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Case Management Processor Jobs in California (NOW HIRING)

ScionHealth

Director of Case Management

Los Angeles, CA · On-site

$59.78 - $87.44/hr

Implements and monitors processes to ensure optimal utilization of resources and appropriate ... Thorough knowledge of case management processes, utilization management practices, and care ...

PIH Health

Case Management Coordinator

Whittier, CA · On-site

... processes to facilitate seamless transitions of care and optimize patient outcomes. The Case ... Management Coordinator assists with the management of members in PIH, Out of Network and SNF ...

PIH Health

Case Management Coordinator

Whittier, CA · On-site

$23 - $36.70/hr

... processes to facilitate seamless transitions of care and optimize patient outcomes. The Case ... management of members in PIH, Out of Network and SNF facilities. PIH Health is a nonprofit ...

PIH Health

Case Management Coordinator

Whittier, CA · On-site

... processes to facilitate seamless transitions of care and optimize patient outcomes. The Case ... management of members in PIH, Out of Network and SNF facilities. PIH Health is a nonprofit ...

Merakey

RN - Case Management

Redding, CA · On-site

$250.50/hr

Coordinate and implement case management processes for patients. * Utilize electronic medical records and necessary software tools effectively. * Communicate effectively with patients, families, and ...

UC Davis Health

Case Management Assistant

Sacramento, CA · On-site

$33.13 - $41.17/hr

The purpose of the Case Management Assistant (CMA) is to support and under supervision of the ... Process and Practice * 15% - Medicare Important Message Delivery * 15% - Insurance Verification ...

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Case Management Processor information

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How much do case management processor jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for case management processor in California is $24.43, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $26.59 per hour, depending on experience, location, and employer.

What is a case management processor?

A Case Management Processor is responsible for reviewing, organizing, and managing case files and documentation to support efficient case resolution. They ensure accuracy, compliance, and timely processing of information while coordinating with other teams or departments. The role often involves data entry, verifying case details, and maintaining confidential records. Strong attention to detail, time management, and communication skills are essential for success in this position.

What are the typical daily responsibilities of a case management processor?

As a Case Management Processor, your day-to-day tasks include reviewing and processing case documentation, updating records in case management systems, and ensuring all information is accurate and compliant with organizational standards. You will often communicate with case managers, clients, or other departments to obtain missing information or clarify case details. Attention to deadlines and detail is crucial, as your work directly supports the efficiency and effectiveness of the broader case management team. This role offers valuable exposure to case management processes and can be a strong stepping stone for further advancement within the organization.

What are the key skills and qualifications needed to thrive in the case management processor position, and why are they important?

To thrive as a Case Management Processor, you should have strong organizational skills, attention to detail, and experience with data entry or administrative work, often supported by a high school diploma or some post-secondary education. Familiarity with case management software, CRM platforms, and secure data handling protocols is typically required. Excellent communication, time management, and problem-solving abilities help you effectively support case managers and clients. These competencies ensure accurate processing of documentation, efficient workflow, and reliable support for case management teams.

Is a case management processor a good career?

A case management processor is a role that involves reviewing and processing cases in healthcare, social services, or insurance settings. It offers opportunities for stable employment, requires strong organizational and communication skills, and may involve certifications or training. The career can be rewarding for those interested in helping clients navigate complex systems.

What qualifications do you need to be a case management processor?

A case management processor typically needs a high school diploma or equivalent, along with strong organizational and communication skills. Some roles may require experience with case management software or relevant certifications, such as a case management credential or related training, depending on the industry and employer requirements.

What are the most commonly searched types of Case Management Processor jobs in California?

The most popular types of Case Management Processor jobs in California are:

What are popular job titles related to Case Management Processor jobs in California?

For Case Management Processor jobs in California, the most frequently searched job titles are:

What job categories do people searching Case Management Processor jobs in California look for?

The top searched job categories for Case Management Processor jobs in California are:

Case Management Processor jobs near you
Infographic showing various Case Management Processor job openings in California as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution, with an average salary of $50,819 per year, or $24.4 per hour.

