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  3. RN Case Manager, CCH
CH

RN Case Manager, CCH

Community Health System·Fresno, California

$53 - $68/hr·Other·Hybrid·2-5 yrs·Posted 1 day ago
Practice for this role

About the role

The RN Case Manager advocates for patients by managing their medical status and performing utilization reviews to ensure care meets intensity and severity standards. They also coordinate patient-specific care plans, educate patients on medications, and promote healthy lifestyle choices.

Overview Opportunities for you!

Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Free Continuing Education and certification Tuition reimbursement, education programs and scholarships Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Great food options with on-demand ordering Free parking and electric charging Commitment to diversity and inclusion is a cornerstone of our culture at Community.

All are welcome as valued members of our community.

We know that our ability to provide the highest level of care is through taking care of our incredible teams.

Learn more on our Benefits page.

Responsibilities

The RN Case Manager is responsible for actively managing and advocating for patients. The Case Manager will be responsible for having comprehensive knowledge of the patient's medical status and performing utilization reviews to ensure care is rendered in accordance with intensity of service and severity of illness standards at all times. The Case Manager will consider physical, psychosocial, and financial assessment information in planning for, coordinating, and implementing a patient specific plan of care. Case management will include: educating patients about medication; encouraging adherence; promoting risk reduction and healthy lifestyle choices; and following up with patients to ensure medication is taken, appointments are made, and labs are completed. The Case Manager will work with providers and other multidisciplinary team members, utilizing a proactive approach, to ensure that medical care is provided based on current standards of care. Role Type: Hybrid remote. Nurses are required to be on-site at our Fresno location for a minimum of 2-3 days per week. Based on Operational and business needs, employee may be required to work on-site full time.

Schedule

  • Standard operating hours are 8:00
  • AM to 5:00 PM, Monday through Friday, with a one-hour rotating lunch break. Overtime (OT) is possible but must be pre-approved.

Focus

The role is general but with a strong focus on Utilization Management and Case Management across the board.

Key

Soft

Skills: The ideal candidate must be a strong team player and capable of working independently. They must be able to triage and make decisions based on policy, with great communication skills for interacting with doctors

Qualifications

  • Education High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required Bachelor's Degree in Nursing preferred Experience 2 years of experience as a Registered Nurse with experience in discharge planning, case management, or utilization management required or 5 years of LVN experience in discharge planning, case management, or utilization management required Strong, specific experience in Case Management and Utilization Management/Review is highly preferred Licenses and Certifications RN - Current and valid Registered Nurse license to work within the state of California required BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required ACM - Accreditation in Case Management preferred CCM - Certified Case Management preferred Disclaimers
  • Pay ranges listed are an estimate and subject to change.
  • If any bonuses are noted, they are only applicable to external hires meeting criteria.

Requirements

Candidates must hold a valid California Registered Nurse license and have at least 2 years of experience in discharge planning, case management, or utilization management. A High School Diploma or equivalent is required, while a Bachelor's Degree in Nursing is preferred.

  • high school
  • bachelor degree
  • Teamwork
  • Communication
  • Triage
  • Care coordination
  • Discharge planning
  • Patient advocacy
  • Medication education
  • Case management
  • Utilization management
  • Utilization review
  • Risk reduction
  • Medical status assessment

Benefits

  • Tuition reimbursement
  • Vacation time
  • Free parking
  • Continuing education
  • Scholarships
  • 403(b) retirement plan
  • Certification reimbursement
  • Matching contributions
  • Electric charging

Posting details

Employment type
Other
Work arrangement
Hybrid
Experience
2-5 yrs
Salary
$53 - $68/hr
Location
Fresno, California
Posted
Jul 28, 2026
Closes
Jul 28, 2027
Application
Employer website
CH

Hiring organization

Community Health System

Community Health Systems is one of the nation's leading healthcare providers. With healthcare delivery systems in 32 distinct markets across 12 states, CHS operates 60 affiliated hospitals with more than 8,000 beds and more than 800 other sites of care, including physician...

Salary listed on 94 jobs
IndustryHospitals and Health Care
TypePublic Company
Size10,001+ employees
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Market context

California nursing roles remain highly competitive

California nursing roles often draw steady demand, especially for experienced RNs in procedural and critical care settings. Competition is strongest for candidates who already hold a California RN license, current BLS and ACLS, and recent ICU, ER, or PACU experience. Review the AI-summarized requirements and benefits on this platform to save research time, then confirm your certifications and highlight relevant bedside and procedural experience in your application.

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