RN Clinical Case Consultant - ECM Leader (Hybrid CA)

Pacific Health Group; San Diego (CA); Hybrid; USD 85,000 - 95,000; Full time

Benefits offered by this job

401(k) with company match

Monthly stipend

Professional development opportunities

Hybrid work environment

Career advancement

Job summary

Pacific Health Group seeks an experienced Registered Nurse to serve as the clinical lead for CalAIM Enhanced Care Management (ECM). You will provide clinical guidance, oversight, and consultation to interdisciplinary teams delivering high-risk Medi-Cal care.

Travel within hiring county and field-based supervision are expected. The role emphasizes evidence-based, whole-person care, care coordination, and ensuring compliant ECM delivery under CalAIM guidelines.

Qualifications

• Active RN license in California.
• Minimum two years of direct clinical experience in relevant settings.
• Experience working with Medi-Cal populations and complex needs.

Responsibilities

• Serve as the primary clinical resource for ECM care teams.
• Provide clinical consultation to interdisciplinary team members.
• Review complex member cases and recommend care plans.

Skills

RN License

Clinical Experience

Medi-Cal Knowledge

EHR Proficiency

Tools

EHRs

Care Management Platforms

MS Office

Job description

Pacific Health Group seeks an experienced Registered Nurse to serve as the clinical lead for CalAIM Enhanced Care Management (ECM). You will provide clinical guidance, oversight, and consultation to interdisciplinary teams delivering high-risk Medi-Cal care.

Travel within hiring county and field-based supervision are expected. The role emphasizes evidence-based, whole-person care, care coordination, and ensuring compliant ECM delivery under CalAIM guidelines.