RN, Medical ICU

Community Medical Centers Fresno, CA 93721, US

Overview

Opportunities for you!

Direct impact on quality patient care in a 24-bed unit with an RN-patient ratio of 1:2 but can be 1:1 based on patient acuity.
Comprehensive relocation package and concierge service
Progressive sign-on incentive paid over time for eligible candidates
Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek
Time and a half after 8 hrs + weekend and night differential (call pay for procedural areas)
RN Advancement Pathway for growth, built for nurses, by nurses
Free Continuing Education and certification including BLS, ACLS and PALS
Tuition reimbursement, education programs and scholarships
Vacation time starts building on Day 1, and builds with your seniority
Free money toward retirement with a 403(b) and matching contributions
Great food options with on-demand ordering
Free parking and electric charging

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.

We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.

Responsibilities

You will be joining an amazing Medical ICU nursing team that is always ready to take care of any patient. In our 24 bed ICU, you will be working closely with an interdisciplinary team to deliver evidence-based care to complex patients with a multitude of diagnoses including sepsis, shock, multi-organ failure, ARDS, heart failure, MI, cardiac abnormalities, and stroke.

You should have the desire to be a patient and family advocate, have excellent communication and problem-solving skills and have the desire to work closely with other disciplines.

Qualifications

Education• High School Diploma, High School Equivalency (HSE), or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required• Bachelor's Degree in Nursing preferred Experience• Consistent demonstration of Novice / Advance Beginner clinical nursing practice proficiency required Licenses and Certifications• RN - Current and valid Registered Nurse license to work within the state of California required• BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required CHS HealthStream Courses• ALS-OB - Advanced Life Support OB Program required within 6 months of hire or transfer into position for the following departments: 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage.• BAC - Basic Arrhythmia Course required within 6 months of hire or transfer into position for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-61100 Burn Center, 01-61701 Med Surg 2 Central, 01-61702 Med Surg 5 Central, 01-61703 Med Surg 7 West, 01-61730 Med Surg Oncology, 01-61770 Orthopedics 5 West, 01-61790 CPCU, 01-61791 CVS Progressive 8W, 01-74270 PACU-Recovery, 01-74276 FH PACU, 01-74300 Short Stay Surgery, 01-74306 FH Short Stay Surgery, 01-87300 Nurse Float-PR Only. Clovis: 02-61700 Med-Surg Acute Care, 02-61708 Med-Surg Acute Care 5/5N, 02-61790 Med-Surg/CPCU, 02-61792 Surgical CPCU, 02-74270 PACU-Recovery, 02-74300 Short Stay Surgery, 02-87300 Nurse Float-PR Only.• NIHSS - National Institutes of Health Stroke Scale Exam required within 6 months of hire or transfer into position for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-60100 ICU 4th Floor, 01-60101 ICU 5th Floor, 01-60102 Neuroscience ICU, 01-60103 Neuroscience ICU-4 North, 01-61704 Neuroscience 9W, 01-61780 ICU Stepdown, 01-70100 Emergency, 01-87300 Nurse Float-PR Only. Clovis: 02-60100 ICU, 02-70100 Emergency, 02-87300 Nurse Float-PR Only. Other Qualifications / NotesRefer to the department’s specific requirements, orientation skills checklists, and competencies Additional Certification Requirements• Adult Cardiac Life Support (ACLS) certification required within 3 months of hire or transfer into position for the following departments: 01-60300 CVU, 01-74230 Cardiac Surgery, 01-75700 Cath Lab, 01-75706 FH Cath Lab, 01-75900 Cardiology, 01-75931 Cardiac Pulmonary Rehab, 01-78700 Interventional Pre Proc PICA. Clovis: 02-60300 ICU 2 North, 02-75701 Cath Lab, 02-75720 Post Interventional Cardiac Area PICA, 02-76400 Interventional Radiology.