Registered Nurse Case Manager

Medix; San Jose (CA); Hybrid; USD 74,000 - 95,000; Full time

Job summary

Medix is seeking an experienced Registered Nurse Case Manager in San Jose, CA, for a 6‑month contract. The hybrid schedule requires 3 days onsite and 2 days remote.

The role emphasizes comprehensive assessments, individualized care planning, and member advocacy across the healthcare and social services continuum. Responsibilities include coordinating care with PCPs and specialists, conducting telephonic assessments, and ensuring smooth transitions between care settings.

Qualifications

• Minimum 3 years of experience in case management, discharge planning, education, or equivalent experience.
• Knowledge of managed care principles, particularly Case Management and/or Utilization Management.
• Strong clinical knowledge and critical-thinking skills.
• Ability to assess whole-person needs and develop effective care plans.
• Strong computer skills, including Outlook, Word, Excel, and case management software.

Responsibilities

• Conduct, review, and document comprehensive clinical and psychosocial assessments.
• Perform ongoing follow-up and monitor progress toward individualized goals.
• Maintain accurate case files in accordance with organizational, state, federal, and audit requirements.
• Engage members and families in developing and implementing individualized care plans.
• Coordinate care with PCPs, specialists, behavioral health providers, and long-term services and supports.
• Facilitate transitions between healthcare settings and coordinate related services.
• Support transitions from nursing facilities to lower levels of care or community settings when assigned to MLTSS.
• Coordinate medical appointments, pharmacy assistance, and utilization review.
• Conduct telephonic assessments.
• Help members access appropriate healthcare benefits, resources, and services.

Skills

Case management

Utilization management

Discharge planning

Assessment

Clinical knowledge

Critical-thinking

Outlook

Word

Excel

Tools

Outlook

Word

Excel

Case management software

Job description

Registered Nurse Case Manager (257695) San Jose, California

Salary: USD54 - USD69 per hour

Registered Nurse – Case Manager

Job ID:257695
Location:San Jose, CA
Schedule:Monday–Friday, 8:30 AM–5:00 PM
Work Setting:Hybrid — Will work 3 days onsite, 2 days remote
Pay Rate:$54–$69/hour
Contract:6 months
Start Date:09/14/2026
Hours:40 hours/week

Why Consider This Opportunity?

• Opportunity to work in a managed care environment focused on member advocacy and whole-person care.
• Strong opportunity for experienced RNs to utilize their clinical skills outside of traditional bedside nursing.
• Role supports care coordination, utilization management, and individualized member outcomes.

Role Overview

We are seeking an experiencedRegistered Nurse Case Managerto provide ongoing case management services and support members in achieving their healthcare goals. This role focuses on comprehensive clinical and psychosocial assessments, individualized care planning, care coordination, and member advocacy across the healthcare and social services continuum.

Key Responsibilities

• Conduct, review, and document comprehensive clinical and psychosocial assessments.
• Perform ongoing follow-up and monitor progress toward individualized goals.
• Maintain accurate case files in accordance with organizational, state, federal, and audit requirements.
• Engage members and families in developing and implementing individualized care plans.
• Coordinate care with PCPs, specialists, behavioral health providers, and long-term services and supports.
• Facilitate transitions between healthcare settings and coordinate related services.
• Support transitions from nursing facilities to lower levels of care or community settings when assigned to MLTSS.
• Coordinate medical appointments, pharmacy assistance, and utilization review.
• Conduct telephonic assessments.
• Help members access appropriate healthcare benefits, resources, and services.

Required Qualifications

• Minimum3 years of experiencein case management, discharge planning, education, or equivalent experience.
• Knowledge of managed care principles, particularlyCase Management and/or Utilization Management.
• Strong clinical knowledge and critical-thinking skills.
• Ability to assess whole-person needs and develop effective care plans.
• Strong computer skills, including Outlook, Word, Excel, and case management software.