Registered Nurse (RN) Case Manager

TEEMA; San Jose (CA); Hybrid; USD 143,270,000 - 157,597,000; Full time

Job summary

TEEMA is seeking a compassionate RN Case Manager to coordinate care for elderly patients in a hybrid clinic and field setting in California. You will partner with PCPs and an interdisciplinary team to assess, plan, and implement care across the patient journey.

The role emphasizes reducing hospitalizations, educating families, and ensuring high-quality, patient-centered outcomes with a Monday–Friday schedule and a 13-week assignment.

Qualifications

• Active, unrestricted California RN license.
• Graduate of an accredited School of Nursing.
• Current BLS certification.
• Minimum of 2 years of RN experience with frail or elderly adults.
• Strong clinical assessment and critical thinking skills.
• Excellent communication and organizational abilities.
• Ability to work independently with an interdisciplinary team.
• Willingness to travel locally for home visits (2–5 times per week).

Responsibilities

• Manage an assigned panel of patients and own clinical outcomes and quality of care.
• Perform comprehensive nursing assessments in clinic, virtually, and at home visits.
• Develop, implement, and update individualized Plans of Care with providers and families.
• Educate patients on chronic illnesses, medications, prevention, and healthy living.
• Coordinate care across hospitals, SNF, home health, hospice, and specialists.
• Monitor transitions to reduce hospitalizations and improve outcomes.
• Maintain accurate, timely EHR documentation.

Skills

CA RN license

BLS certified

Clinical assessment

Care coordination

Interdisciplinary teamwork

Education

Nursing degree

Tools

EHR systems

Job description

Location: Carson, CA (Hybrid – Clinic & Field)
Pay: $50.00–$55.00 per hour
Schedule: Monday–Friday | 8:00 AM–4:30 PM
Position Type: Full-Time Contract | 13-Week Assignment

Make a Meaningful Difference in the Lives of Older Adults

Are you a compassionate Registered Nurse who enjoys building relationships, coordinating care, and helping seniors achieve their best possible health? We are seeking a dedicated RN Case Manager to join our collaborative healthcare team in providing exceptional, patient-centered care for an elderly population.

In this rewarding role, you'll partner closely with Primary Care Providers and an interdisciplinary care team to coordinate comprehensive care, perform clinical assessments, develop individualized care plans, and support patients throughout every stage of their healthcare journey. If you're passionate about improving outcomes, preventing hospitalizations, and advocating for patients, we'd love to meet you!

What You'll Do

Patient Care & Care Coordination

Manage an assigned panel of patients while taking ownership of clinical outcomes and quality of care.

Perform comprehensive nursing assessments in the clinic, virtually, and during home visits.

Develop, implement, and update individualized Plans of Care in collaboration with providers, patients, families, and caregivers.

Educate patients and families on managing chronic illnesses, medications, disease prevention, and healthy living.

Identify changes in patient condition and coordinate timely interventions with the healthcare team.

Case Management

Coordinate care across hospitals, emergency departments, skilled nursing facilities, home health, hospice, and specialty providers.

Facilitate smooth transitions of care to reduce avoidable hospitalizations and improve patient outcomes.

Coordinate referrals for specialty care, laboratory services, procedures, personal care, transportation, vision, dental, and community resources.

Monitor hospice transitions and collaborate with hospice agencies when appropriate.

Clinical Support

Perform nursing procedures and direct patient care in both clinic and home settings.

Manage provider inbox tasks, medical orders, laboratory results, and follow-up care.

Communicate changes in patient condition to providers and interdisciplinary team members.

Maintain accurate, timely, and compliant electronic health record (EHR) documentation.

What We're Looking For

Required Qualifications

Active, unrestricted California Registered Nurse (RN) license.

Graduate of an accredited School of Nursing.

Current Basic Life Support (BLS) certification.

Minimum of 2 years of RN experience caring for frail or elderly adults.

Strong clinical assessment and critical thinking skills.

Excellent communication, organizational, and multitasking abilities.

Ability to work independently while collaborating with an interdisciplinary healthcare team.

Comfortable traveling locally for home visits (2–5 times per week).

Preferred Qualifications

Experience in:

Case Management

Home Health

Hospice

Skilled Nursing

PACE Programs

Geriatric Care

Transitional Care

Care Coordination

Experience with Electronic Health Records (EHR).

Bilingual English/Spanish is a plus.

Why You'll Love This Opportunity

Competitive pay: $50–$55/hour

Monday–Friday schedule with no weekends.

Hybrid clinic and field-based work environment.

Opportunity to build meaningful relationships with seniors and their families.

Collaborative, supportive interdisciplinary care team.

Make a lasting impact by improving patient outcomes and quality of life.