Top 61 Registered nurse case manager Jobs in Orangevale, Ca

Case Manager - Ambulatory - 26-43
PriMed Management Consulting Services, Inc. —Sacramento, CA
- $100,000 - $123,000 a year
- Full-time
- Nursing
- Microsoft Outlook
- RN License
Quick Apply
Care Coordinator RN
Methodist Hospital Sacramento —Sacramento, CA
- $98.49 an hour
- PRN
- Acute care
- Nursing
- RN License
Care Manager, Registered Nurse
Sutter Health —Roseville, CA
- $82.48 - $115.46 an hour
- 8 hour shift
- Acute care
- Nursing
- RN License
RN Case Manager, Home Health
Sutter Health —Roseville, CA
- $71.18 - $99.65 an hour
- 8 hour shift
- Nursing
- RN License
- Writing skills
Ambulatory Case Manager RN (CASE MGR NEX)
UC Davis Health —Sacramento, CA
- $75.58 - $110.71 an hour
- Multiple hires
- Background check
- Nursing
- RN License
- Continuing education credits
- Paid holidays
Clinical Case Manager (CASE MGR NEX)
UC Davis Health —Sacramento, CA
- $75.58 - $110.71 an hour
- Overtime
- Background check
- Nursing
- RN License
- Continuing education credits
- Paid holidays
13d
Care Manager, Registered Nurse, Emergency Department
Sutter Health —Roseville, CA
- $82.48 - $115.46 an hour
- Weekends as needed
- Nursing
- RN License
- Customer service
4d
Nurse Case Manager Trainee
Choices Case Management —Sacramento, CA
- $82,700 - $87,800 a year
- No weekends
- Spanish
- RN License
- Clinic
Quick Apply
Nurse Case Manager - Sacramento, CA
Paradigm Corp —Rocklin, CA
- $92,800 - $120,300 a year
- Full-time
- Hybrid work
- RN License
- Experience working with individuals with disabilities
- Hospital
- Mileage reimbursement
- Health savings account
RN Case Manager Full Time
Vibra Healthcare —Folsom, CA
- $60.00 - $84.60 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Continuing education credits
- Health savings account
RN Worker's Compensation Field Case Manager
Gateway Health Management —Sacramento, CA
- $95,000 - $105,000 a year
- Full-time
- RN License
- Mid-level
- Driver's License
- Profit sharing
- Wellness program
Quick Apply
RN Case Manager Home Health
Rx HealthCare Services —Placerville, CA
- Part-time
- Blood sampling
- RN License
- BLS Certification
- Mileage reimbursement
- Health savings account
Quick Apply
Nurse Case Manager (HIV/AIDS) - Not Remote
Rx HealthCare Services —Sacramento, CA
- $31 - $33 an hour
- Full-time
- RN License
- Mid-level
- Office
- Free parking
- Continuing education credits
Quick Apply
6d
RN Case Manager, Home Health, Amador County
Sutter Health —Sacramento, CA
- $71.18 - $99.65 an hour
- 8 hour shift
- Nursing
- RN License
- Writing skills
Case Manager (LPN/LVN License Required)
Citrus Heights Post Acute —Citrus Heights, CA
- $40 - $47 an hour
- Weekends as needed
- Nursing
- LVN
- RN License
Quick Apply
11d
Registered Nurse Case Manager, Level 2
21st Century Home Health Services Inc. —Citrus Heights, CA
- $140,000 - $160,000 a year
- Choose your own hours
- CPR Certification
- Blood sampling
- RN License
- Health insurance
- Dental insurance
Quick Apply
RN, Home Care Manager, Senior Care, PACE
Sutter Health —Sacramento, CA
- $146,910.40 - $235,060.80 a year
- Weekends as needed
- Nursing
- RN License
- BLS Certification
Registered Nurse Case Manager
Snowline Health —Rancho Cordova, CA
- $48 - $61 an hour
- Weekends as needed
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Program Manager, Healthcare Services (Enhanced Care Mgmt - PST hours)
Molina Healthcare —Sacramento, CA
- $84,067 - $163,931 a year
- Full-time
- LMFT
- Nursing
- LVN
- Health insurance
Case Manager - Ambulatory - 26-94
PriMed Management Consulting Services, Inc. —Sacramento, CA
- $100,000 - $123,000 a year
- Full-time
- Nursing
- Microsoft Outlook
- RN License
Quick Apply
11d

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Case Manager - Ambulatory - 26-43

PriMed Management Consulting Services, Inc. -
Sacramento, CA

Quick Apply

Job Details

Full-time
$100,000 - $123,000 a year

Qualifications

Collaborate with healthcare professionals
Computer operation
Microsoft Outlook
Medicare
RN License
Managed care organization experience
Computer literacy
ICD-10
Documentation tools
Video conferencing software
Telehealth platforms
Collaborative technology platforms
Microsoft Teams
Video conferences (communication methods)
Clinical documentation standards
Associate's degree
Associate Degree in Nursing
Video conferencing systems operation

Full Job Description

We’re delighted you’re considering joining us!

At Hill Physicians Medical Group, we’re shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.

Join Our Team!

