Registered Nurse

Join Our Team as a Registered Nurse – Case Manager in Torrance, CA

We are seeking a dedicated and experienced Registered Nurse to join our Case Management team. This is an exciting opportunity for a healthcare professional passionate about providing quality care coordination and utilization review, supporting patients through their healthcare journeys across various acute and post-acute settings. If you have a strong acute care background and thrive in diverse clinical environments, we want to hear from you.

Shift & Schedule

• Day Shift: 5 days per week, 8 hours each (8:00 AM – 4:30 PM)

Requirements

• Minimum of 2 years of acute care case management or discharge planning experience
• Proficient with Epic charting system (required)
• Demonstrated travel experience; open to screening first-time travelers
• Experience in a variety of work settings, including:
  • Acute Hospital
  • Behavioral Health (required)
  • Home Health (required)
  • Hospice (required)
  • Insurance Company (required)
  • Long Term Acute Care, Rehab, Skilled Nursing (required)
• Comprehensive knowledge of case management/utilization review practices including:
  • Admission Criteria (required)
  • Appeals and Denials (required)
  • Benefits Eligibility (required)
  • Care Coordination
  • Determining Medical Necessity per evidence-based guidelines (required)
  • Discharge Planning
  • Disease Management
  • Needs Assessment and Ordering Durable Medical Equipment (DME)
  • Plan of Care (required)
  • Prior Authorizations (required)
  • Utilization of InterQual Criteria (required)
  • Workers’ Compensation Case Management (required)
• Utilization review expertise including:
  • Application of Admission Criteria (required)
  • Understanding Medical Necessity
  • Utilizing InterQual Criteria (required)
• Acute hospital experience in multiple specialties such as:
  • Behavioral Health (required)
  • Emergency Department (required)
  • Intensive Care Unit (ICU) (required)
  • Multiple Sclerosis (MS) (required)
  • Neonatal Intensive Care Unit (NICU) (required)
  • Pediatrics (required)
  • Pediatric Intensive Care Unit (PICU) (required)
  • Step-down Unit/Progressive Care Unit/Intermediate Care/Observation (SDU/PCU/IMC/Obs) (required)
  • Surgical Services (required)
  • Women’s Services (required)
• Regulatory knowledge and compliance including CMS, DRG, HIPAA guidelines, and Workers’ Compensation (required)

Key Responsibilities

• Perform comprehensive case management and utilization review services across acute and post-acute care settings ensuring appropriate patient care and resource utilization
• Coordinate care plans collaboratively with interdisciplinary teams to optimize patient outcomes and facilitate timely discharge planning
• Utilize Epic and other clinical tools effectively for accurate and timely documentation
• Evaluate medical necessity and apply evidence-based guidelines including InterQual criteria in clinical decision-making
• Manage appeals, denials, prior authorizations, and benefits eligibility to support patient access and compliance
• Provide expert case management services in behavioral health, home health, hospice, insurance, long-term acute care, and rehab settings
• Ensure compliance with all regulatory standards including CMS, HIPAA, and workers’ compensation requirements
• Support the education and advocacy for patients and their families throughout the care continuum
• Travel as required, demonstrating flexibility and adaptability to meet the demands of varied clinical settings

Qualifications

• Valid Registered Nurse (RN) licensure in California
• At least 2 years experience in acute care case management or discharge planning
• Proficient in Epic electronic medical records system
• Strong clinical assessment and critical thinking skills
• Demonstrated knowledge of utilization review processes and regulatory requirements
• Excellent communication, organizational, and interpersonal skills
• Ability to work independently and as part of a multidisciplinary team
• Willingness and ability to travel as needed

Compensation & Benefits

Earn a competitive hourly rate ranging from $59.00 to $70.00 per hour. This position is offered through Quick2Hire staffing agency, where you will have a dedicated recruiter supporting your career needs and receive the benefit of weekly pay. Take advantage of this rewarding opportunity to grow your career in a supportive and dynamic environment.

If you are a motivated Registered Nurse with a passion for case management and patient advocacy across diverse clinical settings, apply today and join our dedicated team!

This healthcare facility is a cornerstone of medical excellence in the region, offering a comprehensive range of services designed to meet the diverse needs of the community. With a focus on patient-centered care, the facility provides primary care, urgent care, and specialized services such as cardiopulmonary testing, diagnostic imaging, and a state-of-the-art birthing center. The facility's commitment to compassionate care is evident in its extensive behavioral health and chemical dependency programs, ensuring holistic support for patients. Additionally, the presence of the Otto Klein Cancer Center and a robust orthopedics department highlights its dedication to specialized and advanced medical treatments.

Located in the picturesque town of Polson, MT, the facility serves a vibrant community nestled along the shores of Flathead Lake. This location offers healthcare professionals the unique opportunity to work in a serene environment that balances professional growth with quality of life. The facility is part of a not-for-profit Catholic health care ministry, emphasizing its mission to provide accessible, high-quality care while fostering a supportive and inclusive work culture. With a commitment to innovation and community well-being, this healthcare facility is an ideal place for professionals seeking to make a meaningful impact while enjoying the natural beauty and recreational opportunities of Montana.