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Registered Nurse - Case Manager

  • California, Eureka

  • 09/15/2026

  • Contract

  • Active

Job Description:

  • Job Summary
    The Case Manager Registered Nurse (RN) is responsible for coordinating and managing patient care across the healthcare continuum to ensure optimal clinical outcomes, effective resource utilization, and seamless care transitions. The RN collaborates with physicians, patients, families, and interdisciplinary healthcare teams to develop individualized care plans and facilitate high-quality, patient-centred care.

    Key Responsibilities
    • Assess patient needs and develop individualized case management and care coordination plans.
    • Coordinate healthcare services across multiple providers and care settings.
    • Facilitate discharge planning and ensure appropriate post-acute care arrangements.
    • Collaborate with physicians, nurses, social workers, and other healthcare professionals to optimize patient outcomes.
    • Monitor patient progress and evaluate the effectiveness of care plans and interventions.
    • Identify barriers to care and coordinate community and healthcare resources to address patient needs.
    • Educate patients and families regarding treatment plans, available resources, and follow-up care.
    • Ensure compliance with payer requirements, regulatory standards, and organizational policies.
    • Maintain accurate and timely documentation in the electronic medical record (EMR).
    • Participate in quality improvement initiatives and care management programs.
    Required Qualifications
    • Active Registered Nurse (RN) license in the applicable state.
    • Graduate of an accredited nursing program.
    • Minimum of one (1) year of experience in Case Management, Care Coordination, Utilization Review, Home Health, or Acute Care nursing preferred.
    • Strong knowledge of discharge planning, care transitions, and healthcare delivery systems.
    • Excellent clinical assessment, problem-solving, and critical thinking skills.
    • Strong communication, organizational, and interpersonal abilities.
    • Proficiency with electronic medical records (EMR/EHR) systems.
    Preferred Qualifications
    1. Bachelor of Science in Nursing (BSN).
    2. Previous experience in hospital-based case management, managed care, or population health settings.
    3. Experience working with Medicare, Medicaid, and commercial insurance programs.
    4. Knowledge of community resources and utilization management practices.
    Certifications
    1. Basic Life Support (BLS) Certification.
    2. Certified Case Manager (CCM) Certification, preferred.
    3. Accredited Case Manager (ACM) Certification, preferred.
    Note - Travel Exp. required

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