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Pacific Health Group in California is seeking a Registered Nurse – Clinical Case Consultant to serve as the clinical subject matter expert for the CalAIM ECM program. This role provides clinical guidance, oversight, and support to interdisciplinary care teams serving high-risk Medi-Cal members with complex medical, behavioral health, and social needs.
You will collaborate with Lead Care Managers, LVNs, CHWs and providers to ensure coordinated, high-quality, person-centered care; lead field-based
Department: Enhanced Care Management (ECM)
Reports To: ECM Program Manager
Work Arrangement: Hybrid - CA
Compensation: $45/hourly
Schedule: Monday – Friday | 8:00am - 1:00pm (*flexible)
25 - 29 hrs per week
About Pacific Health Group
At Pacific Health Group, we are transforming healthcare by addressing social determinants of health and delivering innovative, community-based solutions that improve lives. Through programs such as Enhanced Care Management (ECM), Community Supports, Behavioral Health Services, Community Health Workers, Street Medicine, and other whole-person care initiatives, we help individuals navigate complex healthcare systems and access the resources they need to thrive.
We meet individuals where they are—with compassion, dignity, respect, and a commitment to whole-person care. Our work focuses on improving outcomes for individuals experiencing homelessness, serious mental illness, substance use disorders, chronic health conditions, justice involvement, and other complex social and medical challenges.
If you are passionate about improving healthcare outcomes and supporting vulnerable populations through innovative community-based care, we invite you to join our team.
The Registered Nurse – Clinical Case Consultant serves as the clinical subject matter expert for Pacific Health Group’s CalAIM Enhanced Care Management (ECM) program. This position provides clinical guidance, consultation, oversight, and support to interdisciplinary care teams serving high‑risk Medi‑Cal members with complex medical, behavioral health, and social needs.
The Clinical Case Consultant works closely with Lead Care Managers, Community Health Workers, Licensed Vocational Nurses, Behavioral Health staff, healthcare providers, health plans, hospitals, and community‑based organizations to ensure members receive coordinated, high‑quality, person‑centered care.
This role combines clinical expertise, care coordination, quality improvement, staff development, field‑based oversight, and community collaboration to improve health outcomes, reduce avoidable utilization, and support compliance with CalAIM ECM requirements and best practices.
This position serves as the clinical leader for field‑based care management activities, providing direct supervision and clinical oversight of Licensed Vocational Nurses (LVNs), conducting field visits and ride‑alongs with Lead Care Managers (LCMs), Community Health Workers (CHWs), and other care team members, and ensuring the delivery of safe, high‑quality, member‑centered services throughout hiring county.