Medical Case Manager (RN, Bilingual Spanish, English)
Company: Kinetic Personnel Group, Inc
Location: Orange
Posted on: January 22, 2026
|
|
|
Job Description:
Job Description Kinetic Personnel Group is currently recruiting
a Medical Case Manager (RN) for a $3 billion-dollar a year
government public health plan (government agency) is renowned for
its work in the community and being a great place to work. This
position will be a six month temporary position with the
possibility of going permanent for the right candidate. If the
position goes permanent remote/telecommute options are available
along with great government benefits (public health plan). Position
Responsibilities Care Management Assesses member needs using a
standardized health needs assessment or health risk assessment.
Performs comprehensive, disease specific, clinical assessments of
all identified cases, which includes but is not limited to,
assessment of: Member’s physical, functional, social and
psychological status Member’s cultural and linguistic needs
Caregiver resources and available benefits Performs post-discharge
assessments to identify member’s post-hospital or post-emergency
department discharge needs including but not limited to: Member’s
physical, functional, social and psychological status Member’s
cultural and linguistic needs Caregiver resources and available
benefits Follow-up provider care and ensuring scheduled
appointments Durable medical equipment and supplies Community
resources Develops and implements a member’s specific care plan
which includes prioritized Specific, Measurable, Achievable,
Relevant, and Time-Bound (SMART) goals. Reviews, modifies and
updates care plans continuously to reflect the member’s needs, at
minimum, annually or upon change in condition. Schedules follow-ups
to assess progress towards goals and identifies barriers to meeting
goals. Provides regular outreach to assigned members along with
members from a worklist and evaluates quality of service given to
members according to department contact standards. Coordinates care
and services with members, members’ family members/representatives
and other providers, as appropriate, including community supports
and Long-Term Services and Supports (LTSS). Communicates with
member’s physicians, specialists, community agencies and vendors to
ensure coordination of services. Facilitates referrals to
behavioral health/substance use disorder services and identifies
and makes referrals to LTSS department, community supports and
community resources. Facilitates and participates in
Interdisciplinary Team meetings as applicable. Collaborates with
interdepartmental staff in case resolution as needed. Identifies
cases needing supervisor, manager, director or medical director
review or input, routes accordingly and closes cases according to
procedures and guidelines in a timely manner. Advocates in the
member’s best interest for necessary funding, treatment
alternatives, timelines and coordination of care and frequent
evaluations of progress and goals. Requirements: Associates degree
in Nursing (ADN); or equivalent work experience required.
Bachelor’s degree in Nursing (BSN) preferred. Current, unrestricted
Registered Nurse (RN) license to practice in the State of
California required. 3 years of clinical experience with the health
needs of the population served required. An equivalent combination
of education and experience sufficient to successfully perform the
essential duties of the position such as those listed above is also
qualifying. Bilingual in English and Spanish, An active Commission
for Case Manager (CCM) certification preferred. Guidelines and
regulations relevant to case management and utilization management.
Understand confidentiality and the legal and ethical issues
pertaining to case management.
Keywords: Kinetic Personnel Group, Inc, Huntington Beach , Medical Case Manager (RN, Bilingual Spanish, English), Healthcare , Orange, California
