Registered nurse case manager jobs in San Bernardino, CA - 5,951 jobs

The RNCM- bilig partners closely with Clinical Operations, Care Team Operations, Lead Care Managers, Community Health Workers, Behavioral Health providers, Compliance, and external medical and social service partners. Collaboration occurs daily to support assessments, care planning, escalations, transitions of care, and member outcomes. Responsibilities Conduct comprehensive clinical assessments (including medical history, risk factors, and medication review) and develop person-centered care plans with SMART goals based on medical, behavioral, and social needs. Provide medication reconciliation, health education, and condition-specific teaching to strengthen member understanding, self-management, and adherence. Collaborate with Lead Care Managers, CHWs, Behavioral Health, Housing Navigation, providers, and community partners to coordinate services and resolve medical and social barriers. Triage clinical concerns, identify red flags, and escalate appropriately to NP/MD partners; provide brief interventions within RN scope as needed. Participate in interdisciplinary Systematic Case Reviews (SCR), IDT meetings, and case conferences, offering clinical recommendations and follow-up planning. Coordinate transitions of care (TOC) by supporting post-hospital follow-ups, reconciling medications, scheduling timely appointments, and ensuring continuity. Maintain accurate, timely, audit-ready documentation in ECW, Google Suite, and payer/health plan portals; ensure all clinical assessments, screenings, and care plans meet required timelines. Engage members through relationship-based and trauma-informed approaches, building trust with individuals who may struggle with traditional healthcare systems. Identify gaps in care, clinical risk, or environmental barriers and collaborate with care teams to implement timely interventions. Support HHN's startup model by adapting to evolving workflows, contributing to clinical process improvements, and helping build scalable care coordination practices. Skills Required Strong clinical assessment, triage, and critical-thinking skills, bilingual speaking, writing. Expertise in care planning, chronic disease management, and clinical documentation. Proficiency with eClinicalWorks (ECW), Google Suite, RingCentral, and payer/health plan portals. Ability to interpret labs, vitals, diagnostics, and clinical red flags to guide care decisions. Strong medication knowledge and ability to perform accurate medication reconciliation and provide member education. Experience supporting members with complex medical, behavioral health, and social needs. Ability to work independently while effectively partnering with a multidisciplinary team. Excellent written and verbal communication skills with demonstrated cultural humility and trauma-informed communication. Strong organizational and time-management skills; able to manage multiple high-acuity cases simultaneously. Comfort working in a fast-paced, evolving startup environment with shifting workflows and new processes. Reliable HIPAA-compliant remote workspace with stable internet connection. Competencies Clinical Judgment: Applies strong nursing assessment and evidence-based decision-making. Collaboration: Works effectively across interdisciplinary teams and external partners. Problem Solving: Identifies issues early and develops practical solutions quickly. Communication: Delivers clear education, instruction, and support to diverse populations. Adaptability: Thrives in ambiguity, adjusts quickly to changes, and supports startup operations. Cultural Competence: Engages respectfully with diverse and vulnerable populations. Quality Focus: Maintains high standards for documentation, timeliness, and compliance. Member-Centered Care: Approaches each member with empathy, respect, and a commitment to holistic care. Job Requirements Education: Associate or Bachelor's degree in Nursing required; BSN strongly preferred. Licensure: Active, unrestricted Registered Nurse (RN) license in the state of California. Experience: Minimum 3 years of nursing experience. Bilingual - Spanish At least 1 year in care management, case management, or complex care coordination. Experience with chronic disease management, behavioral health integration, or ECM preferred. Experience managing members with high medical, behavioral, or social complexity. Familiarity with Medi-Cal populations, health plans, and care management best practices.

