Pacific Health Group

Registered Nurse – Clinical Case Consultant, CalAIM ECM Program

Pacific Health Group

full-time

Posted on:

Location Type: Remote

Location: Remote • California • 🇺🇸 United States

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Salary

💰 $85,000 - $95,000 per year

Job Level

JuniorMid-Level

About the role

  • Provide clinical oversight to ECM Care Coordinators, Community Health Workers (CHWs), and Case Managers.
  • Conduct case consultations to ensure care plans are safe, evidence-based, and aligned with each member’s goals.
  • Participate in interdisciplinary case rounds to support integrated decision-making and problem-solving.
  • Offer clinical insight on risk assessments, screenings, and care prioritization.
  • Support seamless transitions of care from hospital to home or community-based settings.
  • Collaborate with providers, health plans, behavioral health agencies, and community organizations to bridge service gaps.
  • Proactively identify members at risk for adverse outcomes and guide timely interventions.
  • Maintain accurate, timely documentation of clinical reviews, recommendations, and member interactions in the EHR.
  • Review care team documentation to ensure compliance with Medi-Cal ECM standards and audit readiness.
  • Lead trainings for non-clinical staff on chronic disease management, medication safety, and symptom recognition.
  • Analyze outcomes to identify trends, barriers, and opportunities for improvement.

Requirements

  • Active and unrestricted Registered Nurse (RN) license in California.
  • 2+ years of direct clinical experience in settings such as:
  • Community health centers
  • Acute or post-acute care
  • Public health programs
  • Behavioral health or SUD treatment programs
  • Experience working with Medi-Cal populations, including individuals who are:
  • Homeless or at risk of homelessness
  • Justice-involved
  • Living with SMI/SUD
  • Facing multiple chronic health conditions
  • Experience with CalAIM ECM, Whole Person Care (WPC), or Health Homes Program.
  • Familiarity with managed care workflows and interdisciplinary team collaboration.
  • Bilingual proficiency (especially in Spanish, Mandarin, Vietnamese, or Tagalog) is a plus.
  • Certification in Case Management (CCM, ACM, or similar) is an asset.
Benefits
  • 160 Hours of Paid Time Off (PTO)
  • 12 Paid Holidays per year, including your birthday and one floating holiday granted after 1 year of employment
  • 4 Paid Volunteer Hours per Month to support causes you care about
  • Bereavement Leave, including Fur Baby Bereavement
  • 90% Employer-paid Employee-Only Medical Benefits
  • FSA | Dependent Care Account
  • 401(k) with Company Match
  • Monthly Stipend
  • Short-Term & Long-Term Disability | AD&D
  • Employee Assistance Program (EAP)
  • Employee Discounts via Great Work Perks and Perks at Work
  • Quarterly In-Person Events
  • Fully remote work within California
  • Opportunities for professional development and internal growth

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
clinical oversightcase consultationsrisk assessmentscare prioritizationdocumentation in EHRchronic disease managementmedication safetysymptom recognitionoutcomes analysisinterdisciplinary collaboration
Soft skills
problem-solvingcommunicationleadershiporganizational skillscollaborationproactive identificationtrainingtimely interventionsupportbridging service gaps
Certifications
Registered Nurse (RN) licenseCertification in Case Management (CCM, ACM, or similar)
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