Registered Nurse - Clinical Case Consultant (CalAIM ECM Program) (CA Based ONLY)

At Pacific Health Group, we believe that every Californian deserves access to compassionate, coordinated, and person-centered care. As a Registered Nurse – Clinical Case Consultant in our CalAIM Enhanced Care Management (ECM) program, you will be a catalyst for better health outcomes among the state’s most vulnerable populations—those experiencing homelessness, living with serious mental illness (SMI), substance use disorders (SUD), or multiple chronic conditions.

You will serve as the clinical cornerstone of a multidisciplinary team, ensuring that every care plan is clinically sound, culturally responsive, and designed to help members live healthier, more stable lives.

Key Responsibilities

1. Clinical Leadership & Guidance

• 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.

Impact Example :

By identifying medication risks in a member with both diabetes and schizophrenia, you ensure the team delivers safe, coordinated care that improves both physical and mental health outcomes.

2. Care Coordination Excellence

Impact Example :

You connect a recently discharged member with their primary care provider, ensure medication access, and coordinate in-home support—reducing the likelihood of readmission.

3. Documentation & Compliance

Impact Example :

Your diligence ensures that care plans meet ECM requirements while reflecting each member’s voice, goals, and progress.

4. Training & Team Development

Impact Example :

By teaching CHWs to recognize early signs of diabetic crises, you empower frontline staff to prevent emergencies and save lives.

5. Quality Improvement & Program Innovation

Impact Example :

You notice high ER utilization among unhoused members and help design a proactive outreach plan—reducing avoidable emergency visits and improving stability.

Location : Remote (California-based)

Employment Type : Full-Time

Reports To : Clinical Program Manager / ECM Director

Salary Range : $85,000 – $95,000 Annually

Equal Employment Opportunity

Pacific Health Group, along with its divisions, is a proud Equal Opportunity Employer. We embrace diversity and are devoted to creating an inclusive environment for all employees. Our commitment is to ensure equal employment opportunities for every qualified candidate, irrespective of race, religion, gender, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other status protected by federal, state, or local laws.

At Pacific Health Group, we recognize the importance of accessibility and are dedicated to provide reasonable accommodations for individuals with disabilities. We believe that our strength lies in our diversity, and we are committed to building a workforce that reflects the varied communities we serve. Join us in a workplace where everyone's contributions are valued and respected.

Job Application & Offer Disclaimer

Pacific Health Group is committed to maintaining a transparent, lawful, and secure hiring process in compliance with California labor laws and employment standards. No candidate will be offered employment without meeting the required qualifications and skillset for the position and successfully completing all steps of our recruitment process, which include :

⚠️  Important Notice : Any message, onboarding link, or communication that claims to represent Pacific Health Group but bypasses the steps listed above is not valid and not authorized by the company. Candidates are advised not to click on or respond to such messages. For verification, candidates may contact the Pacific Health Group Human Resources Department directly.

AI & Human Interaction (HI) in Recruitment

Pacific Health Group is committed to fairness, equity, and transparency in our hiring practices. We use AI (Artificial Intelligence) tools to help match candidate resumes against our job descriptions, focusing on qualifications, skillsets, and location.

All resumes that meet these criteria are then reviewed by HI (Human Interaction) — our recruiting and HR team. Pacific Health Group remains true to our Equal Employment Opportunity (EEO) statement , ensuring that every candidate is given fair and consistent consideration.

Requirements

Required Qualifications

Preferred Qualifications

Benefits

Benefits & Perks