Top 76 Registered nurse case manager Jobs in Santa Clara, Ca

RN Case Manager
Santa Clara Family Health Plan —San Jose, CA
- $113,836 - $176,446 a year
- Full-time
- Clean driving record
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Quick Apply
7d
Case Manager (RN) - Relief B status (0.4 FTE), 08-hr, Day Shift
Stanford Health Care —Palo Alto, CA
- $111.35 - $126.14 an hour
- Part-time
- Nursing
- RN License
- Hospital
Case Manager (RN) - Inpatient - 1.0 FTE, 8-hr, Day Shift
Stanford Health Care —Palo Alto, CA
- $96.35 - $111.14 an hour
- 8 hour shift
- Nursing
- RN License
- Hospital
13d
Temp RN Case Manager
Santa Clara Family Health Plan —San Jose, CA
- $113,836 - $176,446 a year
- Temporary
- Spanish
- Clean driving record
- Microsoft Outlook
Quick Apply
Case Manager (RN) - Timely Discharge - 1.0 FTE, 08-hr, RotatingShift
Stanford Health Care —Palo Alto, CA
- $96.35 - $111.14 an hour
- Full-time
- Nursing
- RN License
- Hospital
7d
RN Case Manager, Home Health
Sutter Health —Saratoga, CA
- $78.30 - $109.62 an hour
- 8 hour shift
- Nursing
- RN License
- Writing skills
PATIENT CARE MANAGER (RN), Inpatient Dialysis
Stanford Health Care —Palo Alto, CA
- $94.35 - $125.03 an hour
- Full-time
- Nursing
- RN License
- Hospital
Home Health CM RN (Case Manager Registered Nurse)
Lorian Health —San Jose, CA
- Part-time
- Nursing
- RN License
- Mid-level
- Mileage reimbursement
- 401(k) 4% Match
Quick Apply
5d
RN Case Manager
Perpetual Care Home Health —San Mateo, CA
- $100 - $150 an hour
- Part-time
- CPR Certification
- Management
- RN License
- Flexible schedule
Quick Apply
10d
Hospice Case Manager RN
Learn beyond Consulting —San Mateo, CA
- $2,400 - $2,600 a week
- Temporary
- RN License
- BLS Certification
- Mid-level
- Mileage reimbursement
- Referral program
Quick Apply
14h
RN Case Manager - Full Time
VITAS Healthcare —San Jose, CA
- $57 - $63 an hour
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Home Health CM RN Case Manager Registered Nurse
Lorian Health —San Jose, CA
- Full-time
- Nursing
- RN License
- Mid-level
- Fuel card
- AD&D insurance
Quick Apply
RN Case Manager - Utilization Review 51
St. Rose Hospital —Hayward, CA
- $40.91 - $50.31 an hour
- Full-time
- Microsoft Word
- Spanish
- Nursing
Hospice RN Case Manager
HealthFlex Home Health Services —Santa Clara, CA
- Part-time
- CPR Certification
- RN License
- BLS Certification
- Commuter assistance
- Health savings account
Quick Apply
Hospice RN Case Manager
ANX Home Healthcare & Hospice Care —San Jose, CA
- $118,000 - $135,000 a year
- Full-time
- CPR Certification
- RN License
- BLS Certification
- Commuter assistance
- Paid holidays
Nurse Case Manager - East Bay, CA
Paradigm Corp —Pleasanton, CA
- $106,500 - $125,600 a year
- Full-time
- Hybrid work
- Nursing
- RN License
- Experience working with individuals with disabilities
- Mileage reimbursement
- Health savings account
Travel RN - Case Management/Utilization Review - Case Management
American Traveler —Sunnyvale, CA
- $2,171.80 a week
- Contract
- RN License
- BLS Certification
- Mid-level
Quick Apply
3d
Case/Care Manager
Innovative Healthcare Consultants —Los Altos, CA
- Full-time
- Master of Social Work
- Nursing
- RN License
- Health insurance
- Dental insurance
RN, Case Manager
ISYS SOLUTIONS INC —San Jose, CA
- $120,000 - $180,000 a year
- Full-time
- RN License
- Hospital
- Research
- Disability insurance
- Health insurance
Quick Apply
5d
Case Manager RN
HumanGood —Los Altos, CA
- $118,000 - $144,000 a year
- Weekends as needed
- CPR Certification
- Nursing
- RN License
- Health savings account
- Health insurance
Quick Apply

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registered nurse case manager jobs near santa clara, ca

RN Case Manager

Santa Clara Family Health Plan -
San Jose, CA

Quick Apply

Job Details

Full-time
$113,836 - $176,446 a year
7 days ago

Benefits

Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
Life insurance
Retirement plan

Qualifications

Microsoft Outlook
RN License
Managing patients as a nurse case manager
Driver's License
Utilization management
Driving
Desktop applications
Healthcare software applications

Full Job Description

About Us:

Santa Clara Family Health Plan (SCFHP) is a local, community-based health plan dedicated to improving the health and well-being of the residents of Santa Clara County. Working in partnership with providers and community organizations, we serve our neighbors through our Medi-Cal and SCFHP DualConnect (HMO D-SNP) health care plans.

