RN Clinical Case Lead – ECM Field Oversight

Pacific Health Group; San Diego (CA); Hybrid; USD 60,000 - 70,000; Full time

Benefits offered by this job

Hybrid work environment

401(k) with company match

Monthly stipend

Professional development opportunities

Job summary

Pacific Health Group is seeking a Registered Nurse – Clinical Case Consultant to lead clinical guidance within the CalAIM Enhanced Care Management (ECM) program in a hybrid CA environment. You will supervise LVNs, collaborate with care teams, and ensure high-quality, member-centered care for high-risk Medi-Cal members.

This role emphasizes field visits, clinical oversight, documentation accuracy, and coordination with health plans, providers, and community partners to improve health outcomes and

Qualifications

• Active RN license in California.
• Minimum two years of direct clinical experience in community health, managed care, or related settings.
• Experience with Medi-Cal populations and individuals with complex needs.
• Experience supervising interdisciplinary care teams or mentoring staff.

Responsibilities

• Provide clinical leadership and consultation to ECM care teams.
• Conduct field visits and shadow care team members to assess care coordination.
• Monitor field operations and ensure documentation quality and regulatory compliance.
• Supervise LVN staff and oversee clinical activities.
• Coordinate with health plans, providers, and community partners to improve outcomes.

Skills

Clinical leadership

Communication

Organizational skills

Problem solving

Interdisciplinary collaboration

Education

California RN license

Tools

EHR systems

Care management platforms

Microsoft Office

Job description

Pacific Health Group is seeking a Registered Nurse – Clinical Case Consultant to lead clinical guidance within the CalAIM Enhanced Care Management (ECM) program in a hybrid CA environment. You will supervise LVNs, collaborate with care teams, and ensure high-quality, member-centered care for high-risk Medi-Cal members.

This role emphasizes field visits, clinical oversight, documentation accuracy, and coordination with health plans, providers, and community partners to improve health outcomes and