Supervisor-RN Case Management

MH: Case Management and Social- (Full Time, Days) -

Job Summary: The Case Management Supervisor provides operational, clinical, regulatory, and personnel leadership for the Case Management Department at LLUMC-Murrieta, ensuring effective care coordination, utilization management, discharge planning, and resource stewardship across the continuum of care. Oversees the daily departmental operations, staff performance, patient throughput, and length-of-stay management while promoting high-quality, patient-centered, cost-effective outcomes. Collaborates with physicians, nursing leaders, administration, payers, and community partners to optimize patient care, reimbursement, regulatory compliance, and transitions of care, staff development, performance improvement, strategic planning, quality and patient safety initiatives, regulatory readiness, financial stewardship, and implementation of best practices that support organizational goals, nursing excellence, and exceptional patient and family experiences. Serves as a clinical resource, mentor, and subject matter expert, fostering a culture of accountability, collaboration, continuous improvement, and professional growth while ensuring compliance with all applicable regulatory, accreditation, and organizational standards. Participates in on-call rotation for designated area(s) based on business need Performs other duties as needed.

Education and Experience: Bachelor of Science Degree in Nursing required. Master's degree in healthcare or finance related field preferred. Minimum two years nursing experience which has provided opportunity to demonstrate competencies in case management, clinical nursing, leadership, administration, or education required.

Knowledge and Skills: Substantial knowledge of case and utilization management practice, state and federal healthcare regulations, third party payers, finance, performance improvement, quality, patient safety, evidenced-based clinical practice standards, medical staff structure and legal aspects of care required. Knowledge of adult learning principles, management and problem-solving methodologies. Exhibits professional behavior at all times. Able to read; write and speak with professional quality; use computer and software programs necessary to the position, e.g., Word, Excel, Power Point, Access; operate/troubleshoot basic office equipment required for the position. Able to relate and communicate positively, effectively, and professionally with others; provide leadership; be assertive and consistent in enforcing policies; work calmly and respond courteously when under pressure; lead, supervise, teach, and collaborate; accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; work independently; perform basic math and statistical functions; manage multiple assignments; compose written material; work well under pressure; problem solve; organize and prioritize workload; recall information with accuracy; pay close attention to detail. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.

Licensures and Certifications: Active California Registered Nurse Licensure required. Basic Life Support Certification issued by American Heart Association required. Case Management Certification preferred[C.