About the role:

The RN Case Manager is responsible for providing on-going case management services for Santa Clara Family Health Plan (SCFHP) members. As a SCFHP member advocate, the RN Case Manager facilitates communication and coordination among all participants of the care team to ensure member identified goals and needed services are provided to promote quality cost-effective outcomes. Through the development and implementation of member individualized care plans, the RN Case Manager provides medical and psychosocial case management support to help coordinate resources and services for individuals across the healthcare and social services continuum, and facilitate the use of available healthcare benefits in compliance with all applicable state and federal regulatory requirements, SCFHP policies and procedures, and business requirements.

Day to Day:

Conduct, review and document comprehensive clinical and/or psychosocial assessments and on-going follow-up interventions to measure progress towards meeting goals as they relate to a member’s physical, psychosocial, environmental, safety, developmental, cultural and linguistic needs.
Maintain case files by assuring that they are documented in accordance with SCFHP policies and procedures, and state and federal requirements and organized in a manner that adheres to standards for audit requirements.
Facilitate involvement of the member and/or family/responsible party for the development and implementation of a member-specific care plan which includes individualized prioritized goals.
Coordinate member’s care with PCP, Specialists, Behavioral Health and Long Term Services and Supports providers to assist member to achieve or maintain a level of functional independence which allows them to remain at home or in the community.
Facilitate and coordinate communication with member’s interdisciplinary care team including SCFHP internal staff, as well as the member’s physicians, specialists, public services, community agencies and vendors to ensure care plan development and coordination of benefits and services.
Facilitate successful transition of care for members who move between care settings by coordinating services for medical appointments, pharmacy assistance and by facilitating utilization review.
If assigned to MLTSS, support the transition of long-term care members residing in nursing facilities to a lower level of care, or community setting in partnership with MLTSS providers and programs.
If assigned to Community Based Adult Services (CBAS):
Conduct face-to-face, on-site eligibility determinations for CBAS services with members using the standardized California Department of Health Services approved tool – CBAS Eligibility Determination Tool (CEDT) & Patient Health Record Quick Guide;
Review and approve Individual Plan of Care for CBAS members; and
Provide care coordination to targeted CBAS members including assessment, care plan implementation and care transitions.
Conduct telephonic and/or visits/assessments, as needed in the home, facility or community setting.

About you:

Active California RN License without restriction.
Minimum three years of experience in case management, discharge planning, or education or certifications, or equivalent experience.
Knowledge of managed care principles and practices with emphasis in Utilization Management and/or Case Management.
Clinical knowledge and critical thinking skills with the ability to assess individualized whole-person care needs necessary to develop an effective care plan.
Ability to conduct home, facility and other community-based visits.
Maintenance of a valid California driver’s license and acceptable driving record, in order to drive to and from offsite meetings or events; or ability to use other means of transportation to attend offsite meetings or events.
Working knowledge of and the ability to efficiently operate all applicable computer software including computer applications such as Outlook, Word, Excel, and specific case management programs.

Please review the full job description on our Career’s page:

https://phf.tbe.taleo.net/phf04/ats/careers/v2/viewRequisition?org=SANTCLAR2&cws=38&rid=3117

Job Type: Full-time

Pay: $113,836.00 - $176,446.00 per year

Benefits:

Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Life insurance
Paid time off
Retirement plan
Tuition reimbursement
Vision insurance

Application Question(s):

Do you have knowledge of managed care principles and practices with emphasis in Utilization Management and/or Case Management?
Do you have clinical knowledge and critical thinking skills with the ability to assess individualized whole-person care needs necessary to develop an effective care plan?

Experience:

case management, discharge planning: 3 years (Required)

License/Certification:

Active California RN License without restriction (Required)

Work Location: In person

Quick Apply

Refine Your Search

registered nurse case manager jobs in santa clara, ca

RN Case Manager

Case Manager (RN) - Relief B status (0.4 FTE), 08-hr, Day Shift

Case Manager (RN) - Inpatient - 1.0 FTE, 8-hr, Day Shift

Temp RN Case Manager

Case Manager (RN) - Timely Discharge - 1.0 FTE, 08-hr, RotatingShift

RN Case Manager, Home Health

PATIENT CARE MANAGER (RN), Inpatient Dialysis

Home Health CM RN (Case Manager Registered Nurse)

RN Case Manager

Hospice Case Manager RN

RN Case Manager - Full Time

Home Health CM RN Case Manager Registered Nurse

RN Case Manager - Utilization Review 51

Hospice RN Case Manager

Hospice RN Case Manager

Nurse Case Manager - East Bay, CA

Travel RN - Case Management/Utilization Review - Case Management

Case/Care Manager

RN, Case Manager

Case Manager RN

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