Registered Nurse III MC/CHC Per Diem (Case Manager) - RUHS UR Case Management

The Riverside University Health System (RUHS) - Medical Center is currently recruiting for a Per Diem Registered Nurse III MC/CHC (Case Manager) to join our Integrated Care Management Department located in Moreno Valley.

We are seeking an experienced Registered Nurse (RN) Case Manager to support all areas of Case Management, including the Emergency Department (ED), Transfer Center, Inpatient Units, and Utilization Management (UM).

This role is responsible for coordinating patient care across the continuum, ensuring appropriate level of care, optimizing resource utilization, and supporting safe, timely discharges.

The essential job duties of this position include, but are not limited to the following:


* Provide comprehensive nursing care to patients in accordance with established standards of practice, policies, and procedures.


* Assess, plan, implement, and evaluate individualized patient care plans.


* Perform utilization review and case management activities, including evaluating continued stay criteria and level of care appropriateness.


* Coordinate discharge planning, identify post-discharge needs, and facilitate referrals to appropriate community and ancillary services.


* Administer medications and treatments safely while monitoring patient response and documenting outcomes accurately.


* Maintain complete, accurate, and timely clinical documentation in compliance with regulatory and payor requirements.


* Collaborate effectively with physicians, interdisciplinary teams, patients, and families to ensure quality patient outcomes.


* Ensure compliance with federal, state, and local regulations governing nursing practice and reimbursement standards.


* Educate patients and families regarding treatment plans, medications, and follow-up care.

The ideal candidate will have strong acute hospital Case Management and Utilization Management experience, with proven expertise using InterQual criteria to support medical necessity reviews and authorization process.

License and Certifications Required:


* A valid and current Registered Nurse license issued by the State of CA


* Basic Life Support (BLS) certification issued by the American Heart Association


* Case Management Certification (CCM) is highly preferred

Work Schedule:
9/80 - Monday to Friday
Hours: 8:00 am to 5:30 pm

Meet the Team!
At Riverside University Health System Medical Center, nursing is more than a job, it's an opportunity to make a real difference in a vibrant and diverse community.

Nationally recognized for its forward-thinking and innovative approach to patient care, RUHS Medical Center is also a proud teaching hospital and one of the top employers in the region.

Our 439-bed facility is a designated Level I Trauma Center, Primary Stroke Center, and home to the region's only Pediatric Intensive Care Unit (PICU).

Here, you'll gain valuable experience across a wide range of specialties, including trauma care, stroke, pediatri...