We are looking for a Case Worker to assist clients in navigating the tax relief process and advocate on their behalf. Key Responsibilities: * Client Management: Conduct consultations, gather financial documents, and assess eligibility for tax relief programs. * Communication & Support: Serve as the primary point of contact for clients, providing updates and guidance throughout the resolution process. * Collaboration: Work with legal and tax teams to develop strategies and submit necessary documentation to the IRS and state agencies. * Follow-up & Documentation: Ensure timely case follow-ups, track progress, and maintain accurate records. -Manage and supervise a team of other case workers -Really looking for IRSlogics or really similar CRM *Skills* IRSlogics, tax relief, tax resolution, case management, case worker *Top Skills Details* IRSlogics,tax relief,tax resolution,case management,case worker *Additional Skills & Qualifications* Qualifications: * Education: Bachelor's degree in business, finance, or a related field (not required, but preferred) (or equivalent experience) * Experience: 3+ years in case management or tax resolution (preferred). * Skills: Strong communication, organizational, and time management skills. Proficiency in Microsoft Office and case management *Experience Level* Intermediate Level *Job Type & Location*This is a Permanent position based out of Costa Mesa, CA. *Pay and Benefits*The pay range for this position is $70000.00 - $80000.00/yr. PTO insurance and benefit options sick pay *Workplace Type*This is a fully onsite position in Costa Mesa,CA. *Application Deadline*This position is anticipated to close on Jan 27, 2026. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Amergis Healthcare Staffing is seeking an Operating Room Nurse responsible for scrubbing and/or circulating duties for operative procedures; department admissions to the operative suite. He/She is responsible to the Nurse Manager and is directly supervised by the RN in the operating rooms to which he/she is assigned. Minimum Requirements: Current licensure as a Registered Nurse in the state in which he/she practices Documentation and confirmation of one year of operating room clinical experience in an acute care hospital within the last three years preferred Current BLS card. Current Health Certificate (if applicable) Current PPD or Chest X-Ray Operating Room Registered Nurse (OR RN) - 13-Week Contract | Trauma I | Colton, CA Location: Colton, CA Contract Length: 13 weeks Start Date: ASAP Setting: Level I Trauma Operating Room Why This Opportunity? We're actively seeking experienced Operating Room RNs for a high-acuity contract in a Level I Trauma Center. If you have 2+ years of OR experience in a Trauma I setting, this is an excellent chance to make an impact while enjoying competitive pay and flexibility. Shift Options (No Call Required!) 4 OR RNs: 8-hour day shifts, Monday-Friday 2 OR RNs: 10-hour day shifts, 4 days/week Pay Package Travel Weekly Pay: $3,234 Includes: $1,764 taxable income $1,470 in stipends Local Pay: $71/hr Submission Requirements To be considered immediately, please send: Cover page Updated resume Nursys license verification Explore Colton, CA on Your Days Off Hike the San Bernardino Mountains, visit Big Bear & Lake Arrowhead Enjoy dining and culture in Downtown Riverside Short drive to Los Angeles, Palm Springs, and Orange County beaches Not licensed in CA? No problem! Amergis places OR Nurses nationwide. Let's connect and find the perfect assignment for you. Ready to Apply? Let's Chat! J. Rick Wright National Recruitment Manager | Amergis Healthcare Staffing ?? ************ ?? ******************** Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions. Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

The RN staff nurse under the direction of and in accordance with the physician's orders administers skilled nursing care to patients at home. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram. Required Skills Able to establish effective, timely working relations with patients, families, staff and physicians. Basic computer knowledge and abilities. Knowledge and ability to apply the nursing process in order to develop an individualized patient plan of care. Must have demonstrable skills in the establishment of peripheral intravenous lines and administration of intravenous therapies. Required Experience Must have a current California Registered Nurse ( BSN preferred) license renewable every two (2) years in good standing. Must have 1 year of experience as a professional nurse. Able to demonstrate clinical nursing expertise in intravenous therapies. Home Health experience preferred. Current CPR card. Current California driver's license and valid auto insurance. Address 15050 Imperial Highway Salary 49.50-79.56 Shift Days Zip Code 90602

