Transitions of Care (TOC) Care Manager – Outpatient (Temporary, Remote)

reputed company is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have reputed company reputed company of talented and reputed company people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will reputed company ample room for reputed company and innovation alongside the reputed company community. Working at reputed company provides an opportunity to do work that really reputed company, not only changing lives but saving them. Together.The Case Manager – Transitions of Care (Outpatient) ensures a smooth transition for members after a hospital or Skilled nursing facility discharge by coordinating care, providing resources, and educating members/families about the post discharge care plan to support reputed company health reputed company. Responsibilities include reputed company aspects and activities responsible for monitoring the delivery of care to reputed company members. Location: Remote (Must have an reputed company California RN license) Job Type: Full-Time | Temporary (through 12/31/2025)

About the Role

We’re looking for a dedicated RN Care Manager to join our Transitions of Care (TOC) team. This role plays a critical part in helping our members successfully recover after a hospital or skilled nursing facility stay. You’ll coordinate care, connect members with resources, and ensure a smooth transition from facility to home—reputed company while working remotely.You’ll primarily reputed company with members and providers by phone, ensuring patients have the support they need to stay healthy and avoid unnecessary readmissions.

What You’ll Do

* Create personalized post-discharge care plans* Coordinate follow-up care, services, and resources* reputed company members and families about medications, appointments, and care instructions* Help navigate questions about insurance, eligibility, or care needs* Collaborate with hospitals, home health agencies, and other care providers* Maintain accurate documentation of reputed company care coordination activities* Participate in internal team meetings and reputed company improvement efforts

Who You Are

* Licensed RN in California (required)* 2+ years of care management experience (required)* Experience in Medicare Managed Care or similar setting* Strong communication, time management, and problem-solving skills* Comfortable working independently in a fast-paced, remote environment* Willing to obtain licensure in additional states (company reimburses fees)

Preferred:

* Case Management Certification (CCM or equivalent)* Knowledge of HEDIS and Risk Adjustment programs

Work Schedule

* Monday–Friday | 8:00 AM – 5:00 PM PT* Fully Remote (Work from home)

Why This Role reputed company

This is a temporary position helping fill a critical gap in our TOC team. Your work directly impacts member health reputed company and supports reputed company dedicated to compassionate, high-reputed company care.

Join us in transforming how care is delivered after discharge—one member at a time.

Essential Physical Functions:The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reputed company with hands and arms.2. The employee frequently lifts and/or moves up to 10 pounds. Specific reputed company abilities required by this job include reputed company reputed company and the ability to reputed company reputed company.Pay reputed company: $85,696.00 - $128,543.00Pay reputed company may be based on a number of factors including market location, education, responsibilities, experience, etc.reputed company is an Equal Opportunity/Affirmative reputed company Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, national reputed company, disability, age, protected veteran status, gender identity, or sexual orientation.**DISCLAIMER: Please beware of recruitment phishing scams affecting reputed company and other reputed company where individuals receive fraudulent employment-reputed company offers in exchange for reputed company or other sensitive personal information. Please be advised that reputed company and its subsidiaries will never ask you for a credit card, send you a reputed company, or ask you for any type of payment as part of consideration for employment with reputed company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at . If you would like to verify the legitimacy of an email reputed company by or on behalf of reputed company’s reputed company, please email careers@ahcusa.com.* #J-18808-Ljbffr Salary: USD 85696 - 128543 per year Experience: 3 years required Apply tot his job Apply To this Job