RN Case Manager – Home Healthcare - Orange County, CA

We're building out a new home healthcare territory and looking for an RN Case Manager to grow with us from the ground up. You'll start by overseeing a single dependent adult case and, as we expand our presence in the area, take on a growing caseload that will include pediatric, dependent adult, and senior patients. This is a chance to help shape how our team delivers care across populations — an ideal role for an RN who wants to be part of something early and build alongside a company that's investing in this market. 

What You'll Do

• Oversee and coordinate care for patients in the home setting, beginning with one dependent adult case and scaling as the territory grows
• Take on a growing caseload spanning pediatric, dependent adult, and senior patients as cases come on board
• Develop, implement, and update individualized care plans in collaboration with physicians, families, and the care team
• Conduct assessments, monitor patient progress, and adjust plans of care as needs change
• Serve as the primary clinical point of contact for families, case managers, and referring providers
• Ensure documentation, compliance, and care delivery meet all regulatory and payer requirements
• Help establish workflows and best practices as we build out the territory 

Clinical Responsibilities & Required Skills

• Tracheostomy & ventilator care: Manage trach/vent-dependent patients, including suctioning, trach care and tube changes, ventilator monitoring, and administration of nebulized medications
• Enteral nutrition & medication: Administer G-tube and J-tube feedings (bolus and continuous) and deliver medications via enteral routes, monitoring tolerance and site care
• Activities of daily living: Provide and oversee daily ADLs, including bathing, dressing, grooming, and hygiene
• Mobility & positioning: Perform routine turning and repositioning to maintain skin integrity and prevent pressure injuries
• LVN supervision: Oversee and support the LVN(s) providing one-to-one care, ensuring care is delivered safely, consistently, and in line with the plan of care
• Ongoing assessment: Monitor respiratory status, nutritional tolerance, and overall condition, adjusting the plan of care and escalating to the physician as needed 

Why Join Us

• Get in early and grow with a territory you help build
• Start with a manageable caseload and expand at a sustainable pace
• Direct impact on how care is delivered and how the team takes shape

• Active, unrestricted RN license in CA
• Home health or case management experience
• Experience with trach/vent, G/J tube, and medically complex patients
• Comfort working across pediatric, dependent adult, and senior populations as the caseload grows
• OASIS proficiency required: We complete OASIS documentation across our cases, and this will apply as the caseload grows
• Strong clinical judgment and the ability to work independently in the field
• Excellent communication and coordination skills with families and interdisciplinary teams
• Comfort with an early-stage, growing operation — flexible, proactive, and excited to build
• Current BLS/CPR certification
• Reliable transportation and willingness to travel within the territory