Part-Time Registered Nurse Care Manager (RNCM)
Location: Hybrid / Field-Based
Employment Type: Part-Time
Position Overview
Heritage Health Network (HHN) is seeking a Registered Nurse Care Manager (RNCM) to provide clinical oversight and guidance to a team of non-clinical Lead Care Managers within our Enhanced Care Management (ECM) program.
In this part-time role, the RNCM will review member charts, assess care plans, identify gaps in care, and provide clinical guidance to ensure members receive comprehensive, high-quality care. The role includes a combination of remote clinical work and field-based activities, including in-person member and provider engagement as needed.
Most administrative and chart-review hours can be completed on a flexible schedule. However, one hour per week is required for participation in the ECM team's case review meeting.
Clinical Oversight & Quality Assurance
- Review member charts in the EMR/EHR to assess care plans, medical history, and treatment adherence.
- Ensure the quality and appropriateness of care coordination for ECM members.
- Provide clinical guidance to non-clinical Lead Care Managers on complex member cases.
- Identify gaps in care and recommend appropriate interventions to improve health outcomes.
Care Coordination & Field Support
Regulatory Compliance & Documentation
- Ensure care management activities align with Medi-Cal ECM guidelines and applicable healthcare regulations.
- Maintain accurate and timely documentation in the electronic health record (EHR) system.
- Provide clinical input for monthly reports required by health plans and regulatory bodies.
Requirements
Qualifications
- Active Registered Nurse (RN) license in California.
- Minimum 2 years of nursing experience.
- At least 1 year of experience in care management, case management, or a leadership capacity.
- Experience working with vulnerable populations and individuals with complex medical and social needs.
- Strong clinical assessment and care planning skills.
- Proficiency with electronic medical records (EMR/EHR) systems.
- Excellent communication, collaboration, and clinical judgment skills.
- Ability and willingness to perform field-based work and in-person member engagement as required.
Benefits
- Health Insurance:Eligible for medical, dental, and vision insurance from the first of the month following or coinciding with your start date.
- Paid Time Off: Sick time, paid holidays, and vacation time to support work-life balance.
- Compensation and Incentives: Competitive salary with annual merit increases and quarterly bonus opportunities.
- Flexibility: Work-from-home options several days a week.
- Professional Growth: Opportunities for career advancement and continued professional development.
Heritage Health Network offers a supportive community and opportunities for professional growth, aiming to enhance both patient and employee experiences. Join us in making a lasting impact on community health.