math and statistical functions; manage multiple assignments effectively; organize and prioritize workload; problem solve; recall information with accuracy; pay close attention to detail; hear sufficiently for general conversation in person and on the telephone; identify and distinguish various sounds associated with the work place; see adequately to read computer screens, medical records, and written documents necessary to position.
Licensures and Certifications: Active and unrestricted California Registered Nurse (RN) license required. Current Basic Life Support (BLS) certification issued by the American Heart Association required. Nationally recognized certification in Utilization Management or Case Management preferred.
About the company
Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness.