Registered Nurse (RN) – Case Manager - RNCM#5627

NavitasPartners • Mission Viejo, CA

14h • Onsite

About The Position

"Navitas Healthcare, LLC" is an experienced Registered Nurse Case Manager to support care coordination, discharge planning, and utilization management in an acute care hospital setting. The RN Case Manager will work closely with interdisciplinary teams to ensure safe, efficient, and timely patient transitions while optimizing clinical and financial outcomes.

Requirements

• Minimum 2 years of acute care Case Management experience
• Strong experience in discharge planning and care coordination
• Ability to independently arrange SNF placement, DME, and transportation
• Experience in hospital-based case management setting
• Graduate of an accredited Nursing program (ADN or BSN)
• Active California RN License (required)
• BLS certification preferred
• Epic EMR proficiency (required)
• Strong knowledge of insurance processes (HMOs, IPAs, authorizations)
• Experience with adult and geriatric patient populations
• Strong understanding of community resources and post-acute care options
• Ability to manage high caseloads (approx. 1:25 ratio)
• Weekend rotation flexibility
• Strong communication, problem-solving, and organizational skills
• Knowledge of CMS, DRG, HIPAA, and regulatory compliance standards

Responsibilities

• Conduct patient assessments and develop individualized care plans
• Coordinate discharge planning including SNF placement, DME, and transportation
• Collaborate with interdisciplinary teams for care coordination
• Participate in family meetings and care conferences
• Ensure compliance with CMS, HIPAA, Joint Commission, and hospital policies
• Support appeals, denials, and utilization review processes
• Coordinate complex discharges involving social, behavioral, and medical needs
• Educate patients and families on care plans and post-discharge resources
• Maintain accurate and timely documentation in Epic EMR
• Work with providers to optimize patient outcomes and reduce length of stay

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 1-10 employees