San Bernardino, California, United States · On-site
$85k–$100k/yr
Description JOB SUMMARY: The Concurrent Case Management RN is responsible for concurrent utilization review, care coordination, and discharge planning for inpatient members within a managed care environment. This role se…
Skills: Concurrent Utilization Review, Care Coordination, Discharge Planning, Medical Necessity Review, Clinical Assessment
San Bernardino, California, United States · On-site
$28/hr–$29/hr
Benefits: 401(k) Bonus based on performance Dental insurance Employee discounts Flexible schedule Free uniforms Opportunity for advancement Signing bonus Pay rate: $28-$29/hour plus bonus (performance dependent) Addition…
Skills: Billing, MediCal, PPO, HMO, OpenDental
San Bernardino, California, United States · On-site
$18/hr–$21/hr
Description JOB SUMMARY: The UM Data Entry Coordinator supports the Utilization Management (UM) function by accurately entering, verifying, and processing authorization requests in accordance with established policies, r…
Skills: Data Entry, Attention To Detail, Medical Terminology, Healthcare Insurance, Authorization Processes
San Bernardino, California, United States · Hybrid
$376k–$423k/yr
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access t…
Skills: Medication Management, Psychotherapy, Patient Care, Clinical Excellence, Child and Adolescent Psychiatry
San Bernardino, California, United States · Hybrid
$135k–$180k/yr
Overview The San Bernardino, CA office of Lewis Brisbois, a full-service AmLaw 100 firm, is actively seeking an attorney to join its Healthcare & Medical Malpractice Practice. The ideal candidate will be admitted to prac…
Skills: Medical Malpractice Litigation, Legal Drafting, Discovery, Pleadings, Motion Practice
San Bernardino, California, United States · On-site
$90/hr–$100/hr
Omni Therapy | San Bernardino County, CA Omni Therapy is seeking an Occupational Therapist (OT) contractor to provide in-home evaluations and treatment services throughout San Bernardino County, CA. This opportunity is i…
Skills: Occupational Therapy, Patient Evaluation, In-home Treatment, Patient Care, Clinical Documentation
San Bernardino, California, United States · On-site
$90/hr–$120/hr
Omni Therapy | San Bernardino County, CA Omni Therapy is seeking a Physical Therapist (PT) contractor to provide in-home evaluations and treatment services throughout San Bernardino County, CA. This opportunity is ideal …
Skills: Patient Evaluation, Physical Therapy Treatment, Home Health Care, Patient Care Management, Clinical Documentation
San Bernardino, California, United States · Hybrid
Overview The San Bernardino, CA office of Lewis Brisbois, a full-service AmLaw 100 firm, is actively seeking an attorney to join its Labor & Employment Practice. The ideal candidate will be admitted to practice in Califo…
Skills: Medical Malpractice Litigation, Legal Drafting, Discovery, Pleadings, Motion Practice
San Bernardino, California, United States · On-site
$20/hr–$27/hr
Overview Registered Dental Assistant (RDA) You can fully utilize your RDA skills working with Pediatric Dentists, Orthodontists and Anesthesiologists Summary: The Registered Dental Assistant supports dental care delivery…
Skills: X-ray Operation, Dental Prophylaxis, Oral Hygiene Instruction, Charting, Treatment Planning
San Bernardino, California, United States · Hybrid
$140k–$152k/yr
We are actively looking to hire talented Psychologists in the Corona & Riverside area, who are passionate about patient care and committed to clinical excellence. \n We offer Psychologists: Sign on bonus Competitive Comp…
Skills: Patient Care, Clinical Excellence, Psychological Assessment, Adult Therapy, Child and Adolescent Therapy
Riverside, California, United States · On-site
CONMED is seeking a Sales Representative to add to our highly talented Advanced Surgical sales force in the Inland Empire of California ! Here is what we do, how we do it, who you will work with, and our why behind what …
Skills: Outside Sales, Medical Device Sales, Relationship Building, Clinical Workflow Knowledge, Presentation Skills
San Bernardino, California, United States · Hybrid
$80k–$95k/yr
Hybrid - Telehealth & In-Person | Ontario, CA $80,000-$95,000/year (DOE) + Monthly Productivity Bonus Empower Lives. Shape the Future of ABA. At Alora Behavioral Health, we've supported children and families through comp…
Skills: Functional Behavior Assessments, Treatment Planning, Behavior Support Plans, RBT Supervision, Parent Training
San Bernardino, California, United States · Hybrid
$80k–$95k/yr
Hybrid - Telehealth & In-Person | San Bernardino, CA $80,000-$95,000/year (DOE) + Monthly Productivity Bonus Empower Lives. Shape the Future of ABA. At Alora Behavioral Health, we've supported children and families throu…
Skills: Functional Behavior Assessments, Treatment Planning, Behavior Support Plans, RBT Supervision, Parent Training
San Bernardino, California, United States · On-site
$83k–$104k/yr
Responsibilities The Social Services Supervisor provides on-site leadership and clinical support to their assigned center’s MSW team. This includes general oversight of psychosocial services delivered to InnovAge PACE Pa…
Skills: Clinical Support, Case Management, Psychosocial Assessment, Care Planning, Staff Supervision
San Bernardino, California, United States · On-site
$25/hr
INTRODUCTION: Central Neighborhood Health Foundation is a Federally Qualified Healthcare Center (FQHC) committed to the Triple Aim as described by the Institute for Healthcare Improvement. Improving the US health care sy…
Skills: Customer Service, Administrative Support, Care Coordination, Case Management, Bilingual Spanish
San Bernardino, California, United States · On-site
$160k–$180k/yr
Description JOB SUMMARY The Sr. Director of Electronic Data Interchange (EDI) provides executive leadership, strategic direction, and operational oversight for all organizational EDI systems, data workflows, trading part…
Skills: EDI Standards, X12, HIPAA Transactions, Data Mapping, Integration Architecture
San Bernardino, California, United States · On-site
$50/hr
INTRODUCTION: Central Neighborhood Health Foundation is a Federally Qualified Healthcare Center (FQHC) committed to the Triple Aim as described by the Institute for Healthcare Improvement. Improving the US health care sy…
Skills: Clinical Assessment, Care Management, Care Coordination, Verbal Communication, Written Communication
San Bernardino, California, United States · Hybrid
$26/hr–$40/hr
SUMMARY: Under the direct supervision of the Program Manager, the Consumer Services Coordinator (CSC) is responsible for coordinating the services and supports that are available to persons with developmental disabilitie…
Skills: Case Management, Person-Centered Planning, Crisis Intervention, Advocacy, Medicaid Waiver Standards
San Bernardino, California, United States · Remote OK
$29/hr–$33/hr
Reports To: Director of Behavioral Health or Behavioral Health Manager Section I: Job Purpose Pacific Health is expanding its team and seeking a highly skilled, compassionate therapist for a hybrid role. This role involv…
Skills: Psychotherapy, Crisis Intervention, Clinical Documentation, Case Management, Mental Health Assessment
San Bernardino, California, United States · On-site
Overview COME BUILD YOUR CAREER WITH VIBRA HEALTHCARE! We are seeking a Full Time Occupational Therapist to join our team! Hospital Details Ballard Rehab Hospital, located in San Bernardino, CA is a 60 bed rehab facility…
Skills: Occupational Therapy, Patient Assessment, Treatment Planning, Program Implementation, Clinical Documentation
San Bernardino, California, United States • On-site
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The Concurrent RN Care Manager performs utilization reviews and discharge planning for inpatient members to ensure cost-effective and quality care. They collaborate with providers and interdisciplinary teams to monitor length of stay and facilitate smooth transitions of care.
Candidates must be a graduate of an accredited Registered Nursing program with a current state license and at least three years of clinical nursing experience. Preferred qualifications include a BSN and certification as a CCM or ACM.
Description
The Concurrent Case Management RN is responsible for concurrent utilization review, care coordination, and discharge planning for inpatient members within a managed care environment. This role serves as a clinical resource to care management staff, supports compliance with regulatory and health plan requirements, and collaborates with providers, hospitals, and interdisciplinary teams to ensure medically necessary, cost-effective, and quality care.
The position performs medical necessity reviews using established criteria, monitors length of stay, facilitates transitions of care, and identifies opportunities to improve outcomes and reduce avoidable utilization.
Requirements
Minimum: High School diploma or equivalent required. Graduate of an accredited Registered Nursing program.
Preferred: Bachelor of Science in Nursing (BSN).
Minimum: Three (3) years of clinical nursing experience; 1-2 years in utilization management, case management, or managed care.
Preferred: Experience in a health plan, MSO, IPA, or acute setting with utilization review responsibilities.
Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.
Current State Registered Nursing License.
Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred.
· Knowledge of utilization management standards (CMS, DMHC, InterQual/Milliman)
· Strong clinical assessment and critical thinking skills
· Understanding of managed care and value-based care models
· Excellent written and verbal communication skills
· Ability to manage multiple cases and meet regulatory deadlines
· Proficiency with electronic medical records (EMR) and Microsoft Office applications
· Ability to work independently and collaboratively in a fast-paced environment
· Strong organizational and time management skills
The physical, mental, and environmental demands described here are representative of those required to successfully perform the essential functions of this position, with or without reasonable accommodation. The role primarily involves sedentary work, including extended periods of sitting, computer use, and communication. The employee may occasionally be required to stand, walk, bend, and lift items up to 20 pounds. The position requires the ability to review detailed medical documentation, perform data entry, and maintain sustained concentration and attention to detail. The employee must be able to communicate effectively through verbal, written, and electronic means, including phone and video communication. Occasional travel to healthcare facilities or office locations may be required based on business needs.
PAY RANGE
$85,000 - $100,000 / annually
Rooted in the Community. Committed to Your Care.
We’ve seen the stress and toll that poor management takes on practices: the rigid policies, the pressure to prioritize volume over patient relationships and clinical judgment, the operational breakdowns that erode trust. A remote bureaucracy that gets in the way of good medicine. We founded LSMA to chart a different course. Here, partnership means flexibility and responsiveness, not control. And while financial stability and success are essential, we recognize that a thriving practice requires more than simply maximizing margins. We handle the administrative complexity with precision and transparency, so your practice can prosper on your terms. Leading LSMA is an accomplished team of Inland Empire-based healthcare executives. We invite you to get in touch to talk more.
Offices: Redlands, CA 92373, US
View all jobs at LSMA Management, Inc.There are currently 339 open healthcare positions in San Bernardino, CA listed on Clera. New openings are added daily as companies post roles.
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