Registered Nurse Lead Care Manager

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Full Time Pomona, CA, US

2 days ago Requisition

Salary Range: $40.00 To $45.00 Hourly

Location: Pomona, CA (Onsite, In-Office role)
Schedule: Full-Time | Monday-Friday, 8:00 AM-5:00 PM
Compensation:$40-$45 per hour

BLEHEALTH is seeking a compassionate, organized, and technology-savvy Registered Nurse Lead Care Manager to support members with complex medical, behavioral health, and social needs through our Enhanced Care Management (ECM) program.

This is an excellent opportunity for an RN who wants to build expertise in care management, population health, and community-based care while making a direct impact on some of our most vulnerable members.

Prior Care Management experience is not required. We are seeking nurses who are eager to learn, comfortable with technology, and committed to improving outcomes for members with complex healthcare and social needs.

This is an in-office position based in Pomona, California
, with regular outreach and in-person visits throughout the Los Angeles area.

This position differs significantly from hospital and bedside nursing.

Rather than providing direct hands-on patient care, the Registered Nurse Lead Care Manager serves as a care coordinator, advocate, and clinical resource for members with complex medical, behavioral health, and social needs.

The majority of the workday involves:

• Phone outreach and member engagement
• Video visits
• Care coordination with providers and community resources
• Clinical review and approval of care plans
• Documentation and compliance activities
• Tracking member progress and outcomes
• In-person member visits in the community
• Collaboration with interdisciplinary care teams

Nurses who enjoy relationship-building, problem-solving, organization, technology, and care coordination tend to thrive in this role.

• Serve as the Lead Care Manager for assigned members with complex healthcare and social needs.
• Conduct outreach through phone calls, video visits, and community-based visits.
• Complete assessments and develop person-centered care plans.
• Review, approve, and update care plans in accordance with program requirements.
• Coordinate care with physicians, specialists, behavioral health providers, hospitals, health plans, and community organizations.
• Support members during transitions of care, including hospital discharges and emergency department follow-up.
• Identify barriers to care and connect members to appropriate resources and services.
• Monitor care gaps, member outcomes, and program requirements.
• Participate in interdisciplinary team meetings and case conferences.
• Maintain timely, accurate, and compliant documentation.

• Active California Registered Nurse (RN) license in good standing.
• Graduate of an accredited nursing program.
• Strong computer proficiency and ability to learn new software applications quickly.
• Proficiency with Microsoft Office, including Outlook, Word, and Exce
  l.
• Experience working within Electronic Health Record (EHR) systems.
• Ability to work effectively with spreadsheets, member rosters, and compliance tracking data.
• Ability to document accurately while speaking with members by phone or video.
• Strong written and verbal communication skills.
• Excellent organizational and time-management skills.
• Ability to work onsite in our Pomona office Monday-Friday, 8:00 AM-5:00 PM.
• Valid California driver's license and reliable transportation.
• Ability to travel throughout Los Angeles County for member…