Registered Nurse

Location: Inland Empire (San Bernardino or Riverside counties only—no exceptions)
Compensation: $70,000 - $100,000 annually
Job Type: Full-time (Hybrid (must be available for in-person visits)

About the Role

We are seeking a Registered Nurse to support care coordination, patient engagement, and clinical oversight for patients receiving enhanced care management and wraparound support services. This role is ideal for an RN with strong clinical judgment, care coordination experience, and a passion for improving outcomes for patients with complex medical, behavioral, and social needs.

The Registered Nurse will help guide care recommendations, support transitions of care, collaborate with multidisciplinary teams, and ensure patients are connected to the right clinical, social, and community-based resources.

Compensation & Benefits

$70,000 - $100,000 annually
Medical, dental, and vision benefits
401(k) plan
Paid time away: 3 weeks total
- 2 weeks PTO
- 6-7 company-recognized federal holidays

Duties & Responsibilities

Serve as a clinical resource and subject matter expert for care coordination and enhanced care management programs
Provide care recommendations within the scope of the Registered Nurse license and under appropriate physician oversight
Support clinical assessments that contribute to individualized care plan development
Promote patient engagement, education, and follow-through with care plans
Conduct telephonic outreach and patient visits as needed based on program needs
Support transitions of care, including post-discharge follow-up and engagement with high-risk patients
Reinforce provider recommendations and care plans during patient interactions
Coordinate services such as primary care, specialty care, labs, durable medical equipment, behavioral health, and community-based resources
Assess environmental, social, and functional barriers to care and help coordinate appropriate interventions
Participate in multidisciplinary team meetings
Collaborate with leadership to support care model improvements
Identify and escalate clinical or social concerns to the appropriate team members
Perform chart audits in accordance with company, regulatory, and compliance standards
Maintain compliance with HIPAA, company policies, and documentation requirements
Perform other duties as assigned based on program and organizational needs

Qualifications

Active Registered Nurse license in California
Experience in care coordination, case management, population health, enhanced care management, or similar patient support programs preferred
Strong understanding of clinical care planning, patient engagement, and care transitions
Knowledge of social determinants of health and community resource navigation
Ability to support patients with complex medical, behavioral, and social needs
Strong communication, documentation, and organizational skills
Comfortable collaborating with physicians, care teams, leadership, and community-based partners
Knowledge of Motivational Interviewing, Trauma-Informed Care, Harm Reduction, and Stages of Change preferred
Ability to work independently while supporting a multidisciplinary care model

#MASC105

Vereiste vaardigheden

California Registered Nurse licensureClinical assessment and individualized care planningCare coordination and resource linkageTransitions of care management (including post-discharge follow-up)Complex care management for medical, behavioral, and social needsAssessment of social determinants of healthPatient engagement and health educationMotivational InterviewingTrauma-Informed Care and Harm Reduction knowledgeTelephonic outreach and in-person patient visits (telehealth/home visits)Chart auditing, clinical documentation, and regulatory/HIPAA complianceInterprofessional collaboration and multidisciplinary team communicationClinical judgment and escalation of clinical or social concernsIndependent work, organization, and time-management

Vergelijkbare banen