Care Manager, RN – Case Management

This is a fully remote position, open to applicants in California.

📋 Description

• Oversee specific patients during their stay to guarantee adequate clinical and medical center resources.

• Engage in daily communication with medical staff, personnel at the medical center, and external resources.

• Ensure the effective use of resources in line with clinical and financial standards.

• Review medical records for discrepancies against clinical and financial benchmarks.

• Take action to secure optimal outcomes for patients and the medical center.

• Utilize risk management and infection control knowledge to enhance healthcare team results.

• Identify concerns that may expose the organization to liability and financial risks.

• Work in collaboration with management, medical staff, and medical center personnel to reduce risks.

• Provide concurrent and retrospective utilization reviews required for reimbursement to payor/utilization review organizations.

⛳️ Requirements

• Complete Environmental Orientation within 30 days of employment.

• Achieve Case Management Competency within 90 days of employment.

• Obtain General Nurse Competency within 30 days of employment.

• Hold a California Registered Nurse License at the time of hire.

• Minimum of 2 years of acute nursing experience, with a preference for demonstrated progressive clinical experience or case management experience.

• A Bachelor’s Degree in Nursing is preferred at the time of hire; must secure a BSN within 3 years from the date of hire.

• Certification in Case Management (CCM) is preferred at the time of hire.

• A total of 3 years of acute nursing experience, with evidence of progressive clinical experience preferred, or case management experience.

🏝️ Benefits

• Retirement 401(k) Savings Plan with employer matching.

• Medical, dental, and vision healthcare benefits.

• Life insurance.

• Disability insurance.

• Paid parental leave.

• Vacation time.

• Paid holidays.

• Time off for health issues.

• Voluntary benefits.

• Well-being resources.

• Shift differentials.

• Standby/on-call compensation.

• Overtime opportunities.

• Premiums.

• Extra shift incentives.

• Bonus opportunities.

• An inclusive workplace with professional support and career development.