You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Temporary Senior Complex Case Manager (RN)

Position Type: Temporary / Contract Assignment

Location: California-based (Remote / Hybrid with very rare office visits)

Schedule: Monday – Friday, 8:00 AM – 5:00 PM (1-hour lunch)

Compensation: $56-$64/hour 

About the Role

Are you an experienced Registered Nurse looking for a high-impact, short-term project where you can truly leverage your clinical expertise? We are seeking a dedicated Temporary Senior Complex Case Manager (RN) to lead the development and management of comprehensive, member-centric care plans for our complex adult members.

This role offers a primarily remote work environment but requires candidates to reside in California and live within reasonable driving distance of one of our regional hubs for occasional, very rare in-office needs. Under direction, you will act as a vital clinical liaison and champion to promote optimal, cost-effective health outcomes while mentoring other staff on case management best practices.

What You'll Do (Responsibilities)

Care Plan Development & Case Management

• Assess Complex Needs: Perform thorough clinical, physical, psychosocial, and functional assessments of complex adult members via phone, record reviews, or face-to-face.

• Build Actionable Plans: Design, implement, and update individual care plans that identify and directly address health disparities, care gaps, and compliance barriers.

• Lead Collaboration: Coordinate case conferences with multidisciplinary teams, facilitating smooth access to services, reducing avoidable hospital admissions, and aligning with Behavioral Health and Long-Term Services and Supports (LTSS).

• Act as a Mentor: Share best practices and serve as a trusted clinical resource to support fellow case management staff.

Education & Community Collaboration

• Empower Members: Educate members and caregivers on their customized care plans, healthcare benefits, and accessible community resources.

• Streamline Transitions: Coordinate with network providers to ensure seamless transitions of care, accurate medication reconciliation, and robust follow-up services.

• Advocate & Connect: Represent the organization at community meetings to advocate for quality care delivery.

Quality Improvement & Compliance

• Drive Better Care: Participate in Quality Improvement studies focusing on care access, member education, and behavioral health outcomes.

• Maintain Compliance: Monitor key performance indicators, audit case documentation for strict regulatory alignment, and assist with internal and external state audits.

What You Bring (Requirements)

• Location & Residence: Must currently reside in California. Applicants must live within reasonable driving distance to at least one of the following locations for rare, occasional onsite commitments:

  • Scotts Valley, CA

  • Salinas, CA

  • Merced, CA

  • Mariposa, CA

• Education: Associate's Degree in Nursing (ADN) or Bachelor's Degree in Nursing (BSN).

• Licensure: Current, unrestricted license as a Registered Nurse (RN) issued by the State of California.

• Experience: 5+ years of clinical RN experience, with a minimum of 3+ years specifically in case management.

• Core Competencies: Exceptional clinical judgment and a strong, accurate documentation skill set.

Preferred Highlights (The Extras We'd Love)

• Experience with Medicare, Medi-Cal, and/or D-SNP populations (Highly Preferred).

• Background in hospital case management.

• Working knowledge of D-SNP program regulations, including Medicare-Medi-Cal alignment, Model of Care (MOC) standards, and LTSS integration.

• Familiarity or experience with Enhanced Care Management (ECM), Community Supports (CS), and/or LTSS coordination.

• Bilingual skills (English/Spanish or English/Hmong).

Assignment Details & Work-Life Balance

• Job Type: Temporary hourly contract assignment.

• Predictable Schedule: Maintain a highly sustainable routine with a structured, daytime Monday through Friday, 8:00 AM to 5:00 PM schedule. No nights, weekends, or on-call rotations.

• Scheduled break: Includes a dedicated, unpaid 1-hour lunch break every day.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

^*As a job position within our Care Management division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, access and handling of patient medical records, providing medical care inside a patient’s residential address, driving, prescription and other drug access and administration, and working with vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.