• Adult Cardiac Life Support (ACLS) certification required within 6 months of hire or transfer into position for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-60102 Neuroscience ICU, 01-60103 Neuroscience ICU-4 North, 01-60306 FH CVU, 01-61705 FH CPCU, 01-61780 ICU Stepdown, 01-70701 Clinic-OMFS, 01-70710 FH ES Cardiac Treatment Ctr, 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage, 01-87206 FH Nursing Admin, 01-87300 Nurse Float-PR Only. Clovis: 02-61780 ICU Stepdown, 02-61792 Surgical CPCU, 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage, 02-87300 Nurse Float-PR Only.• Adult Cardiac Life Support (ACLS) certification required within 1 year of hire or transfer into position for the following departments: 01-60100 ICU 4th Floor, 01-60101 ICU 5th Floor, 01-61100 Burn Center, 01-61701 Med Surg 2 Central, 01-61702 Med Surg 5 Central, 01-61703 Med Surg 7 West, 01-61704 Neuroscience 9W, 01-61730 Med Surg Oncology, 01-61770 Orthopedics 5 West, 01-61790 CPCU, 01-61791 CVS Progressive 8W, 01-70100 Emergency, 01-72000 FH ADTC-Advanced Diag Test Ctr, 01-73900 Burn Therapy, 01-74206 FH Surgery, 01-74240 Neurosurgery, 01-74270 PACU-Recovery, 01-74276 FH PACU, 01-74300 Short Stay Surgery, 01-74306 FH Short Stay Surgery, 01-76306 FH Radiology Diagnostic, 01-76400 Radiography Therapeutic, 01-77401 Renal Dialysis-IP, 01-77610 Endoscopy. Clovis: 02-60100 ICU, 02-61700 Med-Surg Acute Care, 02-61708 Med-Surg Acute Care 5/5N, 02-61790 Med Surg CPCU, 02-70100 Emergency, 02-74270 PACU-Recovery, 02-74300 Short Stay Surgery, 02-77401 Renal Dialysis-IP, 02-77610 Endoscopy.• Pediatric Advanced Life Support (PALS) certification required within 6 months of hire or transfer into position for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-87300 Nurse Float-PR Only. Clovis: 02-87300 Nurse Float-PR Only.• Pediatric Advanced Life Support (PALS) certification required within 1 year of hire or transfer into position for the following departments: 01-60500 Pediatric ICU, 01-61100 Burn Center, 01-62900 Pediatrics, 01-70100 Emergency, 01-70701 Clinic-OMFS, 01-73900 Burn Therapy, 01-74270 PACU-Recovery, 01-74300 Short Stay Surgery, 01-76400 Radiography Therapeutic, 01-77610 Endoscopy (except for nurses in pre-admission testing). Clovis: 02-70100 Emergency, 02-74270 PACU-Recovery, 02-74300 Short Stay Surgery.• Electronic Fetal Monitoring (EFM) Course required within 6 months of date of hire or transfer into position for the following departments (exceptions may apply, refer to Policy #10925): 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage.• Neonatal Resuscitation Program (NRP) certification required within 6 months of hire or transfer into position for the following departments: 01-60500 Pediatric ICU, 01-60700 NICU, 01-62900 Pediatrics, 01-63800 Obstetrics, 01-65320 Newborn Nursery, 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-60700 Neonatal ICU, 02-63800 Obstetrics, 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage.• Oncology Nursing Society Chemotherapy/Biotherapy (ONSCHEMO) certification required within 6 months of hire or transfer into position for the following departments: 01-61730 Med Surg Oncology, 01-73911 Ambulatory Infusion Ctr-EMP, 01-73913 Ambulatory Infusion Ctr-Clovis. Clovis: 02-73917 CCI-Infusion Services.• Certified Electronic Fetal Monitoring (C-EFM) by the National Certification Corporation (NCC) required within 1 year of hire or transfer into position for the following departments (exceptions may apply, refer to Policy #10925): 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage.

