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Director of Case Management - Utilization Management
Company : Centinela Hospital Medical Center
Location : Inglewood, CA, 90301
Job Type : Full Time
Date Posted : 3 January 2026
Overview
At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, Centinela Hospital Medical Center is actively seeking new members to join its award-winning team!
Centinela Hospital Medical Center has been serving the communities of Inglewood and the wider Los Angeles area for 100 years. An award-winning facility, ranking in the top 5% nationally for quality and patient safety, Centinela Hospital is a 362-bed acute-care hospital with a 24-hour STEMI certified emergency department and primary stroke center, orthopedic care, advanced cardiac services, critical care services, inpatient and outpatient rehab programs, and more. Centinela has earned hundreds of national awards and recognitions, including "100 Top Hospital" recognition from Fortune/Merative and straight 'A's (2018-2022) for hospital safety from The Leapfrog Group. For more information, visit www.centinelamed.com.
Why Prime Healthcare? Centinela Hospital Medical Center; a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
Centinela Hospital Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs.
Our Total Rewards package includes, but is not limited to:
- Paid Time Off
- 401K retirement plan
- Outstanding Medical
- Dental
- Vision Coverage
- Tuition Reimbursement
- Many more Voluntary Benefit Options!
Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time.
Responsibilities
We are seeking a strategic and compassionate Director of Case Management to lead our dynamic Case Management Team consisting of Registered Nurses, Social Workers, and Clinical Coordinators. This leader will oversee all facets of utilization management, discharge planning, and care coordination to ensure patients receive timely, appropriate, and efficient care throughout their hospital stay. The Director is responsible for the development of staff and systems to effectively operate a comprehensive Case Management Program. The Director provides leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. Additionally, this leader assesses needs and plans, communicates and designs services that are appropriate to the hospital mission and patient/family needs. The Director of Case Management ntegrates and coordinates services using continuous quality improvement tools.
Preferred leadership style and ideal candidate is a forward-thinking professional who thrives in a collaborative, fast-paced healthcare setting and is passionate about driving positive patient outcomes and reducing readmissions.
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Qualifications
Required qualifications:
1. CA Registered Nurse
2. Bachelor's of Science in Nursing3. Grandfathered prior to April 1, 2015. Minimum 5 years’ post graduate of an accredited school of Social Work for Licensed Clinical Social Worker.4. Minimum 5 years’ experience in a Case Management position.5. Must have analytical ability for problem identification and assessment and evaluation of data/statistics obtained from an on-going review process.6. Experience and knowledge in basic to intermediate computer skills.
1. Current BCLS certificate preferred.2. Knowledge of Milliman Criteria and InterQual Criteria preferred.
Pay Transparency
Centinela Hospital Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. Benefits may vary based on employment status, i.e. full-time, part-time, per diem or temporary. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $108,160.00 to $163,800.00 on an annualized basis. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Employment Status
Full TimeShift
DaysEqual Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Privacy Notice
Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
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Frequently asked questions
Holding a CA Registered Nurse license and a BCLS certificate are highly valued for this leadership role. Familiarity with Milliman and InterQual criteria also strengthens your profile significantly in the Inglewood healthcare market, aligning with regional standards for utilization management expertise.
This director role drives quality by coordinating multidisciplinary teams to ensure efficient care and reduce readmissions. Their strategic oversight of utilization management helps optimize patient safety and resource use, directly influencing care standards at Centinela Hospital’s nationally recognized facility.
Case management leaders in LA face diverse patient demographics and complex care coordination amid high demand. Navigating local healthcare policies, insurance frameworks, and community resource variability requires adaptability and cultural competence for success in this urban environment.
This leadership role specializes in overseeing patient service approvals and discharge planning to maximize care efficiency. Unlike general healthcare management, it demands deep knowledge of utilization review criteria and regulatory compliance to balance quality with cost control.
Inglewood’s healthcare sector, anchored by Centinela Hospital’s reputation, offers robust opportunities for experienced directors. However, competition is intense due to the hospital's award-winning status and comprehensive benefits, attracting top talent committed to advancing patient care.
Annual compensation typically spans from $108,160 to $163,800, reflecting factors like experience, education, and credentials. This range aligns competitively with Southern California’s healthcare leadership market and includes comprehensive benefits tailored to individual needs.
Centinela fosters career development through tuition reimbursement and a collaborative team culture. Directors benefit from leadership roles in a top-ranked hospital system, gaining exposure to innovative quality improvement initiatives and multidisciplinary coordination enhancing their managerial skills.
The hospital’s emphasis on compassion and community shapes a leadership role focused on patient-centered care coordination. Directors work within an environment prioritizing safety and quality, which requires proactive communication and strategic planning aligned with the hospital’s mission.
Utilization Management ensures that patient care is appropriate and resource-effective, reducing unnecessary admissions and readmissions. It’s vital for balancing clinical needs with cost containment, directly impacting hospital efficiency and patient satisfaction in a high-volume acute care setting.
Inglewood’s proximity to Los Angeles offers diverse transit options, though traffic congestion can affect commute times. Balancing a demanding full-time leadership role with flexible benefits like paid time off helps manage work-life priorities in this busy metropolitan area.