Case Management Supervisor

Stanford Health Care Tri-Valley • Pleasanton, CA

1d • $54 - $72 • Onsite

About The Position

The Case Management Supervisor provides day-to-day operational oversight for case management activities, including discharge planning, utilization review, and care coordination. This role ensures regulatory compliance, supports efficient workflows, and mentors staff to achieve departmental goals. The Supervisor partners with interdisciplinary teams to promote quality outcomes, patient satisfaction, and resource optimization. Locations Stanford Health Care Tri-Valley

Requirements

• Bachelor's Degree in nursing Required
• 3+ years to 5 years in case management or utilization management Required
• 1+ year to 2 years in a supervisory or lead role Required
• Strong knowledge of managed care, discharge planning, and regulatory compliance.
• Excellent communication and interpersonal skills.
• Ability to prioritize tasks and manage multiple workflows effectively.

Nice To Haves

• RN - Registered Nurse - State Licensure And/Or Compact State Licensure preferred
• Accredited Case Manager - ACM preferred
• CCM - Certified Case Manager preferred

Responsibilities

• Staff Supervision and Development: Hire, train, and supervise case management staff; monitor daily operations; develop performance plans; conduct evaluations and corrective actions; provide coaching and professional development.
• Operational Oversight: Ensure timely completion of utilization reviews and discharge planning; maintain compliance with CMS, Joint Commission, state regulations, and payer requirements; support readiness for audits and quality reviews.
• Workflow and Quality Improvement: Identify process improvement opportunities; monitor productivity metrics; assist in achieving departmental targets; participate in development and testing of authorization rules and case management protocols.
• Collaboration: Partner with Customer Service, Claims, Finance, and other departments to maintain effective workflows; coordinate timely response to member appeals and grievances.
• Patient and Family Experience: Integrate C-I-CARE principles into all interactions; ensure patients and families receive clear guidance and support throughout transitions of care.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees