RN Case Manager

Serene Health

. Serve as the RN of record for approximately 500 Enhanced Care Management members .

Posted 9/16/2026full-timeRemote • California • United StatesJuniorMid-Level💰 $90,000 - $110,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care coordination, clinical oversight, and compliance with Medi-Cal and HEDIS standards. Proficient in utilizing electronic health record systems and MS Office to enhance patient care and outcomes.

Highest-signal resume keywords

Active California RN LicenseClinical OversightCare CoordinationMedi-Cal ComplianceCertified Case Manager (CCM)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Documentation ReviewCare Plan DevelopmentUtilization AnalysisTelehealth WorkflowsQuality Improvement Strategies

Soft Skills

Interpersonal SkillsCommunication SkillsCompassionate ApproachCulturally Sensitive

Tools & Technologies

MS OfficeElectronic Health Record Systems

Certifications & Qualifications

Certified Case Manager (CCM)Motivational Interviewing Certification

Industry Keywords

Enhanced Care ManagementSocial Determinants of HealthBehavioral HealthCommunity HealthHealth Equity

About the role

Key responsibilities & impact

Serve as the RN of record for approximately 500 Enhanced Care Management members
Provide clinical oversight and documentation review for care plans, assessments, and progress notes
Respond to clinical escalations and ensure compliance with legal and payer guidelines
Provide clinical sign-off on individualized whole-person care plans
Collaborate with primary care, specialists, hospitals, behavioral health, and community agencies
Monitor member progress and outcomes, adjust care plans, and ensure follow-up through remote documentation review and telehealth workflows
Facilitate care transitions, discharge planning, follow-up appointments, and home-based care coordination
Advocate for timely access to treatments, medications, and support services
Review utilization patterns and design interventions to reduce avoidable hospital and emergency department visits
Analyze payer and quality performance reports to identify care gaps and implement improvement strategies
Train team members on quality improvement, safety, and case management best practices
Maintain compliance with Medi-Cal, HEDIS, and quality standards while advancing health equity
Perform additional duties as required

Requirements

What you’ll need

Active California RN license in good standing, required regardless of the RN's physical location
Minimum 2 years of experience as a Registered Nurse
Strong understanding of Medi-Cal, care coordination, and social determinants of health
Excellent analytical, clinical judgment, interpersonal, and communication skills
Proficiency in MS Office (Excel, Word, Outlook) and electronic health record systems
Ability to work 8:30 a.m.–5:00 p.m. PST, regardless of home time zone
Reliable high-speed internet and a private, HIPAA-compliant home workspace
Compassionate, nonjudgmental, and culturally sensitive approach
Successful pre-employment drug screening and background check required
Occasional evening or weekend work within a 40-hour week
Bachelor's or Associate degree in Nursing, RN license preferred
Bilingual, Spanish preferred
Certified Case Manager (CCM) or equivalent certification preferred
Managed Care, Community Health, or Behavioral Health experience preferred
Motivational Interviewing or empathy-based communication certification or experience preferred

Benefits

Comp & perks

Medical, Dental, & Vision Benefits after 60 days of employment
Short & Long-Term Disability Benefits
Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans
Flexible Spending Accounts
Employee Assistance Program (EAP)
401(K), effective after 1 year of employment
Paid Vacation and Sick Leave
Paid Holidays
Employee Referral Program
Company Discount Program