RN Integrated Case Manager

Job Description

Job Description

Summary :

The Integrated Case Manager RN is responsible for providing coordinated, patient-centered care across the healthcare continuum by integrating medical, behavioral health, and social support services. Working collaboratively with interdisciplinary teams, the RN Case Manager ensures patients receive comprehensive care tailored to their individual needs, with a focus on improving health outcomes, reducing hospitalizations, and supporting care transitions.

Location : Hospital Setting , Integrated Case Manager

Schedule : Days 8a-4 : 30p, rotating weekends.

Key Responsibilities :

Conduct comprehensive assessments of patients’ medical, behavioral, and psychosocial needs.

Develop, implement, and monitor individualized care plans in collaboration with the patient, providers, and care team.

Coordinate services across healthcare settings, including inpatient, outpatient, community, and home care environments.

Facilitate transitions of care, ensuring safe discharge planning and appropriate follow-up.

Engage with patients to promote self-management, medication adherence, and health education.

Identify and address barriers to care, including social determinants of health (e.g., housing, transportation, food insecurity).

Collaborate with behavioral health specialists, social workers, primary care, specialists, and external resources.

Monitor patient progress toward care goals and modify plans as needed.

Maintain accurate, timely documentation and comply with regulatory and organizational standards.

Utilize data and reporting tools to identify high-risk patients and drive population health initiatives.

Other duties as assigned.

Qualifications :

Active Registered Nurse (RN) license.

Bachelor’s degree in Nursing (BSN) preferred.

Case Management Certification (e.g., CCM or ACM) preferred or willingness to obtain.

Minimum 2 years of clinical nursing experience; case management or care coordination experience preferred.

Experience with complex, high-risk, or chronic care populations, including behavioral health integration.

Knowledge of care coordination principles, utilization review, and community resources.

Strong interpersonal, critical thinking, and organizational skills.

Proficiency with electronic health records (EHR) and care management platforms.

Type : full-time contract employment 13-14 weeks with possibility to extend.

If you're interested, please reply to this advertisement or directly email your resume to me at DSalgado@teemagroup.com or by calling / texting (949) 295-5951.

I strive to reply within 48 hours. Looking forward to connecting with you soon. Thank you!