Supervisor – Inpatient Case Management; SD​/OC

Supervisor – Inpatient Case Management (SD/OC))

Department: HS - ICM

Employment Type: Full Time

Location: 600 City Parkway West 10th Floor, Orange, CA 92868

Reporting To: Dr. Derek Lanier

About the Role:

The Supervisor, Inpatient Case Management is responsible for leading and overseeing the daily operations of the inpatient case management team in the San Diego market. This role ensures timely, compliant, and high-quality utilization management, care coordination, and documentation while serving as a clinical and operational resource to staff, providers, and Medical Directors. The Supervisor plays a key role in driving consistency, productivity, and alignment with Astrana Health policies, payer requirements, and regulatory standards.

• Provide day-to-day supervision, coaching, and support to inpatient case managers
• Ensure timely completion of utilization review, authorizations, and documentation in accordance with policy and payer requirements
• Monitor team productivity, quality, and compliance with established workflows and turnaround times
• Serve as a clinical resource for complex cases, transfers, denials, and medical necessity reviews
• Collaborate daily with Medical Directors, hospitalists, and facility partners regarding bed days, level of care, and skilled admissions
• Escalate and help resolve barriers to care, discharge delays, and provider issues
• Support auditing, reporting, and continuous improvement initiatives related to quality and performance
• Assist with onboarding, training, and development of inpatient case management staff
• Ensure appropriate use of benefit guidelines, contracted providers, and payer rules
• Promote a culture of accountability, teamwork, and high-quality member care
• Miscellaneous responsibilities as directed by leadership

• Active, unrestricted RN license (required)
• Minimum 3–5 years of inpatient case management or utilization management experience
• Prior supervisory or lead experience strongly preferred
• Strong working knowledge of medical necessity criteria, benefit guidelines, and payer requirements
• Experience collaborating with physicians, hospitalists, and Medical Directors
• Ability to interpret clinical documentation and apply appropriate level-of-care determinations
• Strong organizational, communication, and problem-solving skills
• Comfortable managing performance, productivity, and quality metrics
• Proficient with case management systems and electronic medical records
• Ability to work in a fast-paced, high-accountability environment

• Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 600 City Parkway West, Orange County, CA 92868
• The national target pay range for this role is $110,000 - $120,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.