--- title: Case Management Supervisor at Sonoma in Sebastopol, CA description: Sonoma is hiring for the Case Management Supervisor role in Sebastopol, CA. Pays $104K–$114.4K per year. See the full description and apply. type: job url: https://www.foundrole.com/jobs/case-management-supervisor-at-sonomaspecialtyhospital-01a0ef76-0c41-7374-9674-eef65a60b214 date: 2026-11-15T01:26:44Z og_description: Join Sonoma as Case Management Supervisor in Sebastopol, CA. Pays $104K–$114.4K per year. Full-time role. og_image: https://www.foundrole.com/og/e1gqdh.png breadcrumbs: - label: Home url: https://www.foundrole.com/ - label: Search url: https://www.foundrole.com/jobs --- | | | |---|---| | **Company** | Sonoma | | **Location** | Sebastopol, CA | | **Salary** | $104K/yr - $114.4K/yr | | **Type** | Full Time | | **Posted** | Sep 30, 2026 | ## Is this job real? **Ghost job check:** A- · Low risk. Probably a real opening. ## Visa sponsorship - **H-1B:** No H-1B sponsorship on record for Sonoma. - **E-Verify:** No E-Verify enrollment on record for Sonoma. ## Pay for similar jobs Most similar jobs pay $85,000 – $139,000 a year (median $106,000). ## Description Full-time Exempt (Salaried) **Position Title:** Case Management Supervisor **Department**: Case Management **Reports To**: Administrator/ CNO **Job Summary:** The Case Management Supervisor oversees the daily operations of the case management team in a Long-Term Acute Care Hospital. This role ensures that patients with complex, medically intensive needs receive timely admission review, appropriate level-of-care determinations, effective utilization management, and safe, well-coordinated discharge planning. The Supervisor balances clinical quality, regulatory compliance, payer requirements, and length-of-stay goals while providing leadership, coaching, and support to the case management team. **Essential Duties and Responsibilities:** **Team Leadership and Supervision** - Supervise, schedule, and evaluate case managers, social workers, and utilization review staff - Assign caseloads and adjust staffing to meet census and acuity needs - Conduct new-hire orientation, competency validation, and ongoing education - Provide coaching, performance feedback, and corrective action as needed - Serve as a clinical resource and escalation point for complex or difficult cases - Foster a collaborative team culture and support staff retention and engagement **Admission and Utilization Management** - Oversee pre-admission screening and referral review to confirm patients meet LTACH clinical criteria (e.g., InterQual or MCG) - Ensure timely initial authorizations, concurrent reviews, and continued-stay reviews with payers - Manage payer denials, peer-to-peer requests, and the appeals process - Monitor compliance with the CMS LTCH Prospective Payment System (PPS) site-neutral payment criteria and the 25-day average length-of-stay requirement - Track observation of Medicare short-stay outlier and high-cost outlier thresholds **Discharge Planning and Care Transitions** - Ensure every patient has an individualized, interdisciplinary plan of care with a documented discharge plan beginning at admission - Oversee safe transitions to home, home health, skilled nursing, inpatient rehab, acute care, or hospice - Coordinate with physicians, nursing, respiratory therapy, therapy, pharmacy, and families in regular interdisciplinary team (IDT) meetings - Address barriers to discharge, including placement, DME, ventilator or wound care needs, and funding - Lead patient and family education regarding goals of care, prognosis, and post-acute options, including palliative and hospice referrals **Quality, Compliance, and Reporting** - Ensure compliance with CMS Conditions of Participation, Joint Commission or other accrediting body standards, and state regulations - Monitor key metrics: average length of stay, readmission and interrupted-stay rates, denial rates, discharge disposition, and avoidable days - Prepare and present regular reports to leadership and participate in QAPI and utilization review committees - Audit documentation for accuracy, timeliness, and medical necessity - Ensure adherence to patient rights, HIPAA, and ethical standards **Collaboration and Community Relations** - Serve as liaison with referring acute care hospitals, payers, post-acute providers, and community agencies - Support marketing and clinical liaison teams in evaluating appropriate referrals - Participating in physician advisor and interdisciplinary rounds **Performance Measures (Examples):** - Average length of stay within target range and compliant with the LTCH 25-day threshold - Timely completion of authorizations and concurrent reviews - Denial overturn rate and reduction in avoidable days - Discharge disposition and readmission targets - Staff engagement, retention, and competency completion **We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.