RN Case Manager
3 days ago
Upland
Job DescriptionJOBID: 11372504 Position: Registered Nurse Case Manager Shift Schedule; AM (08:00 - 16:30) 5 X 8s 40 hrs / Week Location: Upland, CA 91786 Start date: 12/29/2025-04/25/2026 ( 16 weeks ) Pay: $50 to $55 per hour depending on experience. EXP Note: 08:00 AM - 4:30 PM WILL TAKE LVN or RN M-F NO WKNDS - MUST HAVE AT LEAST 2 YR'S EXPERIENCE Position Summary The Registered Nurse Case Manager is responsible for coordinating patient care, ensuring appropriate utilization of services, developing care plans, and facilitating communication among patients, families, providers, and interdisciplinary teams. The RN Case Manager promotes quality, cost-effective outcomes while maintaining compliance with organizational policies and regulatory requirements. Key Responsibilities 1. Care Coordination & Case Management • Conduct comprehensive assessments of patients medical, psychosocial, and discharge needs., • Develop, implement, and monitor individualized care plans., • Coordinate services across the continuum of care including admission, treatment, and discharge planning., • Collaborate with physicians, nurses, social workers, and ancillary departments to ensure optimal patient outcomes. 2. Patient Advocacy • Ensure patients and families understand diagnoses, treatment options, discharge plans, and community resources., • Advocate for patient rights, safety, and care preferences. 3. Utilization Review & Compliance • Evaluate medical documentation to ensure appropriate level of care and utilization of resources., • Monitor length of stay and ensure compliance with insurance and regulatory guidelines., • Communicate with insurance providers regarding authorizations and continued stay reviews. 4. Documentation & Reporting • Maintain accurate, timely, and thorough documentation in EMR systems., • Track patient progress, barriers to care, and interventions., • Prepare reports as required by management. 5. Interdisciplinary Collaboration • Participate in interdisciplinary rounds and case conferences., • Communicate effectively with providers, hospital departments, and external agencies., • Ensure smooth transitions of care to home health, skilled nursing, outpatient services, or community support. 6. Quality & Performance Improvement • Identify gaps in care and contribute to quality improvement initiatives., • Participate in audits, training, and policy development. Qualifications Education & Experience • Current and valid Registered Nurse (RN) license., • Associate or Bachelors degree in Nursing (BSN preferred)., • Minimum 13 years of clinical nursing experience, preferably in acute care, case management, or utilization review. Skills & Requirements • Strong clinical assessment and critical-thinking skills., • Excellent communication and interpersonal abilities., • Knowledge of insurance guidelines, discharge planning, and community resources., • Experience with EMR systems (EPIC, Cerner, etc.)., • Ability to work independently and manage multiple cases simultaneously. Precision Scans is an equal-opportunity employer, committed to cultural diversity. Precision Scans will provide equal consideration for employment to all qualified applicants without regard to their race, religion, ancestry, national origin, sex, sexual orientation, age, disability, marital status, domestic partner status, or medical condition.