RN CASE MANAGER -CALIFORNIA

Job Description

Job Description

Job Summary

RN CASE MANAGER -CALIFORNIA

$2991Weekly/ 40hours /Days

Full-time, Part-time, Contract

CA, United States

The Opportunity

You’re the kind of person who is always looking to learn. You want to grow into something greater and you’re looking for an employer encourages and supports your professional development. Talented Medical Solutions promotes advancement and rewards our employees based on individual performance and merit. Sure you’ll have exposure to the team, but all of our people are accountable for their success. Competitive and focused, our team is on a mission to deliver excellence. We also know that this can only be accomplished by supporting our employee growth and development. By providing frequent feedback and consistently measuring progress, we’ve discovered the recipe for success that’s delivered year over year growth since our first year of business. This a culture of winning. At Talented Medical Solutions we breed winners.

Responsibilities

• Coordinate and manage patient care plans for assigned caseload in California.

• Assess patient needs, eligibility, and required services for appropriate coverage.

• Monitor and document patient progress, update care plans, and report outcomes.

• Ensure compliance with state regulations and organizational policies for case management.

• Collaborate with physicians, therapists, and community resources to secure services.

• Navigate and resolve barriers to care, including referrals and authorizations.

• Educate patients and families on disease management, medications, and care expectations.

• Provide on-site case management support to facilitate timely service delivery.

• Maintain accurate records for audits, billing, and quality assurance.

• Utilize and maintain care pipelines and dashboards to forecast patient flow and outcomes.

• Participate in regular performance reviews and contribute to process improvements.

• Support growth targets by identifying high-potential cases and prioritizing them.

Experience/Qualifications

• RN license valid in California with current nursing practice hours.

• Experience in case management for medical or managed care settings.

• Strong knowledge of California state regulations for case management and privacy.

• Ability to develop and monitor individualized care plans and progress notes.

• Proven skill in barrier navigation, referrals, and authorization processes.

• Proficiency with care pipelines, dashboards, and data-driven forecasting.

• Excellent collaboration with physicians, therapists, and community resources.

• Strong documentation, auditing, and billing record-keeping capabilities.

• Growth mindset with ability to identify high-potential cases and contribute to targets.

• On-site presence required; ability to travel within California as needed.

What's in it for you? (Salary, Commissions & Benefits)

• — collaborate in person with your team at our local office

• Competitive base salary as the core component of your compensation package