Nurse Case Manager I: Care Coordination & Teamwork

Partnership HealthPlan of California; California (MO); On-site; USD 107,000 - 139,000; Full time

Job summary

Partnership HealthPlan of California is seeking an experienced RN Case Manager to coordinate multidisciplinary care plans for members. You will engage with members and providers to address clinical and psychosocial needs, ensuring timely communication and comprehensive documentation.

Required is an active California RN license with at least 1 year in case management; managed care experience preferred. Travel may be required to support field-based activities and care coordination.

Qualifications

• Must hold a California RN license and maintain current CPR/ACLS if required.
• Experience in managed care and Medicaid population is preferred.
• Strong organizational and time-management skills.

Responsibilities

• Provide independent case management for basic to complex cases across acuity levels.
• Initiate and coordinate individualized care plans for assigned members.
• Collaborate with a multidisciplinary team to meet clinical and non-clinical needs.
• Communicate with members, providers, and care teams to ensure continuity of care.
• Maintain accurate documentation in the Partnership Case Management System.
• Coordinate referrals and authorizations to improve health outcomes.

Skills

Case management

Interdisciplinary teamwork

Communication

Documentation and records

Education

Associate’s degree in Nursing

Bachelor’s degree in Nursing preferred

Job description

Partnership HealthPlan of California is seeking an experienced RN Case Manager to coordinate multidisciplinary care plans for members. You will engage with members and providers to address clinical and psychosocial needs, ensuring timely communication and comprehensive documentation.

Required is an active California RN license with at least 1 year in case management; managed care experience preferred. Travel may be required to support field-based activities and care coordination.