RN Care Manager - Temporary

Institute on Aging Southern California, LLC; California; On-site; USD 100,000 - 110,000; Full time

Benefits offered by this job

Competitive salaries

Outstanding health coverage

Investment and retirement options

Job summary

Institute on Aging Southern California, LLC (IOA) seeks a Temporary, full-time Care Manager/Registered Nurse to support the HCBA Medi-Cal Waiver program. The role focuses on care coordination in the community, working with participants, families, and clinicians to implement and monitor plans of care across Riverside and San Bernardino Counties.

Qualified candidates hold CA RN license, BLS, and substantial recent acute care and home health experience, with strong communication and documentation

Qualifications

• Current, unencumbered license to practice as an RN in the State of California.
• Current Basic Life Support (BLS) certification.
• Minimum 1000 hours of experience in the previous two years, in an acute care hospital caring for individuals with the care needs specified in this waiver.
• Valid driver's license and proof of insurance.
• Must be willing to travel in Riverside and/or San Bernardino Counties or a minimum of 2000 hours in the previous three years in an acute care hospital caring for individuals with the care needs specified in this waiver.
• Minimum of 2000 hours in the previous five years working for a licensed and certified home health agency caring for individuals with the care needs specified in this waiver.
• Experience establishing short and long-range goals for patient care within nursing process.
• Experience with medical diagnoses and medication for functionally impaired adults and older adults.

Responsibilities

• Document assessment, case notes, care coordination, and utilization management in MedCompass.
• Collaborate with participants, their representatives, circle of support, and primary care physicians to set goals.
• Develop a Plan of Treatment (POT) to mitigate risk and ensure continuity of services.
• Identify services available through community resources and public programs.
• Implement the POT and coordinate providers and resources for timely delivery.
• Identify and train backup caregivers for unpaid support when waiver providers are unavailable.
• Provide information, education, counseling, and advocacy for participants.
• Establish a care coordination schedule based on initial assessment and reassessments.
• Monitor Waiver services for compliance with POTs and quality standards.
• Maintain regular contact with participants (monthly) to monitor health, mood, social integration, and functioning.
• Conduct annual visits and reassessments; update care plans as needed.
• Follow up after emergency department visits or inpatient care.
• Perform additional duties as assigned.

Skills

RN license CA

BLS certification

Communication skills

Problem-solving

Detail oriented

Computer literacy

Willingness to travel

Tools

MedCompass

Job description

About the Position

IOA is on the forefront of revolutionary healthcare models, reshaping the way people can age in place. Our innovative models transform lives, enhance communities, and save healthcare systems millions of dollars. Rather than focusing on archaic outdated design, we strive to consistently question the “status-quo” and create new and more innovative ways to help aging adults and adults with disabilities maintain their quality of life. With over 23 programs, we offer multiple ways to aid seniors maintain their health, well-being, independence and participation in the community, fulfilling our mission. IOA's Community Living Services division is an innovative and revolutionary healthcare model that allows seniors and adults with disabilities to live at home longer by transitioning them out of nursing homes and back into the community by partnering with health plans and Medi-Cal. This inventive, nationally recognized model is one of the most promising for seniors to date, transforming their lives by providing them with a higher quality and more independent life and saving millions of dollars for healthcare systems. CLS is IOA’s fastest growing division, expanding throughout California. The HCBA Medi-Cal Waiver program within Community Living Services division provides care management services to persons at risk for nursing home or institutional placement. The care management services are provided by a multidisciplinary care team comprised of a nurse and social worker. The care management team coordinates Waiver and State Plan services (e.g., medical, behavioral health, In-Home Supportive Services, etc.), and arranges for other available long-term services and support available in the local community. Care management and Waiver services are provided in the Participant’s community-based residence. This residence can be privately owned, secured through a tenant-lease arrangement, or the residence of a Participant’s family member. IOA is seeking a Temporary, full-time Care Manager/Registered Nurse (RN). This role will provided temporary support for a leave of absence and is slated to end at 12.1.2026 at earliest, depending upon business needs.

Key Duties and Responsibilities

• Documenting assessment, case notes, care coordination, and utilization management within MedCompass, a population health management software
• Working with the participants, their legal representatives, circle of support, and primary care physicians to develop goals associated with the participant’s assessed needs, individual circumstances, and preferences
• Develop a Plan of Treatment (POT) to mitigate risk and minimize disruptions in services
• Identify when services identified in the POT are available through friends, family, and/or publicly funded programs
• Implement the POT, which includes identifying service providers and community resources to help assure the timely, effective, and efficient mobilization and allocation of the services
• Identify (and train, if necessary), backup caregivers who are willing and able to provide unpaid support when waiver service providers do not arrive when scheduled
• Providing information, education, counseling, and advocacy to, and on behalf of participants
• Establishing a care coordination schedule based on the needs and acuity of the participant as determined by their initial service needs assessment and subsequent reassessments
• Monitoring the delivery of HCBA Waiver services to ensure participants are receiving services as authorized in their POTs
• Monitoring the quality of the authorized services by maintaining ongoing contact with participants – including a monthly face‑to‑face visit or telephone call – to monitor for changes in health, mood, social integration, functionality, and overall well‑being
• Conducting annual face‑to‑face visits, reassessments, and care plan updates
• Following up with the participant after Emergency Department and In‑patient facility admissions
• Other duties as assigned

Required Qualifications

• Current, unencumbered license to practice as an RN in the State of California
• Current Basic Life Support (BLS) certification
• A minimum of 1000 hours of experience in the previous two years, in an acute care hospital caring for individuals with the care need(s) of individuals at the levels of care specified in this waiver
• A valid driver's license and proof of insurance
• Must be willing to travel in Riverside and/or San Bernardino Counties OR a minimum of 2000 hours of experience in the previous three years in an acute care hospital caring for individuals with the care need(s) of individuals at the levels of care specified in this waiver
• A minimum of 2000 hours of experience in the previous five years working for a licensed and certified home health agency caring for individuals with the care need(s) of individuals at the levels of care specified in this waiver
• A minimum of 2000 hours of experience in the previous five years in an area not listed above, that in the opinion of DHCS, would demonstrate appropriate knowledge, skill and ability in caring for individuals at one or more of the levels of care specified in this waiver
• Experience establishing short and long‑range goals for patient care which contribute to a continuum of care focus, and patient care will be delivered in accordance with the professional nursing process, which resulted in the delivery of quality patient care
• Experience with, and understanding the medical diagnoses and medication associated with functionally impaired adults and older adults
• Exceptional communication and presentation skills relating to functionally impaired adults and older adults, their support systems and teams of health professionals
• Demonstrated case management experience and skills within the community health care delivery system
• Excellent detail orientation and problem‑solving skills
• Demonstrated ability to prioritize multiple critical tasks
• Excellent computer literacy

Desired Qualifications

• Experience working with individuals with mental and/or behavioral health diagnoses and substance abuse disorders
• Exceptional interpersonal, oral and written communication skills

Compensation

Compensation: Range: $100,000 - $110,000/annual

Benefits

• Competitive salaries
• Investment and retirement opportunities
• First‑rate benefits
• Outstanding health coverage
• Robust wellness programs
• Additional perks