Case Manager-St. Helena-CA--Pay Negotiable

Talented Medical Solutions; St. Helena (CA); On-site; USD 90,000 - 130,000; Full time

Job summary

Talented Medical Solutions is seeking a Registered Nurse (RN) – Case Manager to coordinate patient care, promote quality outcomes, and facilitate timely discharge planning across the continuum. You will collaborate with physicians, patients, families, and the interdisciplinary team to craft individualized care plans and ensure regulatory and payer compliance.

The ideal candidate holds an ASN with RN licensure in the state of practice, and a BSN is preferred.

Qualifications

• ASN is required.
• RN license must be active in state of practice.
• BLS certification preferred or required per facility policy.
• CCM/ACM certification preferred.
• Recent case management or discharge planning experience preferred.

Responsibilities

• Assess patient needs and develop individualized case management and discharge plans.
• Coordinate care with physicians, nurses, social workers, therapists, and community resources.
• Facilitate appropriate utilization of healthcare services and ensure timely transitions of care.
• Monitor patient progress and revise care plans as needed.
• Educate patients and families regarding treatment plans, discharge instructions, and available resources.
• Maintain accurate clinical documentation and ensure regulatory and payer compliance.
• Advocate for patient-centered care and collaborate with the healthcare team to improve outcomes.
• Follow HIPAA and organizational policies.

Skills

RN license

BLS certification

case management

Education

ASN

BSN (preferred)

CCM/ACM certification

Job description

Registered Nurse (RN) – Case Manager

Job Summary

The Registered Nurse (RN) – Case Manager coordinates patient care across the continuum to promote quality outcomes, appropriate resource utilization, and timely discharge planning. The RN collaborates with physicians, patients, families, and the interdisciplinary healthcare team to develop individualized care plans, facilitate transitions of care, and ensure compliance with regulatory and payer requirements.

Requirements

• Associate Degree in Nursing (ASN) required; Bachelor of Science in Nursing (BSN) preferred.
• Current Registered Nurse (RN) license in the state of practice.
• Current BLS certification preferred or required per facility policy.
• Case Management (CCM or ACM) certification preferred.
• Recent case management, utilization review, discharge planning, or acute care nursing experience preferred.

Responsibilities

• Assess patient needs and develop individualized case management and discharge plans.
• Coordinate care with physicians, nurses, social workers, therapists, and community resources.
• Facilitate appropriate utilization of healthcare services and ensure timely transitions of care.
• Monitor patient progress and revise care plans as needed.
• Educate patients and families regarding treatment plans, discharge instructions, and available resources.
• Maintain accurate clinical documentation and ensure compliance with regulatory and payer requirements.
• Advocate for patients to promote quality, cost-effective, and patient-centered care.
• Collaborate with the interdisciplinary healthcare team to improve patient outcomes.
• Follow HIPAA, patient safety, and organizational policies.
• Perform other duties as assigned.