Hybrid RN: ECM Clinical Case Consultant (CalAIM)

Pacific Health Group; California (MO); Hybrid; USD 52,000 - 72,000; Part time

Job summary

Pacific Health Group is seeking a Registered Nurse - Clinical Case Consultant to lead clinical guidance for CalAIM ECM. You will work with care teams, supervise LVNs, and help coordinate complex care for high-risk Medi-Cal members in a hybrid CA setting.

The role emphasizes clinical oversight, field support, and collaboration with health plans and community partners to ensure compliant, person-centered care delivery.

Responsibilities

• Serve as the primary clinical resource for ECM care teams.
• Provide clinical consultation and guidance to LVNs, CHWs, LCMs and interdisciplinary team members.
• Review complex member cases and provide recommendations for care planning and coordination.
• Participate in interdisciplinary case reviews, case conferences and care team meetings.
• Assist teams in identifying clinical risks and developing intervention strategies.
• Support development of individualized, member-centered care plans aligned with CalAIM ECM requirements.
• Promote evidence-based practice and whole-person care approaches.
• Supervise LVNs, observe field visits, and ensure safe, high-quality services.

Job description

Pacific Health Group is seeking a Registered Nurse - Clinical Case Consultant to lead clinical guidance for CalAIM ECM. You will work with care teams, supervise LVNs, and help coordinate complex care for high-risk Medi-Cal members in a hybrid CA setting.

The role emphasizes clinical oversight, field support, and collaboration with health plans and community partners to ensure compliant, person-centered care delivery.