Disclaimers

• Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.

Share this job

Related Jobs

Outpatient

Part-time

1 week ago

Part-Time Registered Nurse - Clinical Case Consultant - ECM

Pacific Health Group San Joaquin, CA

$45 / hour

Department: Enhanced Care Management (ECM) Reports To: ECM Program Manager Work Arrangement: Hybrid - CA Compensation: $45/hourly Schedule: Monday – Friday | 8:00am - 1:00pm (*flexible) 25 - 29 hrs per week About Pacific Health Group At Pacific Health Group, we are transforming healthcare by addressing social determinants of health and delivering innovative, community-based solutions that improve lives. Through programs such as Enhanced Care Management (ECM), Community Supports, Behavioral Health Services, Community Health Workers, Street Medicine, and other whole-person care initiatives, we help individuals navigate complex healthcare systems and access the resources they need to thrive. We meet individuals where they are—with compassion, dignity, respect, and a commitment to whole-person care. Our work focuses on improving outcomes for individuals experiencing homelessness, serious mental illness, substance use disorders, chronic health conditions, justice involvement, and other complex social and medical challenges. If you are passionate about improving healthcare outcomes and supporting vulnerable populations through innovative community-based care, we invite you to join our team. Our Core Values Speak with integrity—clear, respectful, and honest in every interaction. Embrace innovation by trying new ideas, learning quickly, and continuously improving. Own our roles by remaining accountable for outcomes and documentation. Build genuine connections through empathy, compassion, and cultural humility. Lead with trust through consistency, transparency, and follow-through. Celebrate wins together and recognize team achievements. Collaborate with purpose across departments, providers, and community partners. Ask for support and offer support because thriving together strengthens our ability to serve our members. Position Summary The Registered Nurse – Clinical Case Consultant serves as the clinical subject matter expert for Pacific Health Group's CalAIM Enhanced Care Management (ECM) program. This position provides clinical guidance, consultation, oversight, and support to interdisciplinary care teams serving high-risk Medi-Cal members with complex medical, behavioral health, and social needs. The Clinical Case Consultant works closely with Lead Care Managers, Community Health Workers, Licensed Vocational Nurses, Behavioral Health staff, healthcare providers, health plans, hospitals, and community-based organizations to ensure members receive coordinated, high-quality, person-centered care. This role combines clinical expertise, care coordination, quality improvement, staff development, field-based oversight, and community collaboration to improve health outcomes, reduce avoidable utilization, and support compliance with CalAIM ECM requirements and best practices. This position serves as the clinical leader for field-based care management activities, providing direct supervision and clinical oversight of Licensed Vocational Nurses (LVNs), conducting field visits and ride-alongs with Lead Care Managers (LCMs), Community Health Workers (CHWs), and other care team members, and ensuring the delivery of safe, high-quality, member-centered services throughout hiring county. Essential Duties and ResponsibilitiesClinical Leadership & Consultation Serve as the primary clinical resource for ECM care teams. Provide clinical consultation and guidance to Lead Care Managers, Community Health Workers, Licensed Vocational Nurses, and interdisciplinary team members. Review complex member cases and provide recommendations regarding care planning, interventions, risk mitigation, and treatment coordination. Participate in interdisciplinary case reviews, case conferences, and care team meetings. Assist care teams in identifying clinical risks and developing appropriate intervention strategies. Support development of individualized, member-centered care plans that align with CalAIM ECM requirements and member goals. Promote evidence-based practices and whole-person care approaches. Assist leadership with clinical decision-making and complex case management strategies. Enhanced Care Management (ECM) Support Support implementation and ongoing success of CalAIM Enhanced Care Management services. Ensure clinical interventions align with ECM program requirements, contractual obligations, and best practices. Collaborate with health plans, providers, hospitals, behavioral health agencies, and community-based organizations to coordinate care and improve outcomes. Assist care teams in navigating complex healthcare systems and addressing barriers to care. Support care transitions following hospitalizations, emergency department visits, skilled nursing facility discharges, and other significant healthcare events. Monitor high-risk members and provide recommendations to prevent avoidable utilization and adverse outcomes. Field-Based Clinical Support & Quality Oversight Conduct regular field visits with Lead Care Managers (LCMs), Community Health Workers (CHWs), Licensed Vocational Nurses (LVNs), and other care team members to observe service delivery and provide clinical guidance. Shadow care team members during member visits to assess care coordination effectiveness, member engagement, documentation practices, safety considerations, and adherence to program standards. Provide real-time coaching, mentorship, and clinical consultation during field-based activities. Evaluate field operations and identify opportunities to improve member outcomes, care coordination practices, workflow efficiency, and service quality. Support staff in managing complex member situations, high-risk cases, crisis intervention needs, and care transitions. Conduct quality assurance reviews of field-based activities and provide recommendations for improvement. Participate in joint member visits when clinical support, member education, care coordination, or provider collaboration is needed. Monitor field-based documentation and ensure compliance with Medi-Cal ECM requirements, organizational standards, and regulatory expectations. LVN Supervision & Clinical Oversight Provide direct clinical supervision and oversight for Licensed Vocational Nurses (LVNs) in accordance with California nursing regulations and Pacific Health Group policies. Review and monitor LVN clinical activities, documentation, assessments, care coordination efforts, and member interactions. Provide ongoing coaching, education, mentorship, and professional development to LVNs. Support competency development and clinical skill enhancement among LVN staff. Ensure delegated nursing functions are performed appropriately and within scope of practice. Collaborate with leadership regarding LVN performance, development needs, and clinical support requirements. Promote adherence to clinical standards, documentation requirements, quality measures, and regulatory expectations. Assist with performance evaluations, corrective action recommendations, and clinical competency assessments as needed. Care Coordination & Community Collaboration Collaborate with primary care providers, specialists, behavioral health providers, hospitals, managed care plans, and community organizations. Facilitate communication among interdisciplinary team members to ensure continuity of care. Assist in identifying and resolving gaps in care, treatment adherence