Insurance Case Manager Jobs in Temecula, CA (NOW HIRING)

About Temecula Valley Hospital

Temecula Valley Hospital (TVH), part of Southwest Healthcare, brings advanced technology, innovative programs, patient-centered and family sensitive care to area residents. The hospital features 140 private patient rooms; emergency care; advanced cardiac and stroke care; orthopedics; general and surgical specialties. TVH is nationally recognized for Patient Safety designated by The Leapfrog Group as a Top Hospital in both 2017 and 2020 and has received 12 “A” Leapfrog Hospital Safety Grades, most recently in Spring 2026. The hospital was recently recognized by U.S. News & World Report’s Best Hospitals 2025-2026 for Heart Attack, Heart Failure, Stroke, Arrythmia and Pacemaker. TVH is a DNV Certified Comprehensive Stroke Center and has received eight Women’s Choice Award Achievements as One of America’s Best Hospitals for Stroke Care and One of America’s Best Hospitals for Patient Safety. Other accolades include: the American Heart Association/American Stroke Association’s Get With The Guidelines® - Stroke GOLD PLUS with Target: Stroke Honor Roll Elite and Target: Type 2 Diabetes Honor Roll, Mission Lifeline® - STEMI Receiving Center – GOLD PLUS, Mission Lifeline® - NSTEMI – GOLD, Blue Distinction® Center Designation for Quality in Knee and Hip Replacement Surgeries, The Joint Commission’s Gold Seal of Approval for Certification for Hip and Knee Replacement, first hospital in the state of California to achieve certification as a Gluten-Free Food Service facility, 4 Star Medicare Hospital Compare Rating, the American College of Cardiology Chest Pain Center with Primary PCI and Resuscitation Accreditation, the honor of the Inland Empire’s Top Workplaces 2017 and 2018, has been designated an Aetna Institute of Quality Cardiac Care Facility for comprehensive heart and vascular treatment‑including Cardiac Medical Intervention, Cardiac Rhythm Programs and Cardiac Surgery. For more information, please visit www.SWHtemeculavalley.com.

The Case Manager is responsible for performing assessments appropriate to functional status, diagnosis, care setting, age, development level, and cultural and religious orientation in a timely manner. The candidate will also identify and prioritize the need for further assessment based on the patient’s clinical presentation/diagnosis, care setting, desire for care and responses to any previous care. The Case Manager initiates discharge planning for each patient upon admission as appropriate. In addition, the Case Manager evaluates and documents the patient’s response to the Plan of Care and to interventions; revises and updates the Plan of Care as evidenced by documentation.

• Two (2) years experience in an acute care hospital
• Case Management/Discharge Planning/Utilization Review experience preferred
• Completion of an accredited Registered Nursing program
• Current California Registered Nurse license
• CCM and/or CPUR certification preferred
• CPI Certification within the first 90 days

• Challenging and rewarding work environment
• Growth and development opportunities within UHS and its subsidiaries
• Competitive compensation
• Excellent Medical, Dental, Vision and Prescription Drug Plan
• 401k plan with company match

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.