Hill Physicians has much to offer prospective employees. We’re regularly recognized as one of the “Best Places to Work in the Bay Area” and have been recognized as one of the “Healthiest Places to Work in the Bay Area.” When you join our team, you’re making a great choice for your professional career and your personal satisfaction.

DE&I Statement:

At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.

We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!

Job Description:

The RN Case Manager provides telephonic and digital case management services to health plan members, focusing on supporting patients after emergency department visits or hospitalizations to ensure smooth transitions and prevent readmissions. Case management is a collaborative, patient-centered process that assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet health and human service needs. The role emphasizes advocacy, communication, care coordination, and resource management to promote high-quality, cost-effective outcomes. This position operates in a fully virtual environment, requiring proficiency with telephonic platforms, electronic documentation, and multi-system navigation.

ESSENTIAL RESPONSIBILITIES:

Core Case Management Activities

Identify members appropriate for case management based on clinical indicators, referrals, utilization patterns, and health-related concerns.
Conduct comprehensive assessments of members’ physical, psychosocial, behavioral, and environmental needs and barriers.
Develop individualized care plans aligned with member goals, provider recommendations, and established standards of practice.
Implement and coordinate interventions to address barriers, enhance access, and support successful goal achievement in collaboration with physicians, caregivers, and other providers.
Document assessments, interventions, care plans, progress notes, and member interactions within the case management system according to policy and regulatory criteria.

Ambulatory Case Management Responsibilities

Provide structured case management services for ambulatory and outpatient populations, including those with chronic or complex conditions.
Conduct proactive outreach to members identified through data analytics, referrals, or quality measures to support early engagement and intervention.
Coordinate care across primary care, specialty care, behavioral health, pharmacy, and community resources to ensure cohesive outpatient support.
Facilitate timely follow-up after emergency department visits, urgent care visits, or hospital discharges to ensure continuity of care.
Reinforce treatment plans, promote medication adherence, and support self-management for chronic disease populations (e.g., diabetes, COPD, CHF).
Monitor member progress and adjust care plans based on evolving needs and medical provider feedback.
Identify and address social determinants of health, connecting members with community-based support and resources.
Track ambulatory utilization and collaborating with internal teams to reduce avoidable ER use and close care gaps.

Additional Responsibilities

Maintain client privacy, safety, confidentiality, and advocacy while adhering to ethical, legal, regulatory, and accreditation standards.
Ensure compliance with department procedures, turnaround times, and documentation standards.
Support interdisciplinary care processes to promote optimal resource utilization and quality outcomes.
Maintain and update community resource databases and internal referral pathways.
Utilize reporting tools and internal systems to identify trends, monitor resource utilization, and support quality improvement initiatives.
Refer members to appropriate departments such as Health Education, Quality Management, Contracting, Provider Services, and others as needed.
Issue member communications in accordance with department policies.
Support the Medical Management Team, including Authorization Review, Clinical Initiatives, and Provider Education functions.
Participate in internal and external meetings, training, and educational programs to maintain and enhance case management competencies.
Perform other duties as assigned.

Required Experience

Minimum 5 years of experience required, including:
- At least 3 years of clinical nursing experience in areas such as medical-surgical, critical care, home health, or skilled nursing.
- At least 2 years of experience in case management, utilization management, discharge planning, or quality improvement in a managed care setting.
Experience with managed care delivery, including IPA networks and Medicare.
Strong organizational skills with ability to meet both expected and unexpected time frames.
Excellent verbal and written communication skills.
Proficiency in Microsoft Outlook, Teams, and electronic charting systems.
Ability to navigate multiple platforms and document while engaging with members.
Ability to coordinate effectively with members, providers, office staff, health plans, internal departments, community resources, and peers.
Ability to work independently with self-initiative and discipline.
Knowledge of ICD-10 and CPT coding.
Working knowledge of personal computers.

Hybrid/Remote Work Requirements

Dedicated office space that is free from distractions, with a door that closes and appropriate office furniture.
Staff cannot be the primary caregiver to any person during business hours.
High-speed internet connection.
Ability to be on camera during department meetings or calls with peers or leaders.

Required Education

Associate degree in Nursing (A.S.) required.
Unrestricted California Registered Nurse licensure: certification in case management preferred

Additional Information

Salary: $100,000 - $123,000 Annual

Hill Physicians is an Equal Opportunity Employer

Quick Apply

Refine Your Search

registered nurse case manager jobs in orangevale, ca

Case Manager - Ambulatory - 26-43

Care Coordinator RN

Care Manager, Registered Nurse

RN Case Manager, Home Health

Ambulatory Case Manager RN (CASE MGR NEX)

Clinical Case Manager (CASE MGR NEX)

Care Manager, Registered Nurse, Emergency Department

Nurse Case Manager Trainee

Nurse Case Manager - Sacramento, CA

RN Case Manager Full Time

RN Worker's Compensation Field Case Manager

RN Case Manager Home Health

Nurse Case Manager (HIV/AIDS) - Not Remote

RN Case Manager, Home Health, Amador County

Case Manager (LPN/LVN License Required)

Registered Nurse Case Manager, Level 2

RN, Home Care Manager, Senior Care, PACE

Registered Nurse Case Manager

Program Manager, Healthcare Services (Enhanced Care Mgmt - PST hours)

Case Manager - Ambulatory - 26-94

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