Registered Nurse – Clinical Case Consultant

Pacific Health Group

Registered Nurse providing clinical consultation and guidance for ECM care teams. Collaborating with interdisciplinary teams to support high-risk Medi-Cal members' healthcare needs.

Posted 6/10/2026full-timeSan Diego • California • 🇺🇸 United StatesJuniorMid-Level💰 $85,000 - $95,000 per yearWebsite

About the role

Key responsibilities & impact

Serve as the primary clinical resource for ECM care teams.
Provide clinical consultation and guidance to Lead Care Managers, Community Health Workers, Licensed Vocational Nurses, and interdisciplinary team members.
Review complex member cases and provide recommendations regarding care planning, interventions, risk mitigation, and treatment coordination.
Participate in interdisciplinary case reviews, case conferences, and care team meetings.
Assist care teams in identifying clinical risks and developing appropriate intervention strategies.
Support development of individualized, member-centered care plans that align with CalAIM ECM requirements and member goals.
Promote evidence-based practices and whole-person care approaches.
Assist leadership with clinical decision-making and complex case management strategies.

Requirements

What you’ll need

Active and unrestricted Registered Nurse (RN) license in the State of California.
Minimum two (2) years of direct clinical experience in community health, managed care, acute care, post-acute care, public health, behavioral health, or substance use disorder treatment settings.
Experience working with Medi-Cal populations and individuals with complex medical, behavioral health, and social needs.
Experience supporting populations experiencing homelessness, justice involvement, serious mental illness (SMI), substance use disorders (SUD), or multiple chronic conditions.
Experience providing clinical guidance, consultation, mentoring, or supervision to interdisciplinary care teams preferred.
Strong understanding of care coordination, population health, and interdisciplinary team-based care.
Excellent communication, organizational, and problem-solving skills.
Ability to work independently and collaboratively in a fast-paced environment.
Proficiency with electronic health records (EHRs), care management platforms, and Microsoft Office applications.
Valid California Driver's License, reliable transportation, and ability to travel throughout hiring county.

Benefits

Comp & perks

160 Hours of Paid Time Off (PTO)
12 Paid Holidays, including Birthday Holiday
One Floating Holiday after one year of employment
Four (4) Paid Volunteer Hours per Month
Bereavement Leave, including Pet Bereavement Leave
90% Employer-Paid Employee-Only Medical Coverage
Dental and Vision Insurance
Flexible Spending Account (FSA)
Short-Term Disability, Long-Term Disability, and AD&D Coverage
Employee Assistance Program (EAP)
401(k) with Company Match
Monthly Stipend
Professional Development Opportunities
Career Advancement and Internal Growth Opportunities
Hybrid Work Environment
Quarterly In-Person Team and Company Events
Employee Discount Programs through Great Work Perks and Perks at Work

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

clinical consultationcare planningrisk mitigationtreatment coordinationcase managementpopulation healthcare coordinationevidence-based practiceswhole-person careinterdisciplinary team-based care

Soft Skills

communicationorganizationalproblem-solvingindependent workcollaborative work

Certifications

Registered Nurse (RN) license