Nurse Case Manager II
Walnut Creek, California
- Eligibility
- RNCase Management
Posted Sep 9
What the listing says
Role
- Accepts
- RN
Ratio not posted. Ask in the interview.
Pay
- Similar roles post
- Similar CA Case Management roles post $51/hr to $66/hr
CA Case Management postings that state pay run $43/hr to $72/hr, the middle half $51/hr to $66/hr, across 59 postings.
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About this role
Provides case management services to a caseload of low- and medium-risk patients. Interviews patients and their caregivers to evaluate needs, goals, and current services. Proposes process improvements for determining initial eligibility, benefits, and education for all admissions, leveraging advanced knowledge to assess medical necessity and required level of care to inform physicians.
Analyzes and ensures authorization data and escalates inaccuracies. Develops a client-focused case management plan in collaboration with healthcare team, patient, and caregivers that is consistent with regulatory, accreditation, and regional guidelines. Assists patients with gaining access to care based on their needs, making referrals as appropriate.
Coordinates resources and services to assure continuity and quality of care. Attends case management rounds with clinician and updates authorizations and diagnoses as needed. Assesses patient progress toward treatment milestones and care plan goals.
Read the full posting
Identifies barriers to achieving goals and ensures that they are discussed with the patient and care team thoroughly. Verifies that all services remain consistent with established guidelines and standards. Documents the patients case in all medical files.
Reviews benefits/services available to patients, caregivers, and other members of the community and addresses identified concerns. Connects patients and caregivers with the right entities to assist with benefits/coverage needs. Identifies patients ready for disposition planning activities.
Develops and communicates a comprehensive disposition plan in collaboration with the patient, caregivers, physician, nurses, social services, and other healthcare providers and agencies. Obtains authorizations as needed for patient services. Recommends and attends professional seminars, workshops, and approved educational programs and workshops.
Monitors and reviews operational team data and key metrics applied to own work. Makes suggestions for change or improvement as needed. Ensures adherence to regulatory requirements by implementing policy updates.
Sourced from Kaiser Permanente’s careers page.
Requirements
- Registered Nurse License (California)
Benefits
- Medical, Vision & Dental
- Retirement Plans
- Educational Opportunities & Tuition Reimbursement
- Supportive Teams & Resources
- Career Growth & Development
Place
- City
- Walnut Creek, California
- Median rent
- $2,680/mo
- Local household income
- $130,432/yr
- State price level
- 11% above the national average
rent and tenant-paid utilities · Census ACS 2024
all local households, not nurse pay · Census ACS 2024
California index 110.7, where 100 is the national average.
Walnut Creek sits in the East Bay at the foot of Mount Diablo, offering a quieter suburban alternative to San Francisco with a walkable downtown filled with restaurants and shops—ideal for nurses who want space, scenery, and an easy reverse commute into the greater Bay Area.
Cost figures from U.S. Bureau of Economic Analysis · 2024 Regional Price Parities · Census ACS 2024.
How this role fits you
About the employer
On your path
Case Management is a specialty you move into. Bedside years first. That experience is what gets you in.
Worth asking
The posting doesn’t answer these. Good ones to ask a recruiter or in the interview.
- Can you walk me through base pay range and differentials?
- What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?