Part-time Case manager Jobs in San Jose, CA

Position Overview

We are seeking an experienced RN Case Manager to provide ongoing medical and psychosocial case management services for health plan members. This role serves as a strong member advocate, coordinating care across interdisciplinary teams to ensure individualized goals are met and services are delivered efficiently, compliantly, and compassionately.

The RN Case Manager develops and implements personalized care plans, supports transitions of care, and collaborates closely with providers, community resources, and internal teams to promote high-quality, cost-effective outcomes across the healthcare and social services continuum.

Schedule : Monday–Friday | 8 : 00 AM – 5 : 00 PM

Location : San Jose, California

Key Responsibilities

• Conduct, document, and evaluate comprehensive clinical and psychosocial assessments and ongoing follow-ups.
• Develop, implement, and monitor individualized care plans in collaboration with members and families.
• Maintain accurate, compliant, and audit-ready case documentation in accordance with state and federal regulations.
• Coordinate care with primary care providers, specialists, behavioral health providers, and long-term services and supports.
• Facilitate interdisciplinary communication among internal teams, providers, community agencies, and vendors.
• Support smooth transitions of care across settings, including medical appointments, pharmacy coordination, and utilization review.
• Conduct telephonic and in-person assessments in homes, facilities, or community settings as needed.
• Participate in quality improvement initiatives, utilization management optimization, and member satisfaction efforts.
• Attend required meetings, trainings, and off-site sessions as assigned.

Additional Assignments May Include :

MLTSS :

CBAS :

Required Qualifications

Preferred Qualifications