challenges, and service coordination issues. Support linkage to healthcare services, behavioral health services, housing resources, community supports, and social service programs. Participate in field-based consultations and community meetings as needed. Documentation, Compliance & Quality Assurance Maintain accurate, timely, and compliant documentation of clinical reviews, recommendations, consultations, and member interactions. Review care team documentation for quality, completeness, and compliance with Medi-Cal and ECM standards. Ensure documentation supports audit readiness and contractual compliance. Monitor clinical quality indicators and identify opportunities for improvement. Assist leadership in preparing for audits, quality reviews, and compliance monitoring activities. Promote data integrity and accountability throughout the care management process. Training & Staff Development Develop and deliver clinical training to non-clinical staff, including Community Health Workers, Care Coordinators, and Lead Care Managers. Provide education on chronic disease management, medication safety, behavioral health conditions, symptom recognition, healthcare navigation, and clinical best practices. Mentor staff to enhance clinical understanding and confidence in supporting members with complex needs. Support onboarding and ongoing professional development initiatives. Quality Improvement & Program Development Analyze clinical and programmatic outcomes to identify trends, barriers, risks, and opportunities for improvement. Participate in quality improvement initiatives focused on member outcomes, care coordination, compliance, and operational effectiveness. Assist in developing clinical workflows, policies, procedures, and best practices. Collaborate with leadership to improve program performance and service delivery. Support organizational initiatives related to innovation, quality, and population health management. Reporting & Clinical Analytics Monitor and evaluate member outcomes, utilization trends, and care coordination effectiveness. Provide clinical insights and recommendations to leadership regarding program performance. Assist with reporting related to quality metrics, care management outcomes, and compliance indicators. Identify opportunities to improve member engagement, healthcare utilization, and clinical outcomes. Key Performance Indicators (KPIs) Success in this role may be measured through: Reduction in avoidable emergency department utilization. Reduction in hospital admissions and readmissions. Improvement in member engagement and care plan completion. Timely completion of clinical reviews and consultations. Compliance with CalAIM ECM documentation standards. Audit readiness and documentation quality. Staff training completion and clinical competency development. Successful oversight and development of LVN staff. Quality outcomes identified through field visits and shadowing activities. Improved interdisciplinary collaboration and care coordination. Positive member outcomes and stabilization metrics. Achievement of organizational quality and performance goals. Minimum Qualifications Active and unrestricted Registered Nurse (RN) license in the State of California. Minimum two (2) years of direct clinical experience in community health, managed care, acute care, post-acute care, public health, behavioral health, or substance use disorder treatment settings. Experience working with Medi-Cal populations and individuals with complex medical, behavioral health, and social needs. Experience supporting populations experiencing homelessness, justice involvement, serious mental illness (SMI), substance use disorders (SUD), or multiple chronic conditions. Experience providing clinical guidance, consultation, mentoring, or supervision to interdisciplinary care teams preferred. Strong understanding of care coordination, population health, and interdisciplinary team-based care. Excellent communication, organizational, and problem-solving skills. Ability to work independently and collaboratively in a fast-paced environment. Proficiency with electronic health records (EHRs), care management platforms, and Microsoft Office applications. Preferred Qualifications Experience working within CalAIM Enhanced Care Management (ECM), Whole Person Care (WPC), Health Homes Program (HHP), or similar care management models. Case Management Certification (CCM, ACM, or equivalent). Experience supervising LVNs or other clinical support staff. Experience working with managed care plans and value-based care programs. Experience in community-based healthcare delivery. Bilingual proficiency in Spanish, Mandarin, Vietnamese, Tagalog, or other languages commonly spoken within the communities served. Experience mentoring interdisciplinary care teams. Requirements Reliable personal vehicle for daily work use Successful completion of background check (including MVR)| Must be able to travel up to 60-70% within the county to conduct in person visits Must successfully complete a Testlify skills assessment Must have a reliable working laptop for the first 21 days of employment (personal equipment stipend) until company issues laptop is received Must have effective Time Management skills Must have internet speed of - 300+ mbps download and 25+mbps upload Must be proficient in technology, including documentation systems, case management platforms, and communication tools Work Environment & Travel Requirements This is a hybrid position requiring a combination of remote work, office-based work, and extensive field-based activities. Approximately 50% of work time will involve travel throughout hiring county to conduct field visits, shadow Lead Care Managers and other care team members, provide clinical supervision and coaching, support member care coordination activities, participate in community-based meetings, collaborate with healthcare providers and community partners, and conduct quality assurance reviews. The position may require attendance at case conferences, provider meetings, health plan meetings, leadership meetings, training events, and community-based activities. Frequent local travel is required. Must be willing to work occasional evenings and weekends as needed. Time Off & Leave Paid Time Off 12 Paid Holidays, including Birthday Holiday One Floating Holiday after one year of employment Four (4) Paid Volunteer Hours per Month Bereavement Leave, including Pet Bereavement Leave Health & Wellness 90% Employer-Paid Employee-Only Medical Coverage Dental and Vision Insurance Flexible Spending Account (FSA) Short-Term Disability, Long-Term Disability, and AD&D Coverage Employee Assistance Program (EAP) Financial & Professional Growth 401(k) with Company Match Monthly Stipend Professional Development Opportunities Career Advancement and Internal Growth Opportunities Culture & Employee Experience Hybrid Work Environment Quarterly In-Person Team and Company Events Employee Discount Programs through Great Work Perks and Perks at Work Mission-Driven Culture Focused on Compassion, Innovation, Accountability, Collaboration, and Growth Equal Opportunity Employer Pacific Health Group is an Equal Opportunity Employer committed to fostering an inclusive workplace where all employees are treated with dignity and respect. We celebrate diversity and are committed to creating an environment where individuals from all backgrounds can thrive. All qualified applicants will receive consideration for employment without regard to any protected characteristic protected under applicable federal, state, or local law.

Telehealth

Full-time

2 weeks ago

Registered Nurse - Clinical Case Consultant - ECM

Pacific Health Group San Joaquin, CA

$85,000 - $95,000 / year

Department: Enhanced Care Management (ECM) Reports To: ECM Program Manager Classification: Exempt Work Arrangement: Hybrid - CA Compensation: $85,000.00 - $95,000.00 annually Schedule: Monday – Friday | Full-Time About Pacific Health Group At Pacific Health Group, we are transforming healthcare by addressing social determinants of health and delivering innovative, community-based solutions that improve lives. Through programs such as Enhanced Care Management (ECM), Community Supports, Behavioral Health Services, Community Health Workers, Street Medicine, and other whole-person care initiatives, we help individuals navigate complex healthcare systems and access the resources they need to thrive. We meet individuals where they are—with compassion, dignity, respect, and a commitment to whole-person care. Our work focuses on improving outcomes for individuals experiencing homelessness, serious mental illness, substance use disorders, chronic health conditions, justice involvement, and other complex social and medical challenges. If you are passionate about improving healthcare outcomes and supporting vulnerable populations through innovative community-based care, we invite you to join our team. Our Core Values Speak with integrity—clear, respectful, and honest in every interaction. Embrace innovation by trying new ideas, learning quickly, and continuously improving. Own our roles by remaining accountable for outcomes and documentation. Build genuine connections through empathy, compassion, and cultural humility. Lead with trust through consistency, transparency, and follow-through. Celebrate wins together and recognize team achievements. Collaborate with purpose across departments, providers, and community partners. Ask for support and offer support because thriving together strengthens our ability to serve our members. Position Summary The Registered Nurse – Clinical Case Consultant serves as the clinical subject matter expert for Pacific Health Group's CalAIM Enhanced Care Management (ECM) program. This position provides clinical guidance, consultation, oversight, and support to interdisciplinary care teams serving high-risk Medi-Cal members with complex medical, behavioral health, and social needs. The Clinical Case Consultant works closely with Lead Care Managers, Community Health Workers, Licensed Vocational Nurses, Behavioral Health staff, healthcare providers, health plans, hospitals, and community-based organizations to ensure members receive coordinated, high-quality, person-centered care. This role combines clinical expertise, care coordination, quality improvement, staff development, field-based oversight, and community collaboration to improve health outcomes, reduce avoidable utilization, and support compliance with CalAIM ECM requirements and best practices. This position serves as the clinical leader for field-based care management activities, providing direct supervision and clinical oversight of Licensed Vocational Nurses (LVNs), conducting field visits and ride-alongs with Lead Care Managers (LCMs), Community Health Workers (CHWs), and other care team members, and ensuring the delivery of safe, high-quality, member-centered services throughout hiring county. Essential Duties and ResponsibilitiesClinical Leadership & Consultation Serve as the primary clinical resource for ECM care teams. Provide clinical consultation and guidance to Lead Care Managers, Community Health Workers, Licensed Vocational Nurses, and interdisciplinary team members. Review complex member cases and provide recommendations regarding care planning, interventions, risk mitigation, and treatment coordination. Participate in interdisciplinary case reviews, case conferences, and care team meetings. Assist care teams in identifying clinical risks and developing appropriate intervention strategies. Support development of individualized, member-centered care plans that align with CalAIM ECM requirements and member goals. Promote evidence-based practices and whole-person care approaches. Assist leadership with clinical decision-making and complex case management strategies. Enhanced Care Management (ECM) Support Support implementation and ongoing success of CalAIM Enhanced Care Management services. Ensure clinical interventions align with ECM program requirements, contractual obligations, and best practices. Collaborate with health plans, providers, hospitals, behavioral health agencies, and community-based organizations to coordinate care and improve outcomes. Assist care teams in navigating complex healthcare systems and addressing barriers to care. Support care transitions following hospitalizations, emergency department visits, skilled nursing facility discharges, and other significant healthcare events. Monitor high-risk members and provide recommendations to prevent avoidable utilization and adverse outcomes. Field-Based Clinical Support & Quality Oversight Conduct regular field visits with