A Registered Nurse position is now available through Adecco Medical and Science. In this role, you will be responsible for assisting the Research Clinical Manager in facilitating a clinical case study to meet customer turn time and requests; to help ensure the studies are performed to protocol(s) requirements; to ensure that the studies meet requirements of the Quality System. Position type: 6-8 week temp/contract role (subject to study needs) Location: Santa Fe Springs, California Start date: January 13 Work hours: Monday, Tuesday, Thursday, and Friday from 8:00am-5:00pm (able to do 4, 10's to get 40 hours/week if needed) Pay range: $53.00-63.00/hr. depending on your location and level of experience Training location: Boulder, Colorado - initial 1-2-week training Qualifications Must be a Registered Nurse and able to work in the State of California with no disciplinary actions or restrictions. Associates or Bachelor's Degree in Nursing required. Clinical research and/or clinical trials experience highly preferred. Critical care or ICU experience preferred. Ability to pass a hearing test and to demonstrate competence in taking manual blood pressures with both adults and children. Capable of performing a comprehensive review of health history, medications, and performing basic health assessments with participants/patients. BLS certification required (ACLS encouraged and in some lab settings will be required, opportunities offered). Ability to perform safety monitoring of participants/patients including basic ECG rhythm identification and ability to perform a 12 lead EKG. Robust communication skills and attention to detail with documentation. Ability to assist in the placement of arterial lines (support the NP/MD) with supply set up and connecting/securing the line. Willingness to travel with some participation in off-site studies and data collection as schedule allows. Why Work for Adecco? • Weekly pay • 401(k) plan • Medical, dental, and vision benefits • Skills training and professional development Pay Details: $53.00 to $63.00 per hour Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled Military connected talent encouraged to apply To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: The California Fair Chance Act Los Angeles City Fair Chance Ordinance Los Angeles County Fair Chance Ordinance for Employers San Francisco Fair Chance Ordinance Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Care Career is seeking a travel nurse RN Case Management for a travel nursing job in Mission Viejo, California. Job Description & Requirements Specialty: Case Management Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Case managers work to facilitate patient care by assessing patient needs, evaluating treatment options, creating treatment plans, coordinating care, and gauging progress. The overall goal for case managers is to improve clinical outcomes, increase patient satisfaction, and promote cost-effectiveness. Care Career Job ID #35418385. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Case Manager About Care Career Care Career brings together a portfolio of leading healthcare staffing organizations, each delivering specialized talent solutions across the industry. Wherever you want to go, We Make It Happen. With travel nursing jobs across the country, you can discover the possibilities that create the lifestyle and financial position that you have dreamed of. Care Career is a modern, transparent staffing firm creating the ultimate community of US. Benefits Referral bonus Weekly pay Medical benefits Continuing Education Dental benefits Vision benefits

Prime Staffing is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Mission Viejo, California. Job Description & Requirements Specialty: Acute Care Case Management Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours Employment Type: Travel About the Position Specialty: RN Case Manager Experience: 1+ year of recent case management or discharge planning experience preferred License: Active State or Compact RN License Certifications: BLS - AHA Must-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers, social workers, and external agencies to ensure timely, efficient, and effective discharge planning and transitions. Supports utilization management and ensures compliance with payer guidelines. Onboarding typically takes 2-4 weeks based on documentation and clearance processes. Requirements Required for Onboarding: Active RN License BLS Prime Staffing Job ID #35415493. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Case Manager,08:00:00-16:00:00 About Prime Staffing At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success. We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.

