RC Case Manager at Senior Doc

Santa Ana, California, United States -

Full Time

Start Date

Immediate

Expiry Date

24 Apr, 26

Salary

50.0

Posted On

24 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Registered Nurse, Case Management, Utilization Review, Care Coordination, Clinical Assessment, Critical Thinking, Communication, Discharge Planning, Documentation, Interdisciplinary Care Planning, Patient Advocacy, Hospital Transitions, Senior Care, Dementia Care, Team Collaboration, Transportation

Industry

Medical Practices

Description

Registered Nurse Case Manager (RN) Schedule: Monday – Friday 8:00am-5:00pm Make a Lasting Impact in Senior Care Join Brigade Health – Where Compassion and Clinical Excellence Meet Why Senior Doc at Brigade Health? At Senior Doc at Brigade Health, we provide end-to-end senior care with a specialization in dementia. We support frail and medically complex seniors through high-risk hospitalization events, working closely with patients, families, hospitals, and care partners to ensure appropriate utilization and safe transitions of care. As a Registered Nurse Case Manager, you will play a critical role in inpatient admission management, utilization review, and care coordination during some of the most vulnerable moments for patients and their families. Position Summary We provide end-to-end senior care with a specialization in dementia. As a mission-driven organization focused on delivering high-quality, value-based care to frail seniors, effective inpatient admission management is critical to supporting our patients and families. The Registered Nurse Case Manager serves as the primary clinical lead for patients at risk for hospitalization. This role is responsible for monitoring inpatient admissions, coordinating across hospital teams and internal clinicians, supporting medically appropriate utilization, and partnering with patients and families to ensure safe, timely, and well-coordinated hospital stays and transitions of care. Duties and Responsibilities Responsibilities include, but are not limited to: Coordinate and manage inpatient admissions, continued stays, and discharges to ensure medically appropriate, timely, and cost-effective care. Perform utilization review using medical necessity criteria and collaborate with providers and hospital-based clinicians to support appropriate level-of-care decisions. Serve as a clinical liaison between hospitals, internal care teams, payers, and post-acute clinicians. Support discharge planning and transitions of care to reduce avoidable readmissions. Communicate effectively with patients and families regarding hospitalization status, care plans, and discharge needs. Ensure accurate, timely documentation and compliance with regulatory, accreditation, and payer requirements. Participate in interdisciplinary care planning and escalation of complex cases as needed. Minimum Qualifications Active, unrestricted Registered Nurse license in the state of practice. Minimum of two years of clinical nursing experience, including at least one to two years in case management, utilization management, or care coordination. Experience supporting inpatient admissions, hospital transitions, or post-acute care. Strong clinical assessment, critical thinking, and care coordination skills. This is a mobile position requiring regular travel throughout the region to hospitals, care settings, and other sites as needed, including same-day travel between locations. Valid driver’s license in the state of employment, reliable transportation, and current automobile insurance required. Mileage and travel time will be compensated in accordance with company policy and applicable law. Preferred Experience Experience in value-based care, managed care, PACE, or senior-focused populations. Experience working with cognitively impaired or medically complex patients and their families. Performance Measurement Performance will be evaluated based on the following: Reduction in avoidable hospital admissions and readmissions. Timeliness and effectiveness of discharge planning and post-discharge follow-up. Quality and accuracy of clinical documentation and utilization review. Development and maintenance of effective relationships with key contacts at partner organizations. Adherence to job responsibilities, attendance guidelines, departmental objectives, and company core values. Maintenance of professionalism and excellent internal and external customer service standards. Compliance with safety and health standards. Effective communication with medical professionals, vendors, families, peers, and supervisors. Contribution to a positive, respectful, and inclusive working environment. Hourly range for posted region $40—$50 USD

Responsibilities

The Registered Nurse Case Manager coordinates and manages inpatient admissions, continued stays, and discharges to ensure appropriate care. They serve as a clinical liaison between hospitals, internal care teams, and patients to support safe transitions of care.