RN Care Manager (PACE)

Habitat Health; Compton (CA); On-site; USD 75,768 - 93,676; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) plan

Paid time off

Company-paid holidays

Job summary

Habitat Health is seeking an experienced registered nurse to deliver direct clinical care across clinics, adult day centers, homes, virtually, and SNFs as part of the interdisciplinary team. The role emphasizes care coordination, patient assessments, and personalized care plans for a panel of participants.

Ideal candidates hold an RN license (BSN preferred) with 2–4 years of geriatric experience and case management skills.

Qualifications

• RN license required.
• BSN preferred.
• 2–4 years of clinical experience with medically complex or older adults.
• 1–2 years experience in case management.

Responsibilities

• Deliver direct nursing care in clinics, centers, homes, and SNFs.
• Serve as quarterback for a participant panel within IDT.
• Conduct nursing assessments covering physical, psychosocial, and behavioral status.
• Document interventions and respond to physician orders.
• Coordinate care transitions and post-discharge needs.
• Educate participants and caregivers on care plans.
• Assist with wound care, IV therapies, and related procedures.
• Delegate tasks to MA and LVN.

Skills

RN clinical care

Case management

Wound care

IV therapy

Chronic disease mgmt

Education

RN license

BSN preferred

Job description

Habitat Health empowers older adults to experiencemore gooddays in their homes and communities. Through the Program of All-Inclusive Care for the Elderly (PACE), we provide comprehensive medical care along with support for daily needs such as meals, transportation, andin ‑ homeassistance. We deliver coordinated clinical and social care in our centers and directly in participants’ homes, creating a fully integrated experience that brings peace of mind and a true sense of belonging. As we expand our scalable, affordable PACE model to meet the growing and complex needs of aging populations, ourmission ‑ drivencare teams continue to help participants live well on their own terms.

Habitat Health is supported by leading healthcare organizations and investors including New Enterprise Associates, Kaiser Permanente, and Town Hall Ventures. We are entering a period of significant growth and are looking for exceptional teammates to help us scale a better model of care for older adults. To learn more, visit www.habitathealth.com.

Note: This role is scheduled to start on 8/10/26

Role Scope

In this role, you willbe responsible forthe management and delivery of direct nursing care to our participants in a variety of settings including, but not limited to, the clinic, adult day center, participant’s home, virtually, and SNF. Youwill serve as a critical member of the Interdisciplinary Team (IDT) and work collaboratively to complete assessments and drive forward participant care plansas “quarterback” for your panel.

Core Responsibilities & Expectations for the Role

• Contribute to a center experience that Participants want to spend time in, a team culture that cares and creates joy, and an environment where all participants and team members belong.
• Continue to raise the bar.Constructivelyseekand sharefeedback andhelp us implement changesin order toimprove clinical outcomes and experience for participants.
• Exhibit and honor Habitat’s Values.
• Participateandfacilitate inInterdisciplinary Team (IDT) meetings by contributing insights from assessments, care plan recommendations, and care coordination in a collaborative spirit.
• Conducts face-to-face nursing assessments that are inclusive of physical, psychosocial, and behavioral statuses in various settings, primarily in the Habitat center butalso in–home.
• In partnership with a medical provider,deliverspersonalized care for a panel of participants based on care plans.
• Delivers and documents nursing interventions as agreed upon in participant's care plans, promptly and accurately responding to physician orders,and correctlyadministering medications and therapeutic interventions.
• Provides case managementlongitudinally andduring transitions of care.Proactivelycoordinates complex patient discharges, transfers, and immediate post-discharge needswithhospital and long-term care facility case managers
• Coordinatesall aspects of care delivery including medication management,medicalequipmentand supplies,andspecialistand diagnostic referrals
• Triages in the outpatient setting, which includes independentlyinitiatingtherapies within scope of practice and collaboratively working with a medical provider to elevate care as needed.
• Educates participants, caregivers including family members, and team members on how to personalize and carry out care plans.
• Aid with all wound care (including complex wounds), IV (hydration, therapies), and anyadditionalprocedures within RN scope of practiceidentifiedto meet evolving participant needs.
• Delegates tasks to MAand Licensed Vocational Nurses within their respective scopes of practice.
• Remotely takes after-hour calls that are triaged on a rotating schedule.
• Performs related duties as assigned.

Required Qualifications

• Graduate of an accredited school of nursing; Bachelor of Science (BSN) preferred.
• Unencumbered Registered Nurse (RN) licenserequired.
• Minimum 2-4years of experience clinically caring formedicallycomplex or older adults’populationas an RN.
• Minimum 1-2year's experiencein case management.
• Strong clinical acumen inchronic disease managementand complex geriatriccare.
• Demonstrates experience inmanagement of clinical interventions:wound care, IVs, phlebotomy, colostomy/ileostomy care, etc.
• Proof of medical clearance for communicable diseases, including a TB test.
• Proof of all immunizations are up to date.
• Proof of current CPR/BLS certification required or requirement to obtain within30 daysof employment.
• Proof of valid CA driver’s license, personal transportation,good drivingrecordand auto insurance as required by State law.

Preferred Qualifications

• Alzheimer’s certification is preferred.
• Case Managementcertificationpreferred

Compensation

Wetake into accountan individual’s qualifications, skillset, and experience in determiningfinalsalary. This role is eligible for medical/dental/vision insurance, short and long-term disability, life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays. The expected salary range for this position is$55.00to $68.00/hour. The actual offer will be at the company’s sole discretion anddeterminedby relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location.

• medical/dental/vision insurance
• short and long-term disability
• life insurance
• flexible spending accounts
• 401(k) savings
• paid time off
• company-paid holidays
• salary range: $55.00 to $68.00/hour

Habitat Health participates in E-Verify and will provide the federal government with your Form I-9 information to confirm your authorization to work in the U.S. If E-Verify cannot confirm your authorization to work, this employer is required to give you written instructions and an opportunity to contact the Department of Homeland Security (DHS) or Social Security Administration (SSA) to resolve the issue before the employer can take any action against you, including termination of employment.

Habitat Health is an Equal Opportunity employer and committed to creating a diverse and inclusive workplace. Habitat Health applicants are considered solely based on their qualifications, without regard to race, color, religion, creed, sex, gender (including pregnancy, childbirth, breastfeeding or related medical conditions), gender identity, gender expression, sexual orientation, marital status, military or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), or other status protected by applicable law.

Habitat Health is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Habitat Health will take steps to provide people with disabilities and sincerely-held religious beliefs with reasonable accommodations in accordance with applicable law.