Case Management RN

Planned Parenthood of the Pacific Southwest • San Diego, CA

5d • $44 - $59 • Remote

About The Position

Planned Parenthood of the Pacific Southwest is hiring a Case Management RN to coordinate patient care, advocate for patient needs, and serve as a trusted resource throughout the continuum of care. The RN coordinates interdisciplinary care plans, monitors patient progress, and serves as a liaison among patients, healthcare providers, and insurance partners. The role develops and implements care management plans, connects patients with appropriate resources, supports compliance with medical recommendations, and addresses ongoing healthcare needs. It also provides professional nursing triage and health guidance by phone, along with on-call support in accordance with agency guidelines.

This is a full-time remote position, and candidates must reside in San Diego County. The schedule consists of four 10-hour shifts per week, using one of two alternating rotations: Rotation 1 is Monday, Wednesday, Friday, and Saturday in week 1, then Monday through Thursday in week 2. Rotation 2 is Monday, Tuesday, Wednesday, and Friday in week 1, then Tuesday, Thursday, Friday, and Saturday in week 2.

Requirements

• Active California RN license.
• At least one year of experience working as a Registered Nurse.
• At least one year of experience in Women's Healthcare.
• Strong communication, critical thinking, and patient advocacy skills.
• Ability to work independently in a remote environment.

Responsibilities

• Provide professional, comprehensive telephonic nursing assessment, evaluation, education, and advice in accordance with agency protocols.
• Participate in health center efforts to achieve established productivity, quality metric, and revenue cycle performance goals.
• Manage lab and imaging results, referrals, prescription refills, prior authorizations, and other patient follow-up activities in accordance with agency medical protocols and case management policies and procedures.
• Support timely completion of patient calls and follow-up activities while providing high-quality, patient-centered care and maintaining operational efficiency.
• Maintain current knowledge of agency and department policies, protocols, procedures, regulatory requirements, and best practices.
• Coordinate ongoing patient care needs and collaborate with providers, clinical staff, and external partners to ensure continuity of care.
• Advocate for patients by helping them navigate healthcare resources, understand treatment plans, and access appropriate services.
• Participate in on-call responsibilities in accordance with agency guidelines.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed