California Licensed RN Case Manager

Job Summary

To enhance patient care and resource utilization, the part-time California Licensed RN Case Manager in Utilization Management will conduct assessments, coordinate care, and ensure compliance with medical documentation standards in a remote setting.

Key responsibilities:

• Conduct high-level assessments and reassessments to plan and implement goal-directed patient care
• Collaborate with interdisciplinary teams to promote individualized and cost-effective patient care
• Perform utilization review functions and ensure clarity in clinical documentation

Required qualifications:

• Current RN License in California
• Bachelor of Science in Nursing for external candidates
• Minimum of 5 years of clinical experience, including 1 year in Case Management
• Knowledge of Joint Commission, CMS, CDPH, and CCS requirements
• Proficient in Microsoft Office and standard office equipment