CareMore Health
Location
Cerritos, California
Salary
$27 - $40 / HOUR
The Case Manager coordinates acute and post-acute care transitions to ensure safe and efficient patient discharges. They collaborate with interdisciplinary teams and post-acute providers to resolve barriers to discharge and manage length-of-stay.
Candidates must be LPN/LVN qualified to manage high-risk populations and perform clinical reviews for medical necessity. Experience in coordinating services like Home Health, DME, and subacute care is required.
Summary The Case Manager is responsible for proactive Acute/Post Acute care coordination and discharge planning, partnering with hospital and post-acute care management teams to ensure safe, timely, and efficient transitions of care. The Case Manager operates within a structured model alongside utilization management and post-acute services with defined outreach cadences, escalation pathways, and collaboration across interdisciplinary teams. How will you make an impact & Requirements Proactively manage inpatient, observation and post-acute cases with a focus on high‑risk and readmission‑prone populations. Partners with hospital/post-acute Case Managers and Discharge Planners to align on clinical status, discharge plans, and barriers to timely discharge. Coordinate post-acute services, including Home Health, DME, SNF, IRF, LTACH and subacute care, in collaboration with Care Coordinators and post-acute teams. Conduct ongoing outreach to hospital and post-acute teams to support discharge progression and resolve barriers. Perform clinical reviews to assess medical necessity and discharge readiness; facilitate escalation and peer‑to‑peer discussions as needed. Participate in interdisciplinary rounds and contribute to case reviews focused on discharge efficiency and length‑of‑stay management. Serve as a liaison between hospital systems, health plan partners, and post‑acute providers. Qualifications Required: BA/BS in a related field Requires current active unrestricted LVN/LPN license in applicable state(s). 3+ years of experience in: Acute care Care management Discharge planning or utilization management Strong knowledge of post-acute care continuum and payer requirements Preferred: Case Management certification (CCM, ACM) Experience working with high-risk populations and readmission reduction programs Experience in managed care or health plan environment Core Competencies Advanced care coordination and discharge planning Clinical assessment and critical thinking Communication and relationship management Emotional intelligence and professionalism Problem-solving and escalation management Ability to work in fast-paced, matrixed environments Working Environment Potentially Hybrid role interacting with hospital teams, health plan partners, and post-acute providers Requires frequent communication, case tracking, and real-time coordination across multiple stakeholders Potential for weekend/evening coverage Compensation: $26.62 to $39.93 Beware of fraudulent job postings: While Mosaic Health job advertisements may be found on many sites, our current openings page and its associated Workday account are the only places we accept applications for open roles. If you suspect a job post is fraudulent, please let us know at recruiting@apree.health. Mosaic Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. Learn More about Mosaic Health Learn More about Millennium Physician Group Learn More about CareMore Health Learn More about Castlight Health Learn More about Vera Whole Health
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