Nurse Case Manager – Care Transitions, RN, CA License

Role Overview

• Create individualized discharge plans with patients, families, and the care team
• Coordinate care with providers, rehab facilities, and home health agencies
• Monitor patient progress and adjust plans as needed
• Educate and empower patients and families for self-care and follow-up
• Advocate for patient needs and connect them to community support services
• Participate in care conferences, quality improvement initiatives, and interdisciplinary collaboration

Requirements

• 2–3 years of clinical care management experience (3–5 preferred)
• Active, unrestricted RN license in California (willing to obtain other state licenses)
• Knowledge of Medicare Managed Care Plans, insurance regulations, and community resources
• Strong communication, problem-solving, and organizational skills

Benefits

• Fully remote role with flexible scheduling
• Opportunity to lead impactful patient care initiatives
• Collaborate with a supportive, interdisciplinary team
• Professional growth and continuous learning opportunities