Case Management RN

Planned Parenthood of the Pacific Southwest; Oregon; Hybrid; USD 61,000 - 82,000; Full time

Job summary

Planned Parenthood of the Pacific Southwest is seeking a Case Management RN to coordinate patient care, advocate for patients, and guide them through the continuum of care.

The role includes telephonic nursing assessments, care plan development, and liaison work with providers, insurance partners, and external resources to ensure patient-centered outcomes. This is a full-time remote position for residents of San Diego County, CA.

Qualifications

• Active California RN license.
• At least one year of experience working as a Registered Nurse.
• At least one year of experience in Women’s Healthcare.
• Willingness to complete orientation in both surgical and family planning settings to gain a thorough understanding of clinic operations and patient care workflows.
• Strong communication, critical thinking, patient advocacy, and independent work skills in a remote environment.
• Must reside in San Diego County.

Responsibilities

• Provide professional telephonic nursing assessment, evaluation, education, and advice to patients in accordance with agency protocols.
• Participate in health center efforts to achieve established goals related to productivity, quality metrics, and revenue cycle performance.
• Manage lab and imaging results, referrals, prescription refills, prior authorizations, and other patient follow‑up activities in accordance with agency medical protocols and case management policies and procedures.
• Support timely completion of patient calls and follow‑up activities while delivering high-quality, patient-centered care and maintaining operational efficiency.
• Maintain current knowledge of agency and department policies, protocols, procedures, regulatory requirements, and best practices.
• Coordinate ongoing patient care needs and collaborate with providers, clinical staff, and external partners to ensure continuity of care.
• Serve as a patient advocate by helping patients navigate healthcare resources, understand treatment plans, and access appropriate services.
• Participate in on‑call responsibilities in accordance with agency guidelines.

Skills

California RN license

RN experience

Women’s health

Remote work

Patient advocacy

Job description

Planned Parenthood of the Pacific Southwest is one of the largest providers of sexual and reproductive healthcare in Southern California, operating 20 health centers throughout our three-county region. Check out our new video, "We are Planned Parenthood of the Pacific Southwest" for more information about our organization:Care. No Matter What.Join our team as a Case Management RN , where you'll play a key role in coordinating patient care, advocating for patient needs, and serving as a trusted resource throughout the continuum of care.In this role, you will coordinate interdisciplinary care plans, monitor patient progress, and serve as a liaison between patients, healthcare providers, and insurance partners to ensure effective, patient-centered care. You will develop and implement care management plans that connect patients with appropriate resources, support compliance with medical recommendations, and address ongoing healthcare needs. The position also provides professional nursing triage services and health guidance by phone, as well as on‑call support in accordance with agency guidelines.This is a full‑time remote position ; however, candidates must reside in San Diego County.

Schedule: Four 10‑hour shifts per week (4/10s)

Available Rotations:

Option Rotation #1

• Week 1: Monday, Wednesday, Friday, Saturday
• Week 2: Monday, Tuesday, Wednesday, Thursday

Option Rotation #2

• Week 1: Monday, Tuesday, Wednesday, Friday
• Week 2: Tuesday, Thursday, Friday, Saturday

In this role, you'll get to:

• Provide professional, comprehensive telephonic nursing assessment, evaluation, education, and advice to patients in accordance with agency protocols.
• Participate in health center efforts to achieve established goals related to productivity, quality metrics, and revenue cycle performance.
• Manage lab and imaging results, referrals, prescription refills, prior authorizations, and other patient follow‑up activities in accordance with agency medical protocols and case management policies and procedures.
• Support timely completion of patient calls and follow‑up activities while delivering high-quality, patient-centered care and maintaining operational efficiency.
• Maintain current knowledge of agency and department policies, protocols, procedures, regulatory requirements, and best practices.
• Coordinate ongoing patient care needs and collaborate with providers, clinical staff, and external partners to ensure continuity of care.
• Serve as a patient advocate by helping patients navigate healthcare resources, understand treatment plans, and access appropriate services.
• Participate in on‑call responsibilities in accordance with agency guidelines.

What we're looking for:

• Active California RN license.
• At least one year of experience working as a Registered Nurse.
• At least one year of experience in Women's Healthcare.
• Willingness to complete orientation in both surgical and family planning settings to gain a thorough understanding of clinic operations and patient care workflows.
• Strong communication, critical thinking, patient advocacy, and independent work skills in a remote environment
• Must reside in San Diego County.

$44.15 - $59.47 an hour

At Planned Parenthood of the Pacific Southwest (PPPSW) the philosophy behind our compensation efforts is to foster workplace equity by aligning pay and benefit structures with our Agency's mission and values. These efforts are continuously evaluated as we work toward living out our social justice values as an employer. PPPSW recognizes that decisions about pay and benefits have significant impact on staff, and we work diligently to ensure all positions are compensated competitively as compared to other similar positions in the community. The Affiliate establishes compensation supported by a position description that identifies competencies, duties, responsibilities and qualifications. In alignment with the Agency culture, PPPSW will strive to communicate openly and transparently about the goals of the Agency and the design of the compensation policies. The Agency will ensure the compensation program is administered in a manner that is consistent with Agency's value of pay equity.

We are the power of Planned Parenthood. We are Planned Parenthood of the Pacific Southwest, one of the largest and most prominent affiliates of the most iconic health care organization in the world. We are recognized for the wide array of services we provide and the outstanding education we deliver. We are a prominent and powerful team of health experts who work relentlessly to help our communities sustain their health and well-being. We adhere to the highest standards and protocols as we collaborate and care for people, without judgment.100 years of advocating for our mission has secured our advancement, our future and our passion for practicing health care. We are a team you can have fun with and a powerful movement you can be part of. Together we'll take pride in shaping the future of sexual health and reproductive rights. For those who feel that purpose is critical to their work, this is a gift. In This Together. Planned Parenthood of the Pacific Southwest is an Equal Opportunity Employer.