Brigade Health · 1 day ago
RC Case Manager
Santa Ana,Ca
Full-time
Onsite
Entry, Mid Level
$85K/yr - $105K/yr
2+ years expBrigade Health is a mission-driven organization specializing in senior care, particularly for those with dementia. The Registered Nurse Case Manager will be responsible for inpatient admission management, utilization review, and care coordination, ensuring safe transitions of care for medically complex seniors and their families.
Hospital & Health Care
Responsibilities
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
Qualification
Required
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 in value-based care, managed care, PACE, or senior-focused populations
Experience working with cognitively impaired or medically complex patients and their families
Benefits
Mileage and travel time will be compensated in accordance with company policy and applicable law.
Company
Brigade Health
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase