RN Clinical Consultant — ECM & Care Management Leader

BLEHEALTH; Pomona (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

BLEHEALTH is seeking an RN Clinical Consultant to lead clinical oversight for Enhanced Care Management (ECM) programs. In Pomona, CA, you will guide care teams, coordinate with providers, and support high-need members to improve health outcomes.

The role emphasizes collaboration across disciplines, discharge planning, and care transitions, with a focus on reducing barriers and improving health equity in the community.

Qualifications

• Active California RN license required.
• 3+ years in healthcare management or 4+ years clinical nursing in home health/primary care/managed care.
• Supervisory/leadership or administrative experience preferred.
• Experience in Care Management, Population Health, Behavioral Health, ECM, or CalAIM preferred.
• Excellent communication, clinical decision-making, and care coordination skills.
• Valid California driver's license and reliable transportation.

Responsibilities

• Provide clinical oversight to Care Managers, Housing Navigators, and care teams.
• Support members with complex medical, behavioral, and social needs via ECM model.
• Collaborate with Primary Care Providers, Behavioral Health providers, hospitals, and managed care plans.
• Review and approve assessments, care plans, and updates.
• Assist with care transitions, discharge planning, medication reconciliation, and readmission prevention.
• Provide clinical consultation for high-risk cases.
• Participate in case conferences, chart reviews, and quality improvement initiatives.
• Support outreach efforts including home/hospital visits and community-based settings.
• Monitor documentation, outcomes, and ECM/compliance requirements.
• Train and mentor staff to ensure high-quality member-centered care.

Skills

RN license

Healthcare management

Care management

Supervisory experience

Communication skills

Driver's license

Job description

BLEHEALTH is seeking an RN Clinical Consultant to lead clinical oversight for Enhanced Care Management (ECM) programs. In Pomona, CA, you will guide care teams, coordinate with providers, and support high-need members to improve health outcomes.

The role emphasizes collaboration across disciplines, discharge planning, and care transitions, with a focus on reducing barriers and improving health equity in the community.