Registered Nurse (RN) | Case Manager Location: Fontana, CA Agency: Host Healthcare Pay: $3,012 to $3,202 per week Shift Information: Days Start Date: ASAP TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in Fontana, California, 92337! Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Registered Nurse - Case Management in Fontana, CA. Why Choose Host Healthcare? Passionate and transparent team members have made Host Healthcare the agency of choice for new and experienced travelers looking for opportunities far away and close to home. Starting the day you apply, we'll help you navigate each step of the process. Our recruiters act not only as your dedicated travel career mentor but also become your number one advocate. When you work with us, you can trust that we will help you with everything from travel, to housing, and acting as the liaison between you and the facility. Travel Happy With Host Healthcare! Host Healthcare offers amazing benefits and perks. We offer the best pay for our travelers. Day one medical, dental and vision insurance. License, travel, tuition, and scrub reimbursement. Matching 401k. Deluxe private housing or generous housing stipend. Discounts to your favorite activities, restaurants, health & beauty, shopping, and hotels. We are committed to provide unparalleled service and we will do whatever we can to ensure your assignment is as pleasant as possible. We are an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status. If you are interested in this position, please contact your recruiter and reference Job #2088200 About Host Healthcare At Host Healthcare, we are dedicated to empowering the life and healthcare career you deserve. As an nurse, you will be matched to one of our responsive recruiters who will have your back throughout your journey. You will also be connected with a full support team that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. No matter if you want to explore the other side of the country or stay close to home, our team can help you get there. With Host Healthcare, you'll get exclusive access to thousands of jobs in all 50 states. This means you get priority access to apply to travel and local assignments before other applicants. We know that you are so much more than a number and we work hard to ensure you have the best benefits for you and your loved ones. During your assignment, you'll be able to select premium benefits like Day-1 health coverage, 401K matching, travel reimbursements, housing support and more. Take control of your life and career with Host Healthcare. Benefits: · A dedicated and responsive recruiter who has your back · Priority access to jobs in all 50 states at every major healthcare system · Day-1 medical benefits that last up to 30 days between assignments · Day-1 401K with company matching after 6 months · 24/7 support · Clinical support throughout your assignment 28038803EXPPLAT

Coast Medical Service is seeking a travel nurse RN Oncology for a travel nursing job in Irvine, California. Job Description & Requirements Specialty: Oncology Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler. Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Please note that pay rate may differ for locally based candidates. Please apply here or contact a recruiter directly to learn more about this position & the facility, and/or explore others that may be of interest to you. We look forward to speaking with you! Coast Medical Services Job ID #35486242. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Case Management,07:00:00-15:30:00 Benefits Holiday Pay Sick pay 401k retirement plan Pet insurance Health Care FSA

LanceSoft is seeking a travel nurse RN Case Management for a travel nursing job in Mission Viejo, California. Job Description & Requirements Specialty: Case Management Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Requirements: Active CA RN License (pending accepted; must be active by start date) Minimum 2 years acute medical RN Case Manager experience (care coordination required) Travel experience required Epic charting experience required Experience with discharge planning, care coordination, and DME/SNF arrangements RTO: No more than 7 days #hcrr About LanceSoft Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we're 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Benefits Weekly pay Medical benefits

Benefits: 401(k) Health insurance Paid time off Full-Time Hospice RN Case Manager We are seeking a compassionate and experienced Hospice Registered Nurse (RN) Case Manager to join our interdisciplinary team. The RN Case Manager is responsible for coordinating and delivering high-quality, patient-centered hospice care in compliance with Medicare Conditions of Participation and California state regulations. This role focuses on symptom management, care planning, patient and family education, and collaboration with the hospice interdisciplinary team to ensure comfort, dignity, and quality of life for our patients. Essential Duties & Responsibilities Manage a caseload of hospice patients in home, assisted living, and skilled nursing settings Complete comprehensive patient assessments and develop individualized plans of care Provide skilled nursing visits including pain and symptom management Coordinate care with physicians, hospice aides, social workers, chaplains, and other team members Educate patients and families on disease process, medications, and end-of-life care Ensure accurate, timely clinical documentation in the electronic medical record Participate in IDT meetings, case conferences, and care plan updates Respond to patient needs and changes in condition promptly Participate in rotating on-call schedule, including evenings, weekends, and holidays as assigned Comply with hospice policies, procedures, and regulatory requirements Qualifications Current California RN license in good standing Minimum 1 year hospice experience preferred (home health or palliative care considered) Strong clinical assessment and critical-thinking skills Excellent communication and interpersonal skills Ability to work independently and manage time effectively Valid California driver's license, reliable transportation, and auto insurance Current BLS certification Benefits Competitive salary Mileage reimbursement Medical, dental, and vision insurance 401(k) with employer contribution Paid time off (PTO) and paid holidays Continuing education and professional development opportunities Supportive interdisciplinary team environment Why Join Us? We are committed to providing compassionate, high-quality end-of-life care while supporting our clinicians with manageable caseloads, strong leadership, and a collaborative culture. If you are passionate about hospice nursing and making a meaningful difference, we would love to hear from you. Compensation: $50.00 - $60.00 per hour

