Re-Admissions Nurse Case Manager

Benefits

• 401(k)
• 401(k) matching
• Bonus based on performance
• Company parties
• Dental insurance
• Free food & snacks
• Health insurance
• Opportunity for advancement
• Paid time off
• Parental leave
• Training & development
• Vision insurance
• Wellness resources

About the Role

MedPOINT Management in Sherman Oaks, CA is looking for a dedicated Re-Admissions Case Manager to join our growing healthcare team. In this impactful role, you'll play a critical part in coordinating patient care transitions and reducing preventable hospital readmissions. If you're passionate about improving patient outcomes and thrive in a fast-paced managed care environment, we want to hear from you!

Responsibilities

• Monitor and manage high-risk patients post-discharge to prevent unnecessary hospital readmissions
• Coordinate care transitions between hospitals, skilled nursing facilities, and outpatient providers

Conduct telephonic and in-person patient assessments to identify barriers to care and social determinants of health

Collaborate with interdisciplinary care teams including physicians, social workers, and utilization management staff

• Develop and implement individualized care plans focused on reducing readmission risk
• Track and document case management activities in electronic health record (EHR) systems
• Educate patients and caregivers on discharge instructions, medication adherence, and follow-up care

Requirements

• Active RN or Licensed Clinical Social Worker (LCSW) license in the state of California
• 2+ years of case management, utilization management, or discharge planning experience
• Strong knowledge of managed care, IPA, or health plan operations preferred
• Experience with care transitions, readmission reduction programs, or chronic disease management
• Proficiency with EHR/case management software and Microsoft Office Suite
• Excellent communication, critical thinking, and organizational skills
• CCM (Certified Case Manager) certification is a plus

About Us

MedPOINT Management is a leading Independent Practice Association (IPA) management company based in Sherman Oaks, CA, dedicated to delivering high-quality, coordinated healthcare to patients across Southern California. Our physician partners and health plan clients trust us for our expertise in utilization management, quality improvement, and patient-centered care. We foster a collaborative and mission-driven workplace where employees are empowered to make a real difference in the lives of the patients we serve.

This is a remote position.