Nurse Manager of Case Management and Utilization Review

Now Hiring: Step into a high-impact leadership role as the Nurse Manager of Case Management and Utilization Review and help shape exceptional care coordination, throughput efficiency, and patient experience across a dynamic acute care setting ✨.

Why this organization: The Nurse Manager of Case Management and Utilization Review will join an award-winning hospital known for clinical quality, patient safety, and equity initiatives, supported by advanced care coordination technologies, integrated EHR platforms, and robust data analytics that elevate utilization management and discharge planning. The Nurse Manager of Case Management and Utilization Review will benefit from a culture of innovation, strong community partnerships, continuous improvement methodology, and visible executive sponsorship for care transformation projects.

Leadership, support, and scope: The Nurse Manager of Case Management and Utilization Review will report to an experienced Director of Care Coordination within a collaborative dyad model that aligns with medical staff leadership, receiving operational, analytics, and denials management support for sustainable outcomes. The Nurse Manager of Case Management and Utilization Review will lead a compassionate team of case managers, social workers, and utilization review nurses, partnering closely with friendly bedside nurses, a diverse interprofessional team, and revenue cycle and CDI colleagues to optimize length of stay, streamline transitions of care, reduce readmissions, and ensure medical necessity and regulatory compliance.

Northern California lifestyle: The Nurse Manager of Case Management and Utilization Review will thrive in a region renowned for year-round mild weather, coastal escapes, redwood forests, and nearby mountains for hiking, biking, and weekend ski trips, along with world-class concerts, museums, and festivals from major metros to charming wine country towns 🌄. The Nurse Manager of Case Management and Utilization Review will enjoy a farm-to-table culinary scene, global cuisine, vibrant neighborhoods, scenic waterfronts, and easy access to iconic attractions across Northern California—from the Pacific Coast to national parks and lakes—creating a balanced lifestyle enriched by outdoor adventure and cultural energy.

Compensation and next steps: The Nurse Manager of Case Management and Utilization Review will be offered a competitive compensation package up to $160,000, along with a full suite of health and retirement benefits, paid time off, and professional development support. The Nurse Manager of Case Management and Utilization Review is invited to connect with a Clinical Management Consultants recruiter to learn more and confidentially explore this leadership opportunity today.