Serene Health

RN Clinical Case Manager

Riverside, CA · Contract

Sponsorship not specified$90k-$110kDetected 8 days ago

ExcelPatient CareLeadershipCommunicationCollaborationMentoringMicrosoft Office

About the role

The RN Clinical Care Manager (CCM) serves as a trusted partner and advocate for members, providing compassionate, coordinated, and person-centered care within the Enhanced Care Management (ECM) program.
This role combines the relational and member-engagement strengths of the Lead Care Manager with the clinical expertise and system coordination responsibilities of an RN Case Manager.
Under the general supervision of Enhanced Care Management Leadership, the RN Clinical Care Manager develops and implements personalized care plans, conducts comprehensive assessments, facilitates care transitions, and builds strong, trusting relationships with each member.

Member Engagement and Relationship Building
Provide compassionate emotional support, active listening, and culturally sensitive coaching to empower members in their care journey.
Advocate for timely access to appropriate treatments, medications, and support services.
Analyze payer and quality performance reports to identify care gaps and implement improvement strategies.
Participate in developing and training team members on quality improvement, safety, and case management best practices.
Manage a caseload of members within ECM's populations of focus, including but not limited to:
Manage your finances with flexibility.
Support when life throws challenges your way.
401(K): Building your financial future with us.
Employee Assistance Program (EAP): Support when life throws challenges your way.

Ability to travel locally for member visits
must be able to lift up to 10 pounds.
Current California RN license in good standing.
2-3 years of clinical experience in case management, acute care, ICU/CCU, or home health.
Strong understanding of Medi-Cal, care coordination, and social determinants of health.
Excellent analytical, clinical judgment, interpersonal, and communication skills.
Proficiency in MS Office (Excel, Word, Outlook) and electronic health record systems.
Valid California driver's license, car insurance, and access to a reliable vehicle.
Ability to travel locally for member visits; mileage reimbursement provided.
Compassionate, nonjudgmental, and culturally sensitive approach.
Bachelor's or Associate degree in Nursing, Healthcare Administration, or a related field.
Bilingual, Spanish.

Our full-time employees are eligible for the following benefits enrollment after 60 days of employment:
Short & Long-Term Disability
Flexible Spending Accounts: Manage your finances with flexibility.
Paid Vacation and Sick Leave: Flexibility for the planned and unplanned.

Enjoy savings on everyday expenses and memberships.
Equal Employment Opportunity
Optima Medical Management Group and its divisions are an Equal Opportunity Employer.
Optima MMG is committed to providing reasonable accommodation for individuals with disabilities.
Optima Medical Management Group is a drug-free workplace.
Employment is contingent upon a successful pre-employment drug screening and background check.
Optima MMG is committed to providing employment opportunities for all qualified candidates without discrimination on the basis of race, religion, sex, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other characteristic protected by federal, state or local laws.
Pre-Employment

without discrimination on the basis of race, religion, sex, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other characteristic protected by fed

This listing is sourced directly from Serene Health's careers page and normalized into a canonical job model.