KPC GLOBAL MEDICAL CENTERS INC.-posted 3 months ago
Full-time • Manager
Victorville, CA
1,001-5,000 employees

The Manager of Case Management is responsible for overseeing the daily operations of the Case Management and Utilization Review departments. This role ensures the appropriate utilization of hospital services and resources while maintaining the highest standards of patient care. The Manager will work collaboratively with internal and external stakeholders to support effective patient flow, discharge planning, and compliance with all applicable regulations.

  • Manage the day-to-day operations of Case Management and Utilization Review functions.
  • Develop and implement policies, procedures, and workflows to support appropriate utilization and continuity of care.
  • Monitor compliance with all federal, state, and accreditation requirements related to case management and utilization review.
  • Coordinate interdisciplinary discharge planning and ensure timely transitions of care.
  • Collaborate with clinical teams, physicians, and external agencies to support optimal patient outcomes.
  • Maintain confidentiality of patient information in accordance with HIPAA regulations.
  • Perform other related duties as assigned.
  • Active Registered Nurse (RN) license in the State of California – Required
  • Knowledge of state and federal regulations and accreditation standards – Required
  • Minimum of five (5) years of case management experience – Preferred
  • Bachelor’s degree in Nursing or a related field – Preferred
  • Experience in a leadership or supervisory role – Preferred
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