California Licensed Care Manager

Job Summary

To support a growing population health initiative, the remote Care Manager I - RN will develop and implement individual care plans, coordinate patient care, and advocate for patients while ensuring compliance with healthcare regulations.

Key responsibilities

• Develop and initiate comprehensive, client-centered Individual Care Plans in line with program guidelines
• Coordinate and facilitate patient care through assessment, evaluation, planning, and implementation
• Act as the primary liaison with contracted health plans for case management activities and maintain detailed patient records

Required qualifications

• Registered Nurse, Licensed Vocational Nurse, or Medical Assistant required
• Bachelor's degree in nursing or a related health services field preferred
• At least two years of experience in utilization management with knowledge of clinical criteria and benefit plans
• A minimum of three years of clinical experience, preferably in case management or related fields
• Certification as Certified Case Management (CCM) is a plus