Registered Nurse

Join Our Team as a Registered Nurse – Case Manager in Mission Viejo, CA

We are seeking a dedicated and experienced Registered Nurse to join our dynamic Case Management team. This is an exciting opportunity for a healthcare professional with a passion for care coordination and acute medical case management to make a meaningful impact on patient outcomes. If you have experience in acute hospital settings and a strong background in case management, we invite you to bring your skills to a role that values your expertise and offers the support of a dedicated recruiter through Quick2Hire staffing agency.

Shift & Schedule

• Day Shift: Monday through Friday
• Hours: 8:00 AM – 4:30 PM (5 days a week, 8 hours each)

Requirements

• Minimum 2 years of acute medical care management experience performing care coordination
• Experience working with Epic charting system is required
• Travel experience is mandatory for this position (HARD STOP)
• Preferred experience in Trauma Level I and II care settings
• Acute Hospital experience in Emergency Department, ICU, and Surgical Services is required
• Proficiency in case management and utilization review skills including:
  • Appeals and Denials
  • Care coordination
  • Disability case management
  • Discharge planning
  • Disease management
  • Needs assessment and ordering Durable Medical Equipment (DME)
  • Plan of Care development and implementation
  • Worker’s compensation case management
• Strong understanding and adherence to regulatory requirements including:
  • CMS (Centers for Medicare & Medicaid Services)
  • Department of Health standards
  • Diagnosis Related Groups (DRG)
  • HIPAA guidelines
  • OSHA regulations
  • The Joint Commission standards including Core Measures and National Patient Safety Goals
  • Workers Compensation regulations
• Additional skills: familiarity with extra checklist requirements and strong Epic system expertise

Key Responsibilities

• Coordinate and manage acute medical case load leveraging your expertise to ensure optimal patient outcomes
• Perform comprehensive needs assessments and develop individualized plans of care
• Facilitate discharge planning, including ordering DME and coordinating follow-up services
• Manage and review appeals and denials related to case management
• Collaborate effectively with multidisciplinary teams across Emergency, ICU, and Surgical Services units
• Maintain full compliance with regulatory standards and documentation requirements using Epic
• Use your travel experience to provide case management services across multiple hospital settings as required
• Support quality improvement initiatives to meet Joint Commission and CMS standards

Qualifications

• Current and valid Registered Nurse (RN) license
• Minimum of 2 years’ experience in acute medical care management with proven skills in care coordination
• Demonstrated experience and proficiency in Epic electronic health record system
• Strong knowledge of case management principles across acute hospital environments including emergency, ICU, and surgical units
• Excellent communication, organizational, and problem-solving skills
• Ability to work independently and collaboratively within a fast-paced clinical setting
• Commitment to maintaining compliance with all regulatory and safety requirements
• Willingness to travel as required to meet role demands

Compensation & Benefits

Hourly Rate: $59.00 - $70.00

This opportunity is offered through Quick2Hire staffing agency, providing you with a dedicated recruiter to support your career growth and the benefit of weekly pay.

This healthcare facility is a cornerstone of medical excellence in the region, offering a comprehensive range of services designed to meet the diverse needs of the community. With a focus on patient-centered care, the facility provides primary care, urgent care, and specialized services such as cardiopulmonary testing, diagnostic imaging, and a state-of-the-art birthing center. The facility's commitment to compassionate care is evident in its extensive behavioral health and chemical dependency programs, ensuring holistic support for patients. Additionally, the presence of the Otto Klein Cancer Center and a robust orthopedics department highlights its dedication to specialized and advanced medical treatments.

Located in the picturesque town of Polson, MT, the facility serves a vibrant community nestled along the shores of Flathead Lake. This location offers healthcare professionals the unique opportunity to work in a serene environment that balances professional growth with quality of life. The facility is part of a not-for-profit Catholic health care ministry, emphasizing its mission to provide accessible, high-quality care while fostering a supportive and inclusive work culture. With a commitment to innovation and community well-being, this healthcare facility is an ideal place for professionals seeking to make a meaningful impact while enjoying the natural beauty and recreational opportunities of Montana.