Seeking a California RN Case Manager for a fully remote, full-time position focused on care transitions, where the successful candidate will manage discharge planning, coordinate with healthcare providers, and educate patients and families to enhance health outcomes. Key responsibilities: Create individualized discharge plans with patients, families, and the care team Coordinate care with providers, rehab facilities, and home health agencies Monitor patient progress and advocate for their needs by connecting them to community support services Required qualifications: Active, unrestricted RN license in California 5 years of clinical case management experience or equivalent education and experience Knowledge of Medicare Managed Care Plans and community resources Willingness to obtain additional state licenses as needed Strong organizational skills and ability to work collaboratively in an interdisciplinary team