Lead RN Case Manager (Bilingual)

If you are a talented RN Case Manager looking for a place where your expertise is valued and where you can make a significant impact on patient care and the agency's growth trajectory, apply today!We are a rapidly growing, small home health agency in Reseda, CA, looking for an experienced and dedicated Registered Nurse (RN) to step into the crucial role of Office Case Manager. This position is for a professional who will be responsible for expertly coordinating all aspects of patient care and facilitating our Interdisciplinary Team (IDT) meetings. If you have excellent customer service skills and a passion for managing patient flow, we invite you to grow with us!

Primary Responsibilities: Care Coordination & ManagementPatient Care Coordination & IDT Facilitation

• Serve as the central clinical leader and care coordinator for a defined patient caseload, managing the entire care episode from admission through discharge.
• Lead and facilitate the Interdisciplinary Team (IDT) meetings, ensuring comprehensive patient review, updating the Plan of Care (POC), and documenting team consensus on goals and service needs.
• Proactively coordinate the interdisciplinary team (field nurses, therapists, social workers) to ensure synchronized care delivery, timely scheduling, and smooth patient transitions.
• Facilitate effective communication between patients, families, physicians, payers, and field staff to promptly address needs and resolve service gaps.
• Process and manage physician orders and changes to the Plan of Care efficiently and accurately.

Quality Monitoring & Compliance

• Perform as needed concurrent monitoring and compliance checks (Active Case Review) of clinical documentation to ensure the POC is clinically appropriate and executed correctly by the team.
• Review and approve OASIS assessments and 485s, verifying medical necessity and compliance before submission.
• Act as a clinical resource and support for field nurses, providing guidance on complex cases to ensure high-quality care delivery.
• Perform utilization review activities to manage the length of stay and ensure the appropriate level of necessary care is delivered.

On-Call Duty (Mandatory)

• Participate in a rotating on-call schedule (evenings, weekends, holidays) to provide essential clinical consultation and support for staff and patients after hours.

Qualifications: Your Experience is Our Future Required Experience & Skills

• Current, unrestricted Registered Nurse (RN) license in California.
• Bilingual (Spanish and English)
• Minimum of 3 years of recent RN experience in total.
• Minimum of 2 years of experience specifically in Home Health.
• Excellent customer service experience demonstrated through effective, compassionate communication with patients, families, and physicians.
• Strong experience in Home Health care coordination, case management, and IDT facilitation.
• Proven ability to manage a full caseload and meet productivity expectations in an office setting.
• Proficiency in using Electronic Health Records (EHR) systems.
• Must be willing and available to participate in the mandatory rotating on-call schedule.

Preferred Qualifications

• Bachelor of Science in Nursing (BSN).
• Strong working knowledge of Joint Commission and Medicare guidelines/standards related to quality patient care and agency operations.
• Prior experience in a smaller, independent home health agency.
• In-depth knowledge of Medicare/Medi-Cal regulations, OASIS guidelines, and reimbursement rules.
• Local knowledge of community resources in the Reseda/San Fernando Valley area.

Pay: $45.00 - $47.00 per hour

Education:

• Bachelor's (Preferred)

Experience:

• Case management: 3 years (Required)

Work Location: In person