Demo

Case Manager-Utilization Management

Prime Healthcare
Sherman Oaks, CA Full Time
POSTED ON 5/25/2026
AVAILABLE BEFORE 7/24/2026
Location US-CA-Sherman Oaks ID 2026-263786 Category Clinical Professional Position Type Full Time Shift Days Job Type Non-Exempt

Overview

Encino Hospital Medical Center is a 150-bed state-of-the-art hospital located in Encino, California. Its multi-disciplinary staff consists of 330 physicians and 520 professional support staff. Encino Hospital Medical Center serves a diverse population and incorporates elements of urban and suburban medicine in a caring environment. It offers a wide array of inpatient and outpatient services. The hospital is consistently at the forefront in providing innovative and integrated healthcare. For more information, visit: www.encinomed.org

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community!

Why Prime Healthcare? Encino Hospital Medical Center, a member of the Prime Healthcare Foundation, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Encino 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.

This is a Fast-paced work environment in which you can take pride in serving an underserved community. Come Join a Team of Dedicated Healthcare Workers!!!

Responsibilities

Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

Required qualifications:

  • BSW or other bachelor's degree in a related field. At least one year experience in case management, discharge planning or nursing management; or
  • Experience and knowledge in basic to intermediate computer skills.
  • Preferred qualifications:

  • Minimum 5 years of acute care experience preferred.
  • CCM or obtained within 1year
  • Current BCLS certificate preferred.
  • Knowledge of Milliman Criteria and InterQual Criteria preferred.
  • Pay Transparency

    Sherman Oaks Hospital 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. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $40.41 to $69.32. 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 Time

    Shift

    Days

    Equal 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

    Salary : $40 - $69

    If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
    Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets
    Employees: Get a Salary Increase
    View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

    Job openings at Prime Healthcare

    • Prime Healthcare Gadsden, AL
    • Location US-AL-Gadsden ID 2026-262808 Category RN Position Type Full Time Shift Nights Job Type Non-Exempt Bonus Amount 15000 Bonus Information Sign-On Bon... more
    • Just Posted

    • Prime Healthcare Gadsden, AL
    • Location US-AL-Gadsden ID 2026-262790 Category Service Position Type Full Time Shift Days Job Type Non-Exempt Overview We are seeking a Hospital Maintenanc... more
    • Just Posted

    • Prime Healthcare Chicago, IL
    • Overview Respiratory Therapist (RRT) – Chicago, IL | Sign-On Bonus Relocation Assistance Salary Range: $1,332 – $1,792.80 per week (base gross), based on a... more
    • Just Posted

    • Prime Healthcare Ontario, CA
    • Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than ... more
    • Just Posted


    Not the job you're looking for? Here are some other Case Manager-Utilization Management jobs in the Sherman Oaks, CA area that may be a better fit.

    • Sherman Oaks Hospital Los Angeles, CA
    • Overview Encino Hospital Medical Center is a 150-bed state-of-the-art hospital located in Encino, California. Its multi-disciplinary staff consists of 330 ... more
    • 4 Days Ago

    • City of Hope Duarte, CA
    • Join the transformative team at City of Hope , where we're changing lives and making a real difference in the fight against cancer, diabetes, and other lif... more
    • 24 Days Ago

    AI Assistant is available now!

    Feel free to start your new journey!