Full employer posting
Job Breakdown – Case Management RN Job ID: 62548850 Specialty: Acute Care Case Management RN
Day shift, 8:00 AM – 4:30 PM
Monday–Friday, 5 × 8-hour shifts Weekends: Not required On-call: Not required Required
Minimum 2 years 1. Required Qualifications Active California RN license. Minimum 2 years of nursing experience.
Must have experience in acute-care case management in California. Kaiser experience is excluded for this requirement. Important: The following experience types do not qualify: Outpatient case management.
Home health case management. Health plan case management. The candidate must have actual acute-care hospital case management experience in California. 2.
and Knowledge Candidates should have knowledge of: Acute-care case management in a managed-care environment. Utilization Review (UR). Levels of care and observation status.
Healthcare reimbursement systems, including HMO, PPO, PPS, and CMS. Post-acute care options and regulatory compliance. CMS, Title 22, CHA Consent Manual, CDPH, and The Joint Commission (TJC) requirements.
Patient discharge planning and care coordination. Preferred knowledge: Coding and DRG assignment processes. Value-based reimbursement and alternative payment systems. 3.
Coordinate care for patients in an acute-care hospital. Review utilization and appropriate levels of care. Support discharge planning and transitions to post-acute care.
Communicate with physicians, nurses, patients, families, payers, and other healthcare partners. Promote collaboration across the multidisciplinary team. Maintain organized workflows in a high-volume environment.
Support quality patient care and a positive patient experience. 4. Work Schedule Monday–Friday, 8:00 AM–4:30 PM. No weekend shifts.
No on-call requirement. Local candidates are accepted at the local rate. A 50-mile radius rule applies; confirm the applicable local classification and rate. 5.
Submission Requirements Valid California RN license. Nursys verification uploaded within the previous 2 weeks. Two references obtained within the past year.
Former manager names included on the application. Applicable certifications uploaded with valid expiration dates. Any background or license issues disclosed with supporting documentation for facility HR review.
All requested time off (RTO) included at submission. 6. Compliance Requirements Maximum RTO: 7 days per contract. Only one major holiday request may be submitted per contract.
Onboarding labs must be completed within 3–5 days of contract signing. A verifiable 7-year work history is required. All compliance documents are due 10 days before the start date.
Online modules are generally non-billable for the first 16 NBO hours; additional time beyond those 16 hours is billable according to the posting.
About the role
Job ID: 62548850 Specialty: Acute Care Case Management RN Shift: Day shift, 8:00 AM – 4:30 PM Schedule: Monday–Friday, 5 × 8-hour shifts Weekends: Not required On-call: Not required Required Experience: Minimum 2 years