RN Care Manager

TEEMA; Los Angeles (CA); On-site; USD 73,000 - 113,000; Full time

Benefits offered by this job

Generous PTO

403(b) employer match

Onsite childcare

Tuition reimbursement

Employee Wellness Program

Job summary

TEEMA is seeking an RN Case Manager in Los Angeles to support physicians and interdisciplinary teams in improving patient care, clinical outcomes, and resource optimization. You will coordinate care, facilitate transitions, and ensure cost-effective treatment while aligning with CMS guidelines and patient rights.

The role offers flexible scheduling, strong growth opportunities, and a supportive environment focused on excellence in patient care.

Qualifications

• ADN required.
• 1–3 years of hospital inpatient or related experience.
• Ability to coordinate with provider networks, including Health Plans, IPAs, and FQHCs.

Responsibilities

• Manage a designated patient caseload, ensuring effective care planning and transitions.
• Facilitate precertification and authorization processes with payors.
• Collaborate with medical teams to coordinate patient care across the continuum.
• Identify and remove barriers to timely and efficient care delivery.
• Utilize process improvement methodologies to evaluate patient care outcomes.
• Ensure compliance with federal and state regulations, including CMS Conditions of Participation, EMTALA, and The Patient Bill of Rights.
• Perform admission, continued stay, and discharge reviews to determine medical necessity and resource utilization.
• Partner with healthcare providers and leverage evidence-based practices to enhance patient outcomes.
• Other duties as assigned.

Skills

Care coordination

Interdisciplinary collaboration

Computer proficiency

Education

Associate Degree in Nursing (ADN)

Bachelor of Science in Nursing (BSN)

Case Management Certification

Basic Life Support (BLS)

Job description

Join a dedicated team where your work has a meaningful impact every day. As an RN Case Manager, you will play a vital role in supporting physicians and interdisciplinary teams to enhance patient care, improve clinical outcomes, and optimize healthcare resources. You will be responsible for coordinating care, facilitating transitions, and ensuring patients receive high-quality, cost-effective treatment.

This position offers flexible scheduling, opportunities for professional growth, and a supportive work environment committed to excellence in patient care.

Key Responsibilities

Manage a designated patient caseload, ensuring effective care planning and transitions.

Facilitate precertification and authorization processes with payors.

Collaborate with medical teams to coordinate patient care across the continuum.

Identify and remove barriers to timely and efficient care delivery.

Utilize process improvement methodologies to evaluate patient care outcomes.

Ensure compliance with federal and state regulations, including CMS Conditions of Participation, EMTALA, and The Patient Bill of Rights.

Perform admission, continued stay, and discharge reviews to determine medical necessity and resource utilization.

Partner with healthcare providers and leverage evidence-based practices to enhance patient outcomes.

Other duties as assigned.

Required Qualifications

Associate’s Degree in Nursing (ADN) required.

1-3 years of hospital inpatient or related experience.

Ability to effectively coordinate with provider networks, including Health Plans, IPAs, and FQHCs.

Preferred Qualifications

Bachelor of Science in Nursing (BSN).

Certification in Case Management.

Basic computer proficiency.

Current Basic Life Support (BLS) certification.

Why Join Us?

Competitive pay: $53.07 - $82.27 per hour.

Flexible scheduling to support work-life balance.

No cost medical, dental and vision option, Generous PTO plan, 403(b) employer match, Protective Equipment, Tuition reimbursement, Employee Wellness Program, Onsite childcare, Loan Forgiveness eligible facility, etc.