Job Description

Registered Nurse – Case Manager (Home Health)

Location: Novato, California

Schedule: Day Shift, 5x8-Hour (08:00 – 17:00)

Start Date: December 29, 2025

Duration: 13 weeks

Overview:

We are seeking an experienced Registered Nurse Case Manager with recent home health experience (not hospice) to join our team. This role is responsible for the overall management of patients, including direct care, interdisciplinary coordination, and ensuring compliance with standards and regulations. The ideal candidate will have strong case management skills in home health, proficiency in OASIS documentation , and the ability to deliver high-quality, patient-centered care.

Key Responsibilities:

Assessment and Planning

• Conduct comprehensive patient and family assessments (physiological, emotional, spiritual).
• Collaborate with physicians and healthcare team members to develop and adjust individualized plans of care.
• Communicate care plans clearly to patients, families, and interdisciplinary staff.

Provision of Care

• Deliver competent, compassionate, and cost-effective nursing care in compliance with policies and evidence-based practices.
• Maintain a safe and therapeutic environment for patients and families.
• Delegate tasks effectively based on scope of practice and team capabilities.
• Provide patient and family education using clear communication and teach-back methods.

Evaluation and Documentation

• Monitor interventions, assess therapies, and evaluate outcomes.
• Reassess and update care plans as needed.
• Document all patient care accurately in the electronic health record (EHR).
• Report safety events and participate in analysis to prevent future occurrences.
• Support transitions of care through formal teaching and planning.

Qualifications:

• Required Certifications:
• California RN License
• Basic Life Support (BLS) from AHA
• Valid driver’s license
• OASIS documentation experience

Experience:

• Minimum of 2 years as a Registered Nurse
• Recent home health case management experience required (hospital case management experience does not apply)

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