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RN Case Manager (non patient facing)

Rancho Cordova, CA 95670

Employment Type: Contract To Hire Position: Healthcare Branch: Rancho Cordova

RN Case Manager


Job Description:

Working with complex cases promotes the delivery of quality; cost-effective health care services based on medical necessity and contractual benefits. Works with other members of HCS team, provider, hospitals, IPA/MGs, members and their families to plan and review medical necessity, intensity of services, level of care, length of stay and general appropriateness of care. Provides guidance to the provider network. Performs effective discharge planning and collaborates with member support system and health care professionals involved in the continuum of care. May provide case management to member segments with chronic or catastrophic illness. Specific licensing requirements may apply depending upon position i.e. LVN or RN. Establishes operational objectives for department or functional area and participates with other managers to establish group objectives.
Responsible for team(s), department(s) or functional area(s) results in terms of planning, cost and methods

Develops and implements annual budget.
Ensures work flow procedures and guidelines are clearly documented and communicated.
Interprets or may initiate changes in guidelines/policies/procedures.
May lead special projects/committees/task forces.

  • Generally requires Bachelor’s degree or equivalent work experience and extensive experience in Nursing, Health Care Administration or related field.
  • Directs and controls the activities of a large department or several more complex smaller departments or functional areas through subordinate supervisors or managers. Has full management responsibility for staff (i.e. salary actions, promotions, performance reviews, and disciplinary matters) in accordance with the organization’s policies and applicable laws.
  • Monitors on-going performance and communicates expectations and results.
  • Provides developmental and training opportunities for team members.
  • Identifies staffing needs and objectives.



  • Great telephone skills
  • Stable work history
  • UM/CM experience
  • Acute care experience
  • CM certification
  • CA RN license

Alana Klingman
Strategic Accounts Recruiting Manager

Alana is a native Huntington Beach resident making the move to Sacramento just a few years ago. She comes with over 15 years of experience in full cycle healthcare recruiting and thoroughly enjoys every aspect of her job. Receiving a new client order and placing a qualified applicant is truly an excitement each and every time. Her goal at the end of every day is to leave a positive impression with everyone she works with including letting the candidates know that she is on their side. She strives to fill every client need that comes across her desk with a candidate that can call that place of business HOME. When she is not hard at work Recruiting, Alana spends her free time attending local family events, trying new eateries and perfecting DIY home projects she found on Pinterest.

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