{"id":20725,"date":"2026-06-05T17:25:53","date_gmt":"2026-06-05T17:25:53","guid":{"rendered":"https:\/\/www.monmouth.edu\/career-development\/job\/registered-nurse-case-manager\/"},"modified":"2026-06-25T11:57:21","modified_gmt":"2026-06-25T15:57:21","slug":"registered-nurse-case-manager","status":"publish","type":"ch_job","link":"https:\/\/www.monmouth.edu\/career-development\/job\/registered-nurse-case-manager\/","title":{"rendered":"Registered Nurse Case Manager"},"content":{"rendered":"<p><strong>Job Title:<\/strong> Registered Nurse (RN) Case Manager<br \/><strong>Location:<\/strong> 1165 Montgomery Dr, Santa Rosa 95405<br \/><strong>Shift:<\/strong> Day Shift, 5&#215;8 Hours (08:00 AM \u2013 04:30 PM)<\/p>\n<p><strong>Job Summary<\/strong><\/p>\n<p>We are seeking an experienced Registered Nurse (RN) Case Manager to join our team. The ideal candidate will have at least 2 years of acute hospital case management experience with a strong background in care coordination and discharge planning within a fast-paced hospital environment.<\/p>\n<p><strong>Required Qualifications<\/strong><\/p>\n<ul>\n<li>Active RN License (California)<\/li>\n<li>Current BLS Certification<\/li>\n<li>Minimum 2 years of acute hospital case management experience<\/li>\n<li>Experience with care coordination and discharge planning<\/li>\n<li>Strong clinical assessment and communication skills<\/li>\n<\/ul>\n<p><strong>Key Responsibilities<\/strong><\/p>\n<ul>\n<li>Coordinate patient care across the continuum of care<\/li>\n<li>Perform comprehensive needs assessments and develop individualized care plans<\/li>\n<li>Facilitate discharge planning and transitions of care<\/li>\n<li>Review admissions and determine medical necessity using evidence-based guidelines and InterQual criteria<\/li>\n<li>Manage utilization review and case management activities<\/li>\n<li>Coordinate benefits eligibility and prior authorizations<\/li>\n<li>Arrange Durable Medical Equipment (DME) and post-acute services as needed<\/li>\n<li>Collaborate with physicians, nurses, social workers, and interdisciplinary teams<\/li>\n<li>Support disease management and patient education initiatives<\/li>\n<li>Conduct data abstraction and documentation reviews<\/li>\n<li>Manage worker\u2019s compensation and disability-related cases when applicable<\/li>\n<\/ul>\n<p><strong>Preferred Skills<\/strong><\/p>\n<ul>\n<li>Case Management \/ Utilization Review<\/li>\n<li>Admission Criteria Review<\/li>\n<li>Care Coordination<\/li>\n<li>Discharge Planning<\/li>\n<li>Plan of Care Development<\/li>\n<li>Prior Authorization Processing<\/li>\n<li>InterQual Criteria Utilization<\/li>\n<li>Medical Necessity Determination<\/li>\n<li>Disease Management<\/li>\n<li>DME Coordination<\/li>\n<li>Benefits Eligibility Review<\/li>\n<li>Acute Hospital Experience<\/li>\n<\/ul>\n","protected":false},"featured_media":0,"template":"","meta":{"_ch_employer_id":"20724","_ch_external_id":"11106343","_ch_location_state":"","_ch_location_city":"","_ch_is_ocr_job":"","_ch_expiration_date":"2026-07-06","_ch_apply_link":"https:\/\/monmouth.joinhandshake.com\/jobs\/11106343\/share_preview"},"ch_stakeholder":[],"ch_class_year":[],"ch_job_category":[86],"ch_career_skill":[],"ch_industry":[65],"class_list":["post-20725","ch_job","type-ch_job","status-publish","hentry","ch_job_category-full-time","ch_industry-science-technology-innovation"],"_links":{"self":[{"href":"https:\/\/www.monmouth.edu\/career-development\/wp-json\/wp\/v2\/ch_job\/20725","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.monmouth.edu\/career-development\/wp-json\/wp\/v2\/ch_job"}],"about":[{"href":"https:\/\/www.monmouth.edu\/career-development\/wp-json\/wp\/v2\/types\/ch_job"}],"wp:attachment":[{"href":"https:\/\/www.monmouth.edu\/career-development\/wp-json\/wp\/v2\/media?parent=20725"}],"wp:term":[{"taxonomy":"ch_stakeholder","embeddable":true,"href":"https:\/\/www.monmouth.edu\/career-development\/wp-json\/wp\/v2\/ch_stakeholder?post=20725"},{"taxonomy":"ch_class_year","embeddable":true,"href":"https:\/\/www.monmouth.edu\/career-development\/wp-json\/wp\/v2\/ch_class_year?post=20725"},{"taxonomy":"ch_job_category","embeddable":true,"href":"https:\/\/www.monmouth.edu\/career-development\/wp-json\/wp\/v2\/ch_job_category?post=20725"},{"taxonomy":"ch_career_skill","embeddable":true,"href":"https:\/\/www.monmouth.edu\/career-development\/wp-json\/wp\/v2\/ch_career_skill?post=20725"},{"taxonomy":"ch_industry","embeddable":true,"href":"https:\/\/www.monmouth.edu\/career-development\/wp-json\/wp\/v2\/ch_industry?post=20725"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}