RN Care Manager (ECM) — Hybrid & Field Engagement

Heritagehealthnetwork

California

Hybrid

USD 90,000 - 130,000

Full time

11 days ago

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Benefits offered by this job

Medical, dental, and vision insurance
Paid time off
Performance bonuses
Hybrid work flexibility
Growth opportunities

Job summary

Heritage Health Network is seeking a Registered Nurse Care Manager (RNCM) in California to provide clinical oversight for the Enhanced Care Management program. You will review charts, assess care plans, and guide non-clinical Lead Care Managers, with a mix of remote clinical work and field-based engagement.

Responsibilities include coordinating with a multidisciplinary team, conducting field visits, ensuring quality care, and supporting transitions with hospitals and providers.

Qualifications

  • Active California RN license.
  • Minimum 2 years of nursing experience.
  • At least 1 year in care management, case management, or a leadership capacity.
  • Experience with vulnerable populations and complex medical and social needs.
  • Strong clinical assessment and care planning skills.
  • Proficiency with EMR/EHR systems.
  • Excellent communication, collaboration, and clinical judgment skills.
  • Ability and willingness to perform field-based work and in-person member engagement.
  • Hybrid work flexibility.
  • Growth and professional development opportunities.

Responsibilities

  • Review member charts and assess care plans.
  • Ensure the quality and appropriateness of care coordination for ECM members.
  • Provide clinical guidance to non-clinical Lead Care Managers on complex member cases.
  • Identify gaps in care and recommend interventions to improve health outcomes.
  • Collaborate with a multidisciplinary care team; conduct field-based visits and member engagement activities as needed.
  • Participate in in-person member assessments, care coordination, and follow-up activities.
  • Partner with providers, hospitals, and community organizations to facilitate referrals and access to care.
  • Support care transitions by coordinating with hospitals and healthcare providers to optimize discharge planning.
  • Participate in weekly case reviews to discuss high-risk members and best practices in care management.

Skills

Registered Nurse license CA
Care management
Leadership
Field-based work
EMR/EHR proficiency
Clinical assessment
Care planning
Communication

Tools

EMR/EHR systems

Job description

Heritage Health Network is seeking a Registered Nurse Care Manager (RNCM) in California to provide clinical oversight for the Enhanced Care Management program. You will review charts, assess care plans, and guide non-clinical Lead Care Managers, with a mix of remote clinical work and field-based engagement.

Responsibilities include coordinating with a multidisciplinary team, conducting field visits, ensuring quality care, and supporting transitions with hospitals and providers.

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