Director of Case Management

ScionHealth

Los Angeles, CA • On-site

$59.78 - $87.44/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago

ScionHealth rating

5.6

Company rating: 5.6 out of 10

Based on 49 frontline employees who took The Breakroom Quiz

804th of 895 rated healthcare providers

Job description

Kindred Hospital Los Angeles helps patients return to the lives they love. At our hospital, our physician-led care teams provide critically ill patients with the specialized acute care and rehabilitation they need, for the time they need it - empowering them to take the next step in their recovery journey. Located in Ladera Heights near Fox Hills Park, Blanco Park and Ladera Park, we are a short drive from restaurants and shops, as well as close to public transit.
Job Summary
The Director - Case Management directs Case Management and Utilization Management activities within a ScionHealth hospital. This role oversees the coordination of care for patients and families through effective management of clinical service delivery, ensuring quality outcomes and efficient resource utilization.
The Director partners with external customers, referral sources, and payors to facilitate effective discharge planning while serving as a patient and family advocate. This position is accountable for the facility's denial management program and ensures case management services comply with regulatory requirements, including the Conditions of Participation. The Director collaborates closely with hospital executive leadership including the CEO/Administrator, COO, CFO, CCO, and Regional Office leadership.
Essential Functions
  • Oversees coordination of patient care to support development, monitoring, and refinement of individualized treatment plans.
  • Assumes responsibility for the effective daily operations of the Case Management Department.
  • Ensures regular, accurate, and timely reporting of case management performance outcomes and key metrics.
  • Promotes ScionHealth hospitals within the provider community and local educational institutions when appropriate.
  • Implements and monitors processes to ensure optimal utilization of resources and appropriate reimbursement.
  • Participates as a member of the Utilization Management Committee and other hospital committees as required.
  • Identifies opportunities to achieve hospital goals using comparative data, performance metrics, and benchmarking.
  • Aggregates and analyzes hospital utilization services statistics and recommends corrective actions when necessary.
  • Ensures departmental compliance with CMS, state, and accreditation standards, including documentation and record requirements.
  • Participates actively in surveys, audits, and regulatory reviews.
  • Supports organizational initiatives that improve care coordination, patient outcomes, and operational performance.

Knowledge, Skills, and Abilities
  • Thorough knowledge of case management processes, utilization management practices, and care coordination models.
  • Experience managing case management programs using an interdisciplinary team approach.
  • Strong leadership skills with the ability to motivate, guide, and develop staff.
  • Excellent interpersonal, verbal, and written communication skills to collaborate effectively with leadership, physicians, payors, and external stakeholders.
  • Knowledge of accreditation standards, regulatory requirements, and compliance expectations.
  • Knowledge of government and commercial payor practices, regulations, and reimbursement methodologies.
  • Strong critical thinking, prioritization, and time management skills.
  • Proficiency with Microsoft Office applications including Word, Excel, and other productivity tools.
  • Ability to maintain confidentiality and adhere to organizational policies and regulatory requirements.
  • Must be able to read, write, and speak fluent English.
  • Maintains regular attendance and availability as required to support departmental operations.
  • Ability to travel approximately 5% as needed.
  • Performs other related duties as assigned.

Pay range: $59.78 - $87.44 hourly / $124.324k - $181,875k yearly
$15k bonus
ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness.
Qualifications
Education
  • Bachelor's Degree in a clinical field. (Required)
  • Bachelor's Degree in Nursing. (Preferred)
  • Equivalent combination of education and experience. (May be considered)

Licenses/Certifications
  • Registered Nurse (RN) - State Licensure and/or Compact State Licensure or Respiratory Therapist or Physical Therapist or Occupational Therapist or Social Worker (LSW or LCSW). (Required upon hire)
  • Certified Case Manager (CCM), Accredited Case Manager (ACM), or Certified Rehabilitation Registered Nurse (CRRN). (Preferred upon hire)

Experience
  • Three (3) or more years of experience in hospital case management. (Required)
  • Prior experience in a leadership or interim director role. (Preferred)
  • Experience demonstrating familiarity with managed care, reimbursement practices, and regulatory standards. (Required)

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