Remote RN Case Manager, CA — Care Coordination Leader

Acentra Health; Roseville (CA); Remote; USD 67,000 - 93,000; Full time

Job summary

Acentra Health is seeking a remote Nurse Case Manager to support California beneficiaries from a home office. The role requires an active CA RN license, a BSN/BSN-equivalent degree, and 3+ years of clinical experience with at least 1 year in case management.

You will assess needs, develop care plans, and collaborate with the health-care team to meet CMS requirements and optimize outcomes. Ideal candidates reside in California (Los Angeles or San Diego preferred) and demonstrate strong

Qualifications

• Bachelor's degree/BSN.
• Active, unrestricted RN license in CA.
• 3+ years of clinical experience.
• 1+ year of case management review experience.
• Must reside in the state of CA.
• Strong communication and customer service abilities.
• Ability to work independently and maintain confidentiality.

Responsibilities

• Evaluate beneficiaries' needs and develop individualized care plans.
• Coordinate healthcare team members to ensure optimal outcomes.
• Facilitate integrated case and disease management activities.
• Ensure documentation and CMS payer requirements are met.
• Maintain confidentiality and adhere to HIPAA and policies.

Skills

Active CA RN license

Communication skills

Independent work

Confidentiality

Customer service focus

Metrics and goals

Team collaboration

Education

Bachelor's degree/BSN

Job description

Acentra Health is seeking a remote Nurse Case Manager to support California beneficiaries from a home office. The role requires an active CA RN license, a BSN/BSN-equivalent degree, and 3+ years of clinical experience with at least 1 year in case management.

You will assess needs, develop care plans, and collaborate with the health-care team to meet CMS requirements and optimize outcomes. Ideal candidates reside in California (Los Angeles or San Diego preferred) and demonstrate strong