RN Case Manager
Serene Health • Augusta, GA2d • $32 - $40
Rn Case Manager Jobs
2,985 jobs found — updated daily
RN Case Manager Hospice
Amedisys, Inc. • Norwood, MA2d • RemoteRN Case Manager
Amedisys, Inc. • Metairie, LA2d • RemoteRN Case Manager - Utilization Review
INTEGRIS Health • OK, OK2d • OnsiteHospice RN Case Manager
Calvary Hospital • New York, NY2d • $113,576 - $140,076 • HybridRN Hospice Case Manager
Amedisys, Inc. • Greenville, NC2d • RemoteRN Case Manager
Amedisys, Inc. • Savannah, GA2d • OnsiteHospice RN Case Manager
Calvary Hospital • New York, NY2d • $113,576 - $140,076 • OnsiteRN Case Manager-Home Health
Bridge Home Health LLC • San Diego, CA2d • $52 - $58 • RemoteRegistered Nurse Case Manager
PruittHealth • Raleigh, NC2d • RemoteRN Case Manager - Residency Program
Choctaw Nation of Oklahoma • Talihina, OK2d • OnsiteRegistered Nurse Case Manager II (RN) - Case Management
Tenet Healthcare Corporation • San Antonio, TX2dHospice Registered Nurse (RN) Case Manager
PruittHealth • Durham, NC2d • RemoteHospice Registered Nurse (RN) Case Manager
PruittHealth • Fayetteville, NC2d • RemoteRegistered Nurse Case Manager
PruittHealth • Fayetteville, NC2d • RemoteField Case Nurse Manager
MEDLOGIX, LLC • Hamilton Township, NJ2d • $0 - $85,000 • HybridRN Case Manager
St Pauls Senior Services • SAN DIEGO, CA2d • HybridRN Hospice Nurse Case Manager
Amedisys, Inc. • East Providence, RI2d • OnsiteRN Case Manager
TruHealth • Rome, GA2d • HybridRN Case Manager
Community LIFE • Homestead, PA2d • $72,000 - $85,000 • Hybrid
RN Case Manager
Serene Health•Augusta, GA
•$32 - $40
About The Position
Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and American TrueCare, our mission is to provide comprehensive support and care that not only addresses immediate concerns but also fosters long-term well-being. As pioneers in the field, we aspire to lead in member care outcomes and set new standards for excellence and innovation. We are committed to empowering our members to achieve self-sufficiency in health, creating a ripple effect that strengthens families and communities. Our work culture at Optima MMG is built on pride, passion, and a collective commitment to making a positive difference in people's lives. Our team members are dedicated problem-solvers who bring their unique skills and perspectives to the table. We believe that by fostering a collaborative and supportive environment, we can unlock the full potential of our team and, in turn, provide the best possible care to our members. A career at Optima MMG is an opportunity to be part of a dynamic and forward-thinking organization. We encourage continuous learning and professional growth, providing our employees with access to industry experts, cutting-edge technologies, and a supportive community that values each individual's contributions. Join us on this journey to not only advance your career but to be a driving force in transforming lives and communities through passionate and fulfilling work! Job Summary: The RN Clinical Case Manager provides clinical assessment, care plan development, and ongoing clinical oversight within the Enhanced Care Management (ECM) program. This is a non-bedside, RN-led role. The RN Clinical Case Manager serves as the clinical authority for ECM care planning, ensuring medical appropriateness, risk identification, and regulatory compliance. The RN works in close collaboration with ECM Lead Care Managers, who are responsible for care coordination, member engagement, and non-clinical assessments.
Requirements
- Active California & GA RN license.
- Associate Degree in Nursing (ADN) required; BSN preferred.
- Minimum 3 years of clinical nursing experience.
- Experience working with Medi-Cal and/or managed care populations.
- Strong clinical judgment and communication skills.
- Ability to work independently and collaboratively.
Nice To Haves
- Bilingual English/Spanish
- Case management or utilization management experience.
- Familiarity with Enhanced Care Management (ECM) or Health Home programs.
- Experience supporting audits or regulatory reviews.
- Training in Motivational Interviewing or trauma-informed care.
Responsibilities
- Conduct clinical assessments based on medical history, diagnoses, utilization patterns, medications, and risk indicators.
- Develop, review, and clinically approve individualized ECM care plans.
- Identify and monitor clinical and utilization risks impacting member outcomes.
- Provide RN clinical oversight and guidance to ECM Lead Care Managers executing care plans.
- Review medication lists for safety concerns, adherence issues, and escalation needs.
- Collaborate with primary care providers, behavioral health clinicians, and internal care teams.
- Support transitions of care following emergency department visits, hospitalizations, or other significant events.
- Ensure care plans are updated based on changes in clinical status or utilization patterns.
- Ensure care plans and clinical documentation meet Medi-Cal, CalAIM, and ECM program requirements.
- Participate in audits, chart reviews, and quality improvement initiatives.
- Provide clinical education and consultation to ECM staff as needed.
- Contribute to the development and refinement of clinical workflows, tools, and best practices.
- Maintain timely, accurate, and compliant clinical documentation.
- Prepare clinical summaries, care plan updates, and progress notes.
- Support internal reporting related to member outcomes, utilization, and care plan progress.
- Performs other duties as assigned.
Benefits
- Medical, Dental, & Vision Benefits
- Short & Long-Term Disability Benefits
- Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans
- Flexible Spending Accounts
- Employee Assistance Program (EAP)
- 401(K)
- Paid Vacation and Sick Leave
- Paid Holidays
- Employee Referral Program
- Company Discount Program
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
Job Search Resources
Career Resources
Build a Resume for Rn Case Manager
The resume builder that gets results.
- Get clear feedback so you look as qualified as you are
- Align your resume with the job to get further in the process, faster
- Take the guesswork out of resume writing
