Job Description & Requirements

RN Case Manager - Hybrid

StartDate: 6/16/2025 Pay Rate: $2000.00 - $2700.00

Position Summary

The RN Case Manager is responsible for conducting comprehensive Initial Assessments, Annual Assessments, Re-Assessments, and Monthly Summary Visits (MSVs) for participants in the Medicaid Home and Community-Based Services (HCBS) Waiver Program. This role ensures regulatory compliance, develops Individualized Service Plans (ISPs), and monitors participant care and service delivery.

POSITION DUTIES

• Client Assessment and Care Planning
• Conduct Initial, Annual, and Re-Assessments to determine the level of care and eligibility for waiver services.
• Develop and update Individualized Service Plans (ISPs) to align with participant needs and HCBS waiver requirements.
• Ensure that participants receive the required two waiver services per month, as mandated by CMS and DHCS.
• Monitoring and Documentation
• Perform Monthly Summary Visits (MSV) virtually or in-person, ensuring “eyes on the client.”
• Submit all assessment and visit documentation within 24–48 hours using agency software.
• Capture and upload facility conditions and relevant client-related images.
• Compliance & Quality Assurance
• Maintain compliance with Medicaid HCBS Waiver Program standards.
• Submit accurate and timely Unusual Incident Reports (UIRs) per DHCS guidelines.
• Participate in audits and corrective action plans as required.
• Participant and Provider Engagement
• Establish and maintain professional relationships with clients, caregivers, facilities, and medical providers.
• Identify and address service access issues, ensuring participants receive necessary care.
• Coordinate with facility caregiving supervisors or administrators to ensure compliance and service delivery.
• Maintain confidentiality and compliance with HIPAA regulations.
• Follow all agency policies on conduct, safety, and participant care.
• Be available for in-person visits if requested by the participant, even if a virtual visit was initially scheduled.
  
  

Minimum Required Qualifications

Active California Registered Nurse (RN) license in good standing.

Minimum two years of experience in case management or community-based care.

Preferred Qualifications

Experience with HCBS waiver programs preferred.

LENGTH OF ASSIGNMENT

9 Months

SHIFT / HOURS PER WEEK

Full-time (40 Hours per week)

Flexible on shifts

SYSTEMS

Apricot (Case Management Software)

START DATE

6/30/2025

Facility Location

Tucked into inland California, Riverside is a large city with a rich history, significant cultural presence and home to an important educational and medical community. Named one of “America’s most livable communities,” Riverside is close to both the mountains and the beaches, and affords its residents an excellent quality of life.

Job Benefits

Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there. There are many additional benefits to enjoy, including:

• Medical, dental and vision benefits
• Earned time off and paid holidays
• Paid continuing education time
• 401(K) retirement planning
• Short-term disability, life insurance, paid jury duty
• Access to the largest network of facilities and providers in the country
• Industry experienced workforce management team
• Licensure and certification reimbursement
  
  

About The Company

At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.