Case Management RN

Join our team as a Case Management RN
, where you'll play a key role in coordinating patient care, advocating for patient needs, and serving as a trusted resource throughout the continuum of care.

In this role, you will coordinate interdisciplinary care plans, monitor patient progress, and serve as a liaison between patients, healthcare providers, and insurance partners to ensure effective, patient-centered care. You will develop and implement care management plans that connect patients with appropriate resources, support compliance with medical recommendations, and address ongoing healthcare needs. The position also provides professional nursing triage services and health guidance by phone, as well as on-call support in accordance with agency guidelines.

This is a full-time remote position
; however, candidates must reside in San Diego County
.

Schedule: Four 10-hour shifts per week (4/10s)

Available Rotations:

Option Rotation #1

• Week 1: Monday, Wednesday, Friday, Saturday

• Week 2: Monday, Tuesday, Wednesday, Thursday

Option Rotation #2

• Week 1: Monday, Tuesday, Wednesday, Friday

• Week 2: Tuesday, Thursday, Friday, Saturday

• Provide professional, comprehensive telephonic nursing assessment, evaluation, education, and advice to patients in accordance with agency protocols.

• Participate in health center efforts to achieve established goals related to productivity, quality metrics, and revenue cycle performance.

• 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 delivering 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.

• Serve as a patient advocate by helping patients navigate healthcare resources, understand treatment plans, and access appropriate services.

• Participate in on-call responsibilities in accordance with agency guidelines.

• 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.

• Willingness to complete orientation in both surgical and family planning settings to gain a thorough understanding of clinic operations and patient care workflows.

• Strong communication, critical thinking, patient advocacy, and independent work skills in a remote environment

• Must reside in San Diego County.