**   **Education, Training, and Licenses Required:** - Graduate of an accredited nursing program required; Bachelor of Science in Nursing (BSN) preferred - Master's degree in nursing, healthcare administration, or a related field preferred - Licensure and Certification - Current, unrestricted nursing license in the state of practice (LCSW may be considered for a social work-focused supervisory role) - CCM (Certified Case Manager), ACM-RN, or CPHM preferred - BLS preferred **Experience:** - Minimum 2-3 years of case management or utilization review experience in an acute care hospital, LTACH, or post-acute setting\\ - Minimum 1-2 years of supervisory or leadership experience preferred - Working knowledge of Medicare, Medicaid, and commercial payer processes, LTCH PPS, and InterQual or MCG criteria - Knowledge, Skills, and Abilities: - Strong understanding of medically complex conditions (ventilator weaning, wound care, sepsis, multi-system failure, and complex infections) - Excellent communication, negotiation, and conflict-resolution skills - Ability to analyze data and translate it into operational improvements - Proficiency with EMR and case management software and Microsoft Office - Sound clinical judgment and ability to prioritize in a fast-paced environment **Supervisory Requirements (if applicable)**: Case Managers, Social Workers, Utilization Review staff, Discharge Planners **Physical Requirements:** While performing the duties of this job, the position is frequently required to do the following: - Primarily an office and clinical unit environment; may involve prolonged sitting, walking, and computer use. - Ability to lift up to 25 lbs. occasionally. - Exposure to patients with infectious diseases; adherence to infection control and PPE protocols. - May require on-call availability, occasional weekend coverage, or flexibility during high-census periods. ## Skills - Utilization Management - Communicable Diseases - Peer-To-Peer - Patient Rounding - Clinical Judgment - Joint Commission Accreditation - Utilization Review - Clinical Liaison - Post-Acute Care - Performance Management - QAPI - Inpatient Rehabilitation - InterQual - Audit Documentation - Home Health Care - Health Insurance Portability And Accountability Act (Hipaa) Compliance - Negotiation - Clinical Quality - Patient/Family Education - Conflict Resolution - Discharge Planning - Supervisory Skills - Mechanical Ventilation - Basic Life Support - Case Management - Durable Medical Equipment (Dme) - Acute Care - Appeals - Content Management System (Cms) - Medicare - PPE Compliance - Referral Processing - Employee Retention - Respiratory Therapy - Microsoft Office - Infection Control - Corrective And Preventive Action (Capa) - Wound Care - Leadership - Employee Engagement - Denials Management - Licensed Clinical Social Worker - Care Planning - Certified Case Manager - Communication - Medical Necessity - Coaching - Electronic Medical Record - Medicaid - Patient Discharge - Regulatory Compliance ## Related - [Healthcare & Medicine jobs](https://www.foundrole.com/careers/healthcare-and-medicine?utm_source=ai_markdown)- [Healthcare Administration jobs](https://www.foundrole.com/careers/healthcare-and-medicine/healthcare-administration?utm_source=ai_markdown)- [Case Management Supervisor jobs](https://www.foundrole.com/careers/healthcare-and-medicine/healthcare-administration/case-management-supervisor?utm_source=ai_markdown)- [Browse all companies](https://www.foundrole.com/companies?utm_source=ai_markdown) ## Related pages - [Hospitals and Health Care](https://www.foundrole.com/sectors/healthcare/hospitals-and-health-care?utm_source=ai_markdown) — 385444 jobs - [California](https://www.foundrole.com/locations/us/california?utm_source=ai_markdown) — 260755 jobs ## Browse - [Companies](https://www.foundrole.com/companies?utm_source=ai_markdown) - [Jobs by country](https://www.foundrole.com/locations?utm_source=ai_markdown) - [Jobs in the United States by state and city](https://www.foundrole.com/locations/us?utm_source=ai_markdown) - [H1B sponsors by location](https://www.foundrole.com/h1b-sponsors?utm_source=ai_markdown) - [H1B salaries](https://www.foundrole.com/h1b-salaries?utm_source=ai_markdown) - [Sectors and industries](https://www.foundrole.com/sectors?utm_source=ai_markdown) - [Jobs by career field](https://www.foundrole.com/careers?utm_source=ai_markdown) - [Latest jobs](https://www.foundrole.com/jobs/latest?utm_source=ai_markdown)