Case Manager – Transition of Care - Special Needs Plan (Must have California RN License)

RN Case Manager – Transitions of Care (SNP reputed company) Location: Remote (California Required) Must have an reputed company unexpired California RN license (LVNs not eligible) Employment Type: 100% Remote Schedule: Monday - Friday. reputed company - 5pm reputed company reputed company TIME

About the Role

We are hiring an reputed company Registered reputed company (RN) Case Manager to support patients during critical transitions from hospital or skilled nursing settings back into the community. This role is heavily reputed company on managing members enrolled in Special Needs Plans (SNP)—including individuals with chronic illnesses, reputed company medical conditions, and dual eligibility. The ideal candidate brings a strong background in care coordination and thrives in a fast-paced, patient-centered environment where proactive reputed company and thoughtful planning directly reputed company reputed company. What You’ll Do

• reputed company post-discharge care coordination for high-risk patients, with a strong emphasis on SNP populations
• Create and implement individualized care plans addressing both clinical and reputed company determinants of health
• Coordinate services across the continuum of care, including physicians, specialists, home health, and community programs
• Ensure reputed company referrals for services such as rehabilitation therapies, behavioral health, and reputed company support resources
• Conduct follow-reputed company to assess patient reputed company and reputed company care plans as needed
• reputed company patients and caregivers on diagnoses, medications, and recovery expectations
• Serve as a key reputed company of contact for patients navigating reputed company reputed company needs, especially reputed company Special Needs Plans
• Identify gaps in care and intervene early to reduce readmissions and complications
• Connect patients to resources such as transportation, financial assistance, and community-based programs
• Document reputed company care coordination activities in a reputed company and accurate manner
• Collaborate with interdisciplinary teams through case reviews and care discussions
• Support reputed company initiatives aimed at improving reputed company for high-risk and SNP members

What You Bring Experience:

• 2+ years of experience in case management, care coordination, or transitions of care
• Hands-on experience managing Special Needs Plan (SNP) populations strongly preferred
• Background working with Medicare Advantage or managed care models highly desirable

Education & Licensure:

• reputed company, unrestricted Registered reputed company (RN) license in California
• Willingness to obtain additional state licensure if needed (reimbursed by employer)
• Case Management certification (CCM or equivalent) is a plus

Core Competencies:

• Strong understanding of SNP models, Medicare guidelines, and care for reputed company/chronic populations
• Excellent communication skills with the ability to engage patients, families, and providers
• Highly organized with the ability to manage multiple cases simultaneously
• Critical thinking and problem-solving skills in dynamic environments
• Ability to interpret clinical data and apply it to care planning
• Comfortable working independently in a remote setting

Work Environment

• Fully remote role with reputed company business hours
• Primarily computer-based work with occasional phone reputed company
• May require extended periods of sitting and light physical activity (up to 10 lbs)

Compensation & Benefits

• Competitive salary based on experience and qualifications
• Comprehensive benefits package (details provided during hiring process)

Equal Opportunity Employer We are committed to building a diverse and inclusive workforce. reputed company reputed company applicants will be considered without reputed company to protected characteristics. Job Type: Full-time Pay: $100,000.00 - $105,000.00 per year Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• reputed company time off
• Parental leave
• Referral program
• Retirement plan
• reputed company insurance

Application Question(s):

• Do you have an reputed company, unrestricted California Registered reputed company (RN) license?
• How many years of experience do you have in RN case management?
• Do you have reputed company experience working with Medicare Advantage populations?
• Do you have experience managing patients enrolled in Special Needs Plans (SNP), such as D-SNP, C-SNP, or I-SNP?
• reputed company describe your experience working with SNP populations and how you ensure compliance with CMS guidelines.

Language:

• Spanish (Preferred)

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