Bay Area Home Health RN Case Manager

By the Bay Health; Sonoma (CA); On-site; USD 8,954,000 - 10,332,000; Full time

Benefits offered by this job

Competitive hourly pay

Mileage reimbursement

Medical, dental, and vision insurance

Retirement savings plan with employer

Paid time off and holidays

Professional development

Job summary

By The Bay Health in San Francisco is seeking an experienced Home Health RN Case Manager to deliver skilled nursing in patients’ homes. You’ll assess needs, develop care plans, and collaborate with physicians, therapists, social workers, and the interdisciplinary team to improve quality of life and patient satisfaction.

This role offers autonomy within a mission-driven nonprofit, a stable schedule, and competitive hourly pay with mileage reimbursement, benefits, and professional development.

Qualifications

• BSN degree preferred; Associate degree accepted with equivalent experience.
• Minimum of one year experience as a Registered Nurse; home health or acute care experience preferred.
• Knowledge of OASIS documentation and CMS home health regulations is a plus.

Responsibilities

• Serve as the RN Case Manager for an assigned home health caseload.
• Perform comprehensive initial assessments to determine the patient’s skilled nursing and home care needs.
• Develop and initiate the Plan of Care (POC) and obtain physician orders for necessary services and changes.
• Provide direct skilled nursing interventions in accordance with the POC — including wound care, medication administration, IV therapy, catheter care, and disease management.
• Educate patients and caregivers on self-care, medication adherence, symptom recognition, and emergency response.
• Regularly evaluate and revise the POC as patient conditions and needs change.
• Collaborate with interdisciplinary team members to ensure integrated, patient-centered care.
• Communicate with physicians, patients, and families to promote understanding of the care plan.
• Coordinate patient discharges and transitions of care, ensuring continuity and safety.
• Participate in regular case conferences and team meetings to review progress.

Skills

RN Case Manager

Wound care

Medication administration

IV therapy

CMS OASIS

Home health care

Team collaboration

Patient education

Education

BSN preferred

Associates degree with equivalent experience

Tools

EMR documentation

CMS guidelines

Job description

By The Bay Health in San Francisco is seeking an experienced Home Health RN Case Manager to deliver skilled nursing in patients’ homes. You’ll assess needs, develop care plans, and collaborate with physicians, therapists, social workers, and the interdisciplinary team to improve quality of life and patient satisfaction.

This role offers autonomy within a mission-driven nonprofit, a stable schedule, and competitive hourly pay with mileage reimbursement, benefits, and professional development.