Trusted Resource Associates (TRA) is seeking a local contract nurse RN Telemetry for a local contract nursing job in Palm Springs, California. Job Description & Requirements Specialty: Telemetry Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours, days, nights Employment Type: Local Contract TRA Telemetry RN: Secure, Flexible Travel & Local Nursing Contracts TRA is Tenet Hospital's in-house Pool where you will receive preferred contracts for greater contract security compared to outside agency. -Guaranteed Hours for Travel Contracts -Preferred Booking Agreements for Local Contracts - Weekly Pay, Holiday Pay and 401K with a company match Our Quick Hire Process: We prioritize hiring qualified clinicians directly for faster deployment. When you reach out to a TRA recruiter, be sure your Vivian profile is updated with your most recent resume to expedite the process! Minimum Experience Required: 2+ years of Acute Care nursing experience 1+ year of recent experience in Telemetry Required Certification/Licensure: Current state licensure or registration as per state laws Specialty certifications as required (must meet certification requirements for each supported nursing specialty) CPR certification from the American Heart Association plus other credentialing and health related documents which your Recruiter will specify Trusted Resource Associates (TRA) Job ID #500248. Benefits 401k retirement plan Weekly pay Holiday Pay Referral bonus

Nurse Manager - Case Management - (10033204) Description City of Hope Orange County is transforming cancer treatment by bringing world-class expertise and specialized care closer to home. Supported by a regional network of care, our 11-acre academic cancer campus in Irvine is home to City of Hope Orange County Lennar Foundation Cancer Center, our outpatient cancer center, and Orange County's only cancer specialty hospital. With the opening of the hospital, the full continuum of advanced cancer care-from prevention through survivorship-will be available in Orange County for the first time, eliminating the need to travel for lifesaving treatment. Seamlessly connected to our outpatient cancer center, the new clinical research hospital will feature 73 inpatient beds, advanced surgical suites, groundbreaking clinical trials, and holistic services such as rehabilitative therapy and spiritual care. This isn't standard cancer care. This is lifesaving cancer care. This is Hope. Position Summary:The Nurse Manager of Case Management provides clinical, operational, and strategic leadership for the Case Management department at City of Hope, a nationally recognized comprehensive cancer center. This role is responsible for ensuring high-quality, patient-centered care coordination across the continuum of oncology care, with a strong focus on utilization management, discharge planning, regulatory compliance, and interdisciplinary collaboration. The Nurse Manager supports City of Hope's mission of transforming the future of cancer care through compassion, innovation, and excellence. As a successful candidate, you will: Leadership & ManagementProvide day-to-day leadership and oversight of the Case Management team, including RN Case Managers, Social Workers, and support staff (as applicable). Recruit, onboard, coach, and evaluate staff; foster a culture of accountability, collaboration, and professional development. Develop staffing models and workflows that support safe, efficient, and high-quality oncology care delivery. Lead staff meetings, performance improvement initiatives, and departmental education. Clinical & Operational OversightEnsure effective care coordination, discharge planning, and transitions of care for complex oncology patients across inpatient and outpatient settings. Oversee utilization management processes, including medical necessity review, length-of-stay management, and payer authorization processes. Collaborate closely with physicians, nursing leadership, social work, financial counseling, and ancillary departments to optimize patient outcomes. Serve as a clinical and operational resource for complex case escalation and problem resolution. Quality, Compliance & Performance ImprovementEnsure compliance with CMS, Joint Commission, state, and payer regulations related to case management and utilization review. Monitor key performance indicators such as length of stay, readmissions, denials, patient flow, and patient satisfaction. Lead and participate in quality improvement, accreditation, and audit activities. Support evidence-based practice and standardization of oncology case management processes. Strategic & Financial StewardshipParticipate in departmental budgeting, resource planning, and cost-containment initiatives. Analyze data and trends to improve operational efficiency and support organizational goals. Contribute to strategic planning initiatives related to care coordination, population health, and value-based care. Qualifications Your qualifications should include: Bachelor of Science in Nursing (or BSN not required if holds MSN) Minimum of 3 years of experience in an area of expertise relevant to the department with demonstrated progressive leadership growth California RN license (must obtain within 6 months of hire) American Heart Association-Basic Life Support (BLS) National Certification (must be acquired within 12 months of hire or transfer) Chemotherapy/Biotherapy certification preferred City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location City of Hope is an equal opportunity employer. To learn more about our Comprehensive Benefits, please click here Primary Location: United States-California-IrvineJob: Case ManagementWork Force Type: OnsiteShift: DaysJob Posting: Dec 31, 2025Minimum Hourly Rate ($): 63. 200600Maximum Hourly Rate ($): 105. 544800

California is calling! Great facility in Southern California is looking for experienced Case Manager/Utilization review traveler to work 13 week assignments. Will need to be able to work either a 5X8 M-F or a 4X10 M-F schedule determined by the facility. MUST HAVE at least 2 years prior CM experience with Utilization Review emphasis. MUST HAVE experience with EPIC and InterQual. CA license is needed for submittal also. Call Ventura Medstaff today at ************ for more information.

*5 years WC Examiner experience *Medical understanding to find treatment plans *Must be available continually during disgnated work hours *Abliity to follow pre-established medical protocols *Strong verbal and written communication skills *Eastside of WA (Ideally, tri-cities) *Relational personality is a must *Bilingual (Spanish) is a plus *Manage nurses and staff clients accordingly Salary will be discussed during interview *Bonus *Excellent pay *Excellent benefits

Sign on Bonus: $2000. Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Preferred locations: Seattle, WA, Denver, CO, Las Vegas, NV or Woodland Hills, CA or Costa Mesa, CA. "Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law." Hours: Monday - Friday 9:00am to 5:30pm with 1-2 late evenings 11:30am to 8:00pm depending on your time zone. * This position will service members in different states; therefore, Multi-State Licensure will be required. The Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. How you will make an impact: * Ensures member access to services appropriate to their health needs. * Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. * Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. * Coordinates internal and external resources to meet identified needs. * Monitors and evaluates effectiveness of the care management plan and modifies as necessary. * Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. * Negotiates rates of reimbursement, as applicable. * Assists in problem solving with providers, claims or service issues. * Assists with development of utilization/care management policies and procedures. Minimum Requirements: * Requires BA/BS in a health related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * Current, unrestricted RN license in applicable state(s) required. * Multi-state licensure is required if this individual is providing services in multiple states. Preferred Capabilities, Skills and Experiences: * Case Management experience is preferred. * Certification as a Case Manager is preferred. * Minimum 2 years' experience in acute care setting is preferred. * Managed Care experience is preferred. * Ability to talk and type at the same time is preferred. * Demonstrate critical thinking skills when interacting with members is preferred. * Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly is preferred. * Ability to manage, review and respond to emails/instant messages in a timely fashion is preferred. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $76,944 to $126,408. Locations: Colorado; Nevada; Washington State; California. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

**Location:** This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting locations will not be considered for employment, unless an accommodation is granted as required by law. The **Nurse Case Manager I** is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically for discharge planning. **How you will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. + Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. + Coordinates internal and external resources to meet identified needs. + Monitors and evaluates effectiveness of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. + Negotiates rates of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements** + Requires BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. + Current, unrestricted RN license in applicable state (CA) required. **Preferred Skills, Capabilities and Experiences** : + Certification as a Case Manager is preferred. + Pediatrics experience highly preferred. _For candidates working in person or virtually in the below location, the hourly* range for this specific position is $36.28 to $56.77_ Location: California In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Voted one of the best companies to work for by Modern Healthcare Magazine: Renew Health Consulting Services is an award winning family company providing healthcare services including skilled nursing, assisted living and senior living communities. We believe that seniors are extraordinary people. Their lives are filled with achievements, contributions and wisdom. They have raised families, served their communities and country, lived history and ultimately set the stage for us. We are honored to provide their care, as they make the transition to the golden years, and when it becomes more challenging to care for one's self. From a short-term rehabilitation stay to long term nursing care, each of our clinical programs are designed to reduce hospitalizations so our patients can focus on achieving their individual care plan goals whether it's returning home or staying with us for their long term care needs Our commitment to superior quality of life is evident when you visit our family of centers. At our care center you will meet compassionate and professional team members who understand that finding the right skilled nursing setting and long-term care option could be difficult and confusing and are wanting to make a difference by providing the utmost care to genuinely help our patients and the community around them. If this sounds like a great fit for you, we would love to have you join our wonderful team! Compensation & Benefits: As a growing and essential company, we have many opportunities for growth and development within the medical industry and are committed to providing the resources and training you need. Pay is market competitive and negotiable based on your experience. Full-time employees will be eligible for a variety of comprehensive medical, dental, and vision insurance plans. Full-time employees will be eligible for Tuition Assistance. 401K. Travel Allowance The anticipated pay range for candidates who will work in California is $150K to $180K annually . The offered pay to a successful candidate will be dependent on several factors that may include but are not limited to years of experience within the job, years of experience within the required industry, education, etc. We are looking for full-time RN MDS Consultant Responsibilities: Responsible for visiting facilities in the assigned Region(s) on a regular basis and ensuring the accurate and timely submission of patient assessments, care planning, and billing processes that comply with the Patient-Driven Payment Model (PDPM). Conduct comprehensive assessments of patient's clinical needs and identify potential PDPM coding opportunities. Collaborate with interdisciplinary teams to develop patient-centered care plans that optimize clinical outcomes and maximize reimbursement under PDPM. Analyses and organizes PDPM and case mix data to ensure appropriate utilization of resources. Review medical documentation to ensure completeness, accuracy, and compliance with CMS regulations. Monitor and analyze PDPM-related data, including patient outcomes, revenue, and compliance metrics, and provide regular reports to senior leadership. Coordinate with MDS to ensure accurate completion of all MDS assessments and any supporting assessments or clinical documentation. Ongoing QA of medical records for the presence of supporting documentation for all items coded on the MDS. Provide education and training to staff on PDPM and related topics, including coding, documentation, and care planning Serve as a subject matter expert on PDPM to internal and external stakeholders, including regulatory bodies, payers, and auditors. Participate in quality improvement initiatives to enhance patient care and optimize reimbursement under PDPM. Maintain up-to-date knowledge of PDPM regulations and industry best practices and share this information with the facility and management. Qualifications: Bachelor's degree in nursing or related clinical field Active RN license or relevant clinical licensure. Experience with MDS completion preferred. Minimum of 3-5 years of clinical experience in a healthcare setting. Experience with Federal Medicare Skilling and Long term care billing. In-depth knowledge of the PDPM reimbursement system and CMS regulations. Submit your application and join our award-winning team! We are an equal opportunity employer and we are committed to Equal Employment Opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability, and per the Fair Chance Ordinance will consider qualified applications with criminal histories in a manner consistent with the ordinance. INDHP JOB CODE: Renew

Are you ready to take your Travel career to the next level? See places you have not seen before? Ventura's MedStaff tenured Recruiters are here to help you find your ideal contract; with over 50 years of combined experience. Markets have changed, but Ventura MedStaff has maintained a leader in the forefront of Therapy, Allied and Nursing opportunities. Our recruiters are here to help answer your questions and provide you with the most up to date information. Contracts run 8-13 weeks, with 36-40-hour guarantees, flexible start dates, and a mix of schedules. Contact one of our dedicated Recruiters to discuss more details. Ventura MedStaff benefits represent the care and compassion we provide for our clients. •\tHealth, dental, vision, life, disability benefits and 401k •\tTax free stipends when applicable •\tGym discounts •\tWeekly pay •\t$750. 00 referral bonus Please apply or contract us at: www. venturamedstaff. com or ************