Lead Care Managers (LCMs), Community Health Workers (CHWs), Licensed Vocational Nurses (LVNs), and other care team members to observe service delivery and provide clinical guidance. Shadow care team members during member visits to assess care coordination effectiveness, member engagement, documentation practices, safety considerations, and adherence to program standards. Provide real-time coaching, mentorship, and clinical consultation during field-based activities. Evaluate field operations and identify opportunities to improve member outcomes, care coordination practices, workflow efficiency, and service quality. Support staff in managing complex member situations, high-risk cases, crisis intervention needs, and care transitions. Conduct quality assurance reviews of field-based activities and provide recommendations for improvement. Participate in joint member visits when clinical support, member education, care coordination, or provider collaboration is needed. Monitor field-based documentation and ensure compliance with Medi-Cal ECM requirements, organizational standards, and regulatory expectations. LVN Supervision & Clinical Oversight Provide direct clinical supervision and oversight for Licensed Vocational Nurses (LVNs) in accordance with California nursing regulations and Pacific Health Group policies. Review and monitor LVN clinical activities, documentation, assessments, care coordination efforts, and member interactions. Provide ongoing coaching, education, mentorship, and professional development to LVNs. Support competency development and clinical skill enhancement among LVN staff. Ensure delegated nursing functions are performed appropriately and within scope of practice. Collaborate with leadership regarding LVN performance, development needs, and clinical support requirements. Promote adherence to clinical standards, documentation requirements, quality measures, and regulatory expectations. Assist with performance evaluations, corrective action recommendations, and clinical competency assessments as needed. Care Coordination & Community Collaboration Collaborate with primary care providers, specialists, behavioral health providers, hospitals, managed care plans, and community organizations. Facilitate communication among interdisciplinary team members to ensure continuity of care. Assist in identifying and resolving gaps in care, treatment adherence challenges, and service coordination issues. Support linkage to healthcare services, behavioral health services, housing resources, community supports, and social service programs. Participate in field-based consultations and community meetings as needed. Documentation, Compliance & Quality Assurance Maintain accurate, timely, and compliant documentation of clinical reviews, recommendations, consultations, and member interactions. Review care team documentation for quality, completeness, and compliance with Medi-Cal and ECM standards. Ensure documentation supports audit readiness and contractual compliance. Monitor clinical quality indicators and identify opportunities for improvement. Assist leadership in preparing for audits, quality reviews, and compliance monitoring activities. Promote data integrity and accountability throughout the care management process. Training & Staff Development Develop and deliver clinical training to non-clinical staff, including Community Health Workers, Care Coordinators, and Lead Care Managers. Provide education on chronic disease management, medication safety, behavioral health conditions, symptom recognition, healthcare navigation, and clinical best practices. Mentor staff to enhance clinical understanding and confidence in supporting members with complex needs. Support onboarding and ongoing professional development initiatives. Quality Improvement & Program Development Analyze clinical and programmatic outcomes to identify trends, barriers, risks, and opportunities for improvement. Participate in quality improvement initiatives focused on member outcomes, care coordination, compliance, and operational effectiveness. Assist in developing clinical workflows, policies, procedures, and best practices. Collaborate with leadership to improve program performance and service delivery. Support organizational initiatives related to innovation, quality, and population health management. Reporting & Clinical Analytics Monitor and evaluate member outcomes, utilization trends, and care coordination effectiveness. Provide clinical insights and recommendations to leadership regarding program performance. Assist with reporting related to quality metrics, care management outcomes, and compliance indicators. Identify opportunities to improve member engagement, healthcare utilization, and clinical outcomes. Key Performance Indicators (KPIs) Success in this role may be measured through: Reduction in avoidable emergency department utilization. Reduction in hospital admissions and readmissions. Improvement in member engagement and care plan completion. Timely completion of clinical reviews and consultations. Compliance with CalAIM ECM documentation standards. Audit readiness and documentation quality. Staff training completion and clinical competency development. Successful oversight and development of LVN staff. Quality outcomes identified through field visits and shadowing activities. Improved interdisciplinary collaboration and care coordination. Positive member outcomes and stabilization metrics. Achievement of organizational quality and performance goals. Minimum Qualifications Active and unrestricted Registered Nurse (RN) license in the State of California. Minimum two (2) years of direct clinical experience in community health, managed care, acute care, post-acute care, public health, behavioral health, or substance use disorder treatment settings. Experience working with Medi-Cal populations and individuals with complex medical, behavioral health, and social needs. Experience supporting populations experiencing homelessness, justice involvement, serious mental illness (SMI), substance use disorders (SUD), or multiple chronic conditions. Experience providing clinical guidance, consultation, mentoring, or supervision to interdisciplinary care teams preferred. Strong understanding of care coordination, population health, and interdisciplinary team-based care. Excellent communication, organizational, and problem-solving skills. Ability to work independently and collaboratively in a fast-paced environment. Proficiency with electronic health records (EHRs), care management platforms, and Microsoft Office applications. Preferred Qualifications Experience working within CalAIM Enhanced Care Management (ECM), Whole Person Care (WPC), Health Homes Program (HHP), or similar care management models. Case Management Certification (CCM, ACM, or equivalent). Experience supervising LVNs or other clinical support staff. Experience working with managed care plans and value-based care programs. Experience in community-based healthcare delivery. Bilingual proficiency in Spanish, Mandarin, Vietnamese, Tagalog, or other languages commonly spoken within the communities served. Experience mentoring interdisciplinary care teams. Requirements Reliable personal vehicle for daily work use Successful completion of background check (including MVR)| Must be able to travel up to 60-70% within the county to conduct in person visits Must successfully complete a Testlify skills assessment Must have a reliable working laptop for the first 21 days of employment (personal equipment stipend) until company issues laptop is received Must have effective Time Management skills Must have internet speed of - 300+ mbps download and 25+mbps upload Must be proficient in technology, including documentation systems, case management platforms, and communication tools Work Environment & Travel Requirements This is a hybrid position requiring a combination of remote work, office-based work, and extensive field-based activities. Approximately 50% of work time will involve travel throughout hiring county to conduct field visits, shadow Lead Care Managers and other care team members, provide clinical supervision and coaching, support member care coordination activities, participate in community-based meetings, collaborate with healthcare providers and community partners, and conduct quality assurance reviews. The position may require attendance at case conferences, provider meetings, health plan meetings, leadership meetings, training events, and community-based activities. Frequent local travel is required. Must be willing to work occasional evenings and weekends as needed. Compensation & Benefits Salary Range: $85,000.00 - $95,000.00 annually Compensation is commensurate with experience, licensure, certifications, qualifications, and demonstrated clinical expertise. Time Off & Leave 160 Hours of Paid Time Off (PTO) 12 Paid Holidays, including Birthday Holiday One Floating Holiday after one year of employment Four (4) Paid Volunteer Hours per Month Bereavement Leave, including Pet Bereavement Leave Health & Wellness 90% Employer-Paid Employee-Only Medical Coverage Dental and Vision Insurance Flexible Spending Account (FSA) Short-Term Disability, Long-Term Disability, and AD&D Coverage Employee Assistance Program (EAP) Financial & Professional Growth 401(k) with Company Match Monthly Stipend Professional Development Opportunities Career Advancement and Internal Growth Opportunities Culture & Employee Experience Hybrid Work Environment Quarterly In-Person Team and Company Events Employee Discount Programs through Great Work Perks and Perks at Work Mission-Driven Culture Focused on Compassion, Innovation, Accountability, Collaboration, and Growth Equal Opportunity Employer Pacific Health Group is an Equal Opportunity Employer committed to fostering an inclusive workplace where all employees are treated with dignity and respect. We celebrate diversity and are committed to creating an environment where individuals from all backgrounds can thrive. All qualified applicants will receive consideration for employment without regard to any protected characteristic protected under applicable federal, state, or local law.

