Registered Nurse – Case Manager - RN#013

NavitasPartners • Eureka, CA

1d • Onsite

About The Position

Navitas Healthcare, LLC is seeking an experienced RN Case Manager to join a Case Management team within a leading acute care hospital in Eureka, CA. This role focuses on care coordination, discharge planning, utilization review, and ensuring appropriate use of healthcare services across the patient care continuum.

Requirements

• Minimum 2 years of acute hospital Case Management experience
• Recent experience within the last 12 months (required)
• Strong background in care coordination and discharge planning
• Associate Degree in Nursing (ADN) or higher
• Active Registered Nurse (RN) license – California
• Experience with HMOs, IPAs, and managed care systems
• Knowledge of advance directives, POLST, and protective services processes
• Familiarity with CMS regulations, DRGs, and Joint Commission standards
• Willingness to float between units or facilities as needed
• Must provide 2 professional references covering at least 1 year of experience

Nice To Haves

• BLS Certification
• Experience with Epic charting system preferred

Responsibilities

• Coordinate patient care and discharge planning across the continuum of care
• Conduct comprehensive patient needs assessments and develop individualized care plans
• Review admission criteria, insurance benefits, and prior authorization requirements
• Manage utilization review processes including appeals and denials
• Collaborate closely with interdisciplinary teams, including social services
• Ensure compliance with CMS, HIPAA, Joint Commission, and other regulatory standards
• Facilitate safe patient transitions and arrange durable medical equipment (DME) as needed
• Maintain accurate documentation of case management activities using Epic

Benefits

• Most competitive pay for every position we cater

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree