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Heritage Health Network 3.9
Registered nurse manager job in Riverside, CA
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 RegisteredNurse (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.
$80k-102k yearly est. 4d ago
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Amergis
Registered nurse manager job in Colton, CA
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 NurseManager and is directly supervised by the RN in the operating rooms to which he/she is assigned.
Minimum Requirements:
Current licensure as a RegisteredNurse 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 RegisteredNurse (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.
$71 hourly 7d ago
Registered Nurse
Adecco 4.3
Registered nurse manager job in Anaheim, CA
A RegisteredNurse 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 RegisteredNurse 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.
$53-63 hourly 15d ago
Registered Nurse (RN) Home Health - Los Angeles County - Full time, 8am - 5pm
Pih Health 4.9
Registered nurse manager job in Whittier, CA
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 CaliforniaRegisteredNurse ( 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
12401 Washington Blvd.
Salary
49.50-79.56
Shift
Days
Zip Code
90602
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$84k-114k yearly est. 1d ago
Travel Outpatient Neuro-Oncology RN Case Manager - $1,145 per week
Care Career 4.3
Registered nurse manager job in Orange, CA
Care Career is seeking a travel nurse RN Case Management for a travel nursing job in Orange, California.
Job Description & Requirements
Specialty: Case Management
Discipline: RN
Duration: 13 weeks
16 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 #35451330. Pay package is based on 8 hour shifts and 16.0 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
$112k-172k yearly est. 3d ago
Travel Nurse RN - Care Manager - $3,550 per week
Lancesoft 4.5
Registered nurse manager job in Irvine, CA
LanceSoft is seeking a travel nurse RN Care Manager for a travel nursing job in Irvine, California.
Job Description & Requirements
Specialty: Care Manager
Discipline: RN
Duration: 13 weeks
40 hours per week
Shift: 8 hours, days
Employment Type: Travel
Job Details:
RN Case Manager
Irvine, CA
Days shift available 8*5
14 week contract
Requirements:
Minimum 2-3 years of RN Case Manager exp
BLS (By AHA)
CA state RN License
#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 RegisteredNurses, 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
$97k-127k yearly est. 3d ago
Travel Neuro Oncology RN Case Manager - $2,744 per week
Prime Staffing 4.4
Registered nurse manager job in Orange, CA
Prime Staffing is seeking a travel nurse RN Care Manager for a travel nursing job in Orange, California.
Job Description & Requirements
Specialty: Care Manager
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 #35451137. 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.
$112k-175k yearly est. 3d ago
Travel RN Oncology Case Manager - $2,747 per week
Coast Medical Service
Registered nurse manager job in Irvine, CA
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
$88k-154k yearly est. 4d ago
Travel Nurse RN - Case Manager - $2,939 per week in Orange, CA
Travelnursesource
Registered nurse manager job in Orange, CA
RegisteredNurse (RN) | Case Manager Location: Orange, CA Agency: Care Career Pay: $2,939 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: 2/9/2026
TravelNurseSource is working with Care Career to find a qualified Case Manager RN in Orange, California, 92868!
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.
About Care Career
Care Career is redefining what healthcare staffing can be. By uniting leading healthcare staffing brands under one network, we connect clinicians and clients to more opportunities, better solutions, and stronger support. From major health systems and MSPs to specialty clinics nationwide, our portfolio delivers the reach, resources, and expertise needed to meet today's healthcare demands with tomorrow in mind.
Requirements Required for Onboarding
Case Manager - Skills
Case Manager RN
Core Mandatory Exam - Nursing
RN Case Manager
RN/LPN Case Manager
29135382EXPPLAT
$2.9k weekly 1d ago
Local Contract Nurse RN - Labor and Delivery - $77-78 per hour
Healthtrust Workforce Solutions HCA
Registered nurse manager job in Riverside, CA
HealthTrust Workforce Solutions HCA is seeking a local contract nurse RN Labor and Delivery for a local contract nursing job in Riverside, California.
Job Description & Requirements
Specialty: Labor and Delivery
Discipline: RN
Start Date: 02/09/2026
Duration: 13 weeks
36 hours per week
Shift: 12 hours, nights
Employment Type: Local Contract
RN Labor and Delivery (707) - 7:00PM-7:00AM / 13 Weeks
Riverside Community Hospital SCA
Riverside, CA
Tell us about the unit(s):
Number of Beds - Labor beds -11, 4-ObEval, 2 OB PACU, 2 OR's
Number of Staff - 79
Type of staff:
Day Shift - 1 Charge, 10 Staff, 2 OB Tech
Night Shift - 1 Charge, 10 Staff, 2 OB Tech
Patient Ratios - 1 RN/2 patient, I RN/1 Pat
Type of equipment - GE fetal monitoring
EMR - CPN, Meditech
Must have: candidates without these skills will not be considered for the role.
AWHONN Fetal Monitoring
Does Couplet Care if floated
Preferred or nice to have: candidates with these skills will be considered first.
Over 2 years of Labor and Delivery
Transition Nurse/Baby Catching
List typical procedures performed on unit(s):
NST, Cervical exam
Managing labor, Titrating meds, McRoberts
Best personality Fit:
Loves organized chaos, lots of patients
REQUIRED CERTIFICATIONS:
BLS, ACLS, NRP, Awhonn EFM
Floating Area(s):
Postpartum-Couplets
About HealthTrust Workforce Solutions HCA
At HealthTrust Workforce Solutions, healthcare is not just about the four walls of a facility but about the people who provide and receive care. Our focus is on empowering healthcare professionals to deliver exceptional patient experiences by providing them with the necessary skills, tools, and support. We partner with healthcare facilities nationwide to ensure that the right professionals are in the right roles. We prioritize our clinicians by giving them a voice and access to opportunities to fulfill their mission of improving lives by providing quality patient care.
We are committed to our core values of Trust, Innovation, Adaptability, Courage, and Accountability. We are dedicated to positively impacting the healthcare industry by providing first-priority access to more than 200,000 jobs nationwide to our healthcare professionals. Join us and be part of the HealthTrust family, where you can make a difference every day.
We embrace our changing environment, and we maintain a culture that has a rich tradition of transforming itself to meet the challenges of the future.
MISSION STATEMENT
While putting great people in the right roles is essential, our mission is far greater. We want our clinicians to be part of the HealthTrust family, where healthcare professionals have a voice and are empowered with the right tools and opportunities to fulfill their personal mission of improving lives. Plus, as a preferred partner to thousands of top-performing hospitals, we provide our healthcare professionals with first-priority access to more than 200,000 jobs nationwide.
Benefits
Dental benefits
Vision benefits
Referral bonus
Continuing Education
Life insurance
$127k-203k yearly est. 4d ago
Regional MDS Consultant - Skilled Nursing
Renew Health Consulting Services
Registered nurse manager job in Monrovia, CA
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
$150k-180k yearly 33d ago
Nurse Manager - Case Management
Aa067
Registered nurse manager job in Irvine, CA
NurseManager - 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 NurseManager 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 NurseManager 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
$87k-128k yearly est. Auto-Apply 1d ago
Nursing - Case Manager
Joe C Wen FCAC
Registered nurse manager job in Irvine, CA
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.
$87k-128k yearly est. 8d ago
Case Management - Nurse, Senior (DSNP)
BSC Group 4.4
Registered nurse manager job in Long Beach, CA
Your Role
The Care Management team coordinates, educates, and advocates care for the Dual-Special Needs (DSNP) population with Blue Shield of California. The Case Management - Nurse, Senior will report to the Manager of Care Management within Medical Care Solutions. In this role you will be responsible for managing a caseload of DSNP members, reviewing Health Risk Assessments and completing Individualized Care Plans, engaging members to reduce readmissions to the hospital, and supporting the DSNP care management team.
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Your Knowledge and Experience
Current CA RN License required
Bachelor's of Science in Nursing or advanced degree preferred
Certified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirements
Requires 5+ years' experience in nursing, health care or related field.
3+ years managed care experience preferred. Health insurance/managed care experience desired.
Transitions of care experience preferred
Excellent communications skills
Your Work
In this role, you will:
Research and design treatment /care plans to promote quality of care, cost effective health care services based on medical necessity complying with contract for each appropriate plan type.
Initiate timely individualized care plans (ICP) based on health risk assessment (HRA) completion, participation in and documentation of interdisciplinary meetings (ICT), assisting in transitions of care across all ages.
Determine appropriateness of referral for CM services, mental health, and social services.
Provide Referrals to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD).
Conduct member care review with medical groups or individual providers for continuity of care, out of area/out of network and investigational/experimental cases.
Manage member treatment to meet recommended length of stay. Ensure DC planning at levels of care appropriate for the members' needs and acuity
Assess members' health behaviors, cultural influences and clients belief/value system. Evaluates all information related to current/proposed treatment plan and in accordance with clinical practice guidelines to identify potential barriers.
Research opportunities for improvement in assessment methodology and actively promote continuous improvement. Anticipates potential barriers while establishing realistic goals to ensure success for the member, providers and BSC.
Determine realistic goals and objectives and provide appropriate alternatives. Actively solicit client's involvement.
Design appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access, and cost-effective outcomes. Adjust plans or create contingency plans as necessary.
Assess and re-evaluates health and progress due to the dynamic nature of the plan of care required on an ongoing basis. Initiates and implements appropriate modifications in plan of care to adapt to changes occurring over time and through various settings.
Develop appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access, and cost-effective outcomes.
Recognize need for contingency plans throughout the healthcare process. Develop and implement the plan of care based on accurate assessment of the members and current of proposed treatment.
$87k-118k yearly est. Auto-Apply 30d ago
Travel Nurse RN - Home Health - $2,644 per week
Healthcare Support
Registered nurse manager job in Newport Beach, CA
Healthcare Support is seeking a travel nurse RN Home Health for a travel nursing job in Newport Beach, California.
Job Description & Requirements
Specialty: Home Health
Discipline: RN
Duration: 8 weeks
40 hours per week
Shift: 8 hours
Employment Type: Travel
Healthcare Support Job ID #485991. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: rn home health
About Healthcare Support
Healthcare Support excels at providing a streamlined and red-carpet experience for our travelers. Whether you are a nurse, a therapist, or an allied health professional, our goal is to connect you with top-rated facilities throughout the country and get you on the road to your next adventure. We leverage 20 years of relationships with the industry's most respectable companies across all 50 states, both through direct client partnerships and via national MSP programs. From health systems and hospitals to specialty clinics and post-acute facilities, you can work where you want to work and go where you want to go.
Not only does HealthCare Support reimburse for relocation and travel costs on your first check, but we also offer license and certification reimbursements required for your assignments so that you can focus on building your career. During your assignment, you'll have access to medical benefits, 24/7 support from our Clinical Advocacy Team, and a travel team with stateside operations. Your travel team will include a designated credentialing expert to help you navigate every step of the on-boarding process, a payroll specialist who you can communicate with directly, and a skilled recruiter who takes the time to understand your needs and works hard to find the right position for you.
Don't get lost in the shuffle of another overblown staffing agency. Choose HealthCare Support to be your trusted partner that you can rely on for all your travel assignments. We can't wait to hear about the amazing adventures you'll have!
Pst! Ask us about our Direct Hire Opportunities!
Benefits
Vision benefits
Guaranteed Hours
License and certification reimbursement
Medical benefits
Dental benefits
Mileage reimbursement
Employee assistance programs
Referral bonus
401k retirement plan
Holiday Pay
Weekly pay
$81k-133k yearly est. 5d ago
Nurse Case Manager I
Elevance Health
Registered nurse manager job in Costa Mesa, CA
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 high-risk obstetrics 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.
* Assists with development of utilization/care management policies and procedures.
Minimum Qualifications:
* 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 and active RN license required in applicable state(CA).
Preferred Skills, Capabilities and Experiences:
* Experience with behavioral health or county mental health department.
* Knowledge of Microsoft Office (Word, PowerPoint, Excel, Outlook, Etc.)
* CCM preferred.
* Managed care experience preferred.
* Bilingual in Spanish a plus.
* Discharge planning experience.
* Utilization Management experience
* Case Management experience.
For candidates working in person or virtually in the below location, the hourly* range for this specific position is $36.28 to $47.32
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.
Job Level:
Non-Management Non-Exempt
Workshift:
1st Shift (United States of America)
Job Family:
MED > Licensed Nurse
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.
$36.3-47.3 hourly 1d ago
Travel Nurse RN - Case Management - $2,959 per week
B2B Staffing Services, Inc. 3.6
Registered nurse manager job in Orange, CA
B2B Staffing Services, Inc. is seeking a travel nurse RN Case Management for a travel nursing job in Orange, California.
Job Description & Requirements
Specialty: Case Management
Discipline: RN
Duration: 13 weeks
40 hours per week
Shift: 8 hours, days
Employment Type: Travel
Outpatient Oncology Care Manager One 2x8hrs every other week and 3x8hrs every other week
Required: 2 years of Case Manager experience and experience with Oncology and PEDS
NO 1st time travelers
Patient Diagnoses:
There is no call requirement.
Also, this job does not administer Chemotherapy, but must have knowledge of Chemotherapy, it's interactions and experience with Roadmaps.
CPHON certified if possible.
Float Required:
Yes; covering for other colleagues
Certifications:
Required - PALS or PEARS
Preferred - CPHON
Avg. Daily Census: 20 - 22
Patient Age Group:
Neonates
Infants
Pediatrics
Adolescents
About B2B Staffing Services, Inc.