Outpatient

Full-time

3 days ago

Registered Nurse

Innovative Renal Care Madera, CA

$40 - $52 / hour

Job Requirements Our Registered Nurses provide high-quality patient care to patients suffering from the most advanced stage of chronic kidney disease, known as End Stage Renal Disease (ESRD). Nurses are on the front line of patient care, improving the quality of life of every patient. This role is all about the relationships and bond you will create with patients and their families. Work Experience Associates Degree in Nursing (A.D.N) from accredited school of nursing required; Bachelor of Science in Nursing (BSN); three year diploma from accredited diploma program may be substituted for nursing degree. Registered Nurse License in the state of practice. Current BLS/CPR certification required. Meets all applicable state/licensing requirements. Previous dialysis, ICU, CCU, ER, or Med Surg nursing experience is preferred but not required. Benefits At Innovative Renal Care (IRC), our comprehensive benefits program is a key component of our total compensation package. It includes a 401(k) match, healthcare coverage, and a broad range of other benefits that compare favorably within our industry and marketplace. Learn more at IRC Benefits and Perks About Innovative Renal Care We are one of the largest dialysis service providers in the U.S., partnering with local physicians to deliver high-quality care to patients with ESRD and other kidney conditions. Our mission is to be the trusted experts and preferred partners for patients, physicians, and healthcare providers by delivering best-in-class care, service, and solutions. Our Values: I CARE Integrity & Innovation – Earn trust by keeping promises and embracing new solutions. Compassion – Treat patients, families, and colleagues with respect and empathy. Accountability – Take ownership and recognize the contributions of others. Results-Driven – Strive for excellence and exceed expectations. Everyone Counts – Foster diversity, equity, teamwork, and collaboration. Why Join IRC? Career Growth – Be part of a values-driven team making a meaningful impact. Competitive Compensation – Salaries continually benchmarked against market and trends. Enhanced PTO – Your most recent dialysis experience counts toward PTO accrual. Team Culture – Thrive in a supportive environment that values innovation, accountability, and compassion. Salary Range: $40 - $52 / hour depending on experience and qualifications #LI-JW1 Innovative Renal Care is an equal opportunity and a drug free workplace . All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, sexual orientation, gender identity, national origins, citizenship, disability or protected veteran status. All applicants will be subject to a drug screening and background check upon acceptance of an offer. *IRC will only contact you from careers@innovativerenal.com or team members with an @innovativerenal.com email address. Please be cautious and aware of spam or fraudulent emails soliciting personal or banking information. IRC will not request this information via email.

CNO

Full-time

1 month ago

Chief Nursing Officer (CNO)

UHS Madera, CA

Responsibilities Chief Nursing Officer Opportunity River Vista Behavioral Health is a newer, 128-bed state-of-the-art inpatient psychiatric hospital in Madera, CA. The hospital opened in early 2023 and continues to expand services as we near our two year anniversary. River Vista provides a full continuum of inpatient services, including units to serve children and adolescents. Specialty programs for adults with co-occurring behavioral health and substance use issues are offered to meet the unique needs of this patient population. In addition, we offer robust outpatient programs to address the most prevalent behavioral health concerns, including child, adolescent and family counseling, and treatment for depression, anxiety disorders and other common behavioral health issues. River Vista is also very proud of our specialty programs for Military and Dependendts and LGBTQIA clients. Our Website: https://rivervistabh.com Video Overview: https://www.youtube.com/watch?v=MbSKyNIinIo About The Opportunity: The Chief Nursing Officer is a key member of the River Vista Senior Leadership Team who will integrate and coordinate a patient centric nursing strategy with a keen focus on patient care; ensuring that delivery of high-quality and cost-effective health care is consistent with the mission, vision, and values of Universal Health Services and in accordance with government regulation, licensing and accreditation requirements. The CNO will participate in the hospital’s strategic planning and contributes to the achievement of institutional goals and objectives. The Chief Nursing Officer will focus on 5 key areas: People, Service, Quality, Growth, and Finance. What do our current nursing leaders value at River Vista & UHS? That despite our large company design, each facility is run independently, and so our nurse executives have the autonomy to manage their teams with clinical and educational support from corporate. You are never alone, as you are part of a large network of peer nurse leaders that routinely exchange ideas and review current topics within the industry. That we have an active Nursing Council based on shared governance and evidence-based practice. That we offer internal leadership and clinical education, including a generous annual tuition assistance and continuing education allowance designed to keep you at the top of your practice. That we offer and support real career advancement opportunity, including our COO-in-Training program and a variety of regional and national corporate roles designed to support the field and share advanced experience. And, that UHS offers a competitive salary and comprehensive benefits package that reflects the work/life needs of our senior leaders. Total Rewards for our Senior Leaders include: Annual incentive plan Relocation Support Tuition savings to continue your nursing education with Chamberlain University In-house Psychiatric Nurse Residency Transition-to-Practice Orientation (20 CEUs) Career development opportunities across UHS and our 300+ locations! Diverse programming to expand your experience HealthStream online learning catalogue with plenty of free CEU courses Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan Pet Insurance SoFi Student Loan Refinancing Program More information is available on our Benefits Guest Website: uhsguest.com About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com Qualifications Job Requirements: Licensure: Current license or permit to practice professional nursing in the state of CA. Master of Science in Nursing from a CCNE accredited nursing program. Demonstrated working knowledge of behavioral health nursing clinical practices and management. Experience with a free-standing inpatient setting is strongly preferred. Extensive knowledge of principles and practices relevant