Registered Nurse Clinical Consultant

BLEHEALTH; Pomona (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

BLEHEALTH is seeking an RN Clinical Consultant to lead clinical oversight for Enhanced Care Management (ECM) programs. In Pomona, CA, you will guide care teams, coordinate with providers, and support high-need members to improve health outcomes.

The role emphasizes collaboration across disciplines, discharge planning, and care transitions, with a focus on reducing barriers and improving health equity in the community.

Qualifications

• Active California RN license required.
• 3+ years in healthcare management or 4+ years clinical nursing in home health/primary care/managed care.
• Supervisory/leadership or administrative experience preferred.
• Experience in Care Management, Population Health, Behavioral Health, ECM, or CalAIM preferred.
• Excellent communication, clinical decision-making, and care coordination skills.
• Valid California driver's license and reliable transportation.

Responsibilities

• Provide clinical oversight to Care Managers, Housing Navigators, and care teams.
• Support members with complex medical, behavioral, and social needs via ECM model.
• Collaborate with Primary Care Providers, Behavioral Health providers, hospitals, and managed care plans.
• Review and approve assessments, care plans, and updates.
• Assist with care transitions, discharge planning, medication reconciliation, and readmission prevention.
• Provide clinical consultation for high-risk cases.
• Participate in case conferences, chart reviews, and quality improvement initiatives.
• Support outreach efforts including home/hospital visits and community-based settings.
• Monitor documentation, outcomes, and ECM/compliance requirements.
• Train and mentor staff to ensure high-quality member-centered care.

Skills

RN license

Healthcare management

Care management

Supervisory experience

Communication skills

Driver's license

Job description

Make an Impact Where It Matters Most

At BLEHEALTH, we believe healthcare extends beyond the clinic. Our Enhanced Care Management (ECM) program connects vulnerable individuals to the medical, behavioral health, housing, and community resources they need to thrive.

As a Registered Nurse (RN) Clinical Consultant, you will play a critical leadership role in improving health outcomes, reducing barriers to care, and supporting some of our community's most high-need members.

What You'll Do

• Provide clinical oversight and guidance to Care Managers, Housing Navigators, and interdisciplinary care teams.
• Support members with complex medical, behavioral health, and social needs through the Enhanced Care Management (ECM) model.
• Collaborate with Primary Care Providers, Behavioral Health providers, hospitals, specialists, and Managed Care Plans.
• Review and approve assessments, care plans, and care plan updates.
• Assist with care transitions, hospital discharge planning, medication reconciliation, and readmission prevention.
• Provide clinical consultation for high-risk and complex cases.
• Participate in case conferences, chart reviews, and quality improvement initiatives.
• Support outreach efforts, including home visits, hospital visits, shelters, and community-based settings as needed.
• Monitor documentation, outcomes, and compliance with ECM and Managed Care requirements.
• Train, mentor, and support staff to ensure high-quality, member-centered care.

Work Location & Schedule

• This is a full-time, primarily in-office position based in our Pomona, CA office, working Monday through Friday from 8:00 AM to 5:00 PM.
• To support our mission of improving health outcomes through Enhanced Care Management (ECM), the Clinical Consultant will collaborate closely with care teams, providers, managed care partners, and community organizations. Occasional community-based activities, including member outreach, home visits, hospital visits, and provider engagement, may be required to ensure members receive the comprehensive, coordinated care they need.

Qualifications

• Active California Registered Nurse (RN) license.
• 3+ years of healthcare management experience or 4+ years of clinical nursing experience in home health, primary care, managed care, care management, or community health.
• Prior supervisory, leadership, or administrative experience preferred.
• Experience in Care Management, Case Management, Population Health, Behavioral Health, Managed Care, ECM, or CalAIM strongly preferred.
• Excellent communication, clinical decision-making, and care coordination skills.
• Valid California driver's license and reliable transportation.

Why Join BLEHEALTH?

• Make a direct impact on individuals experiencing complex health and social challenges.
• Support innovative Enhanced Care Management (ECM) and CalAIM initiatives.
• Work alongside a mission-driven interdisciplinary team.
• Help address Social Determinants of Health (SDOH), including housing instability, behavioral health needs, access to care, and chronic disease management.
• Improve lives while advancing health equity in our communities.