B2B Staffing Services is a leading healthcare staffing agency based in the
United States, specializing in providing top-tier talent for contract, per diem,
and travel assignments. We connect healthcare professionals-including
RegisteredNurses, Licensed Vocational Nurses, Licensed Practical Nurses,
Allied Health professionals, Locum Tenens, and Behavioral Health
specialists-with meaningful opportunities at hospitals, clinics, and care
facilities across the country.
With a deep understanding of the healthcare industry's evolving demands, our
mission is to provide staffing solutions that ensure high-quality patient care
while supporting our clinicians with rewarding, flexible careers. Join B2B
Staffing Services and experience the difference of a team that truly values
you.
Benefits
Weekly pay
Life insurance
Mileage reimbursement
Medical benefits
$103k-157k yearly est. 2d ago
Travel Nurse RN - Case Management - $2,666 per week
Alois Healthcare
Registered nurse manager job in Irvine, CA
ALOIS Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Irvine, California.
Job Description & Requirements
Specialty: Case Management
Discipline: RN
Duration: 13 weeks
40 hours per week
Shift: 8 hours, days
Employment Type: Travel
As a nurse case manager, your primary responsibility is to act as a patient advocate. Your duties will include helping patients and their families understand their health status and treatment options while ensuring that the patient receives the assistance necessary to follow through with their personal treatment plan.
This position requires unit specific experience. Please discuss the unit specific experience with a recruiter to validate your qualification of the position.
ALOIS Healthcare Job ID #17670904. 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 ALOIS Healthcare
Why ALOIS Healthcare?
ALOIS means “brave warrior” and that's what you are- Warrior in Scrubs! Just as you advocate for your patients, we will advocate for you. The pay you deserve. The support you need. We're in your corner for every battle - because you shouldn't settle for anything less when it comes to your career.
We offer:
· Industry-leading pay
Generous cost of living and housing stipends
· Opportunities for referral, sign-on, and extension bonuses
· Weekly health insurance or health insurance Marketplace weekly bonus
· Continuing education credits
We're proud to be recognized globally as a certified minority-owned staffing supplier.
At ALOIS Healthcare:
· Everyone Matters
· We are Performance Driven
· We are Open, Honest and Direct
· We are Transparent
· We are Inclusive
· We Do the Right Thing
We care about you - and your success is our success.
$80k-132k yearly est. 4d ago
Travel Nurse RN - Wound Care - $2,892 per week
Theraex Staffing Services
Registered nurse manager job in Irvine, CA
TheraEX Staffing Services is seeking a travel nurse RN Wound Care for a travel nursing job in Irvine, California.
Job Description & Requirements
Specialty: Wound Care
Discipline: RN
Duration: 13 weeks
36 hours per week
Shift: 12 hours, days
Employment Type: Travel
1-year recent (within the last 3 years) full-time equivalent experience / Certifications: BLS, CWOCN or CWCN / Shift: 8am - 8pm, 3X12 Hours
TheraEX Staffing Services Job ID #KAISJP00245394. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
About TheraEX Staffing Services
TheraEx Staffing Services is a leading name in healthcare staffing solutions. We enroll talented professionals to provide temporary staff to fill the needs of healthcare facilities across the nation.
Benefits
Dental benefits
Vision benefits
401k retirement plan
Health Care FSA
Life insurance
Sick pay
Holiday Pay
Medical benefits
Malone Healthcare - Nursing is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Orange, California.
Job Description & Requirements
Specialty: Cardiac Cath Lab
Discipline: RN
Duration: 13 weeks
40 hours per week
Shift: 10 hours, days
Employment Type: Travel
About Malone Healthcare - Nursing
With a commitment to providing a higher standard of service and experience in patient care, Malone Healthcare places expert nurses and allied health professionals in rewarding careers throughout the United States. As a leading healthcare staffing agency, Malone's focus on compliance and integrity translates to a seamless experience for our team members and partner facilities. When you work with Malone Healthcare, you can rely on over 50 years of proven experience placing exceptional professionals in quality healthcare settings.
Benefits
Weekly pay
Holiday Pay
Guaranteed Hours
Continuing Education
401k retirement plan
Pet insurance
Referral bonus
Medical benefits
Dental benefits
Vision benefits
License and certification reimbursement
Life insurance
How much does a registered nurse manager earn in Laguna Niguel, CA?
The average registered nurse manager in Laguna Niguel, CA earns between $80,000 and $160,000 annually. This compares to the national average registered nurse manager range of $54,000 to $101,000.
Average registered nurse manager salary in Laguna Niguel, CA
$113,000
What are the biggest employers of Registered Nurse Managers in Laguna Niguel, CA?
The biggest employers of Registered Nurse Managers in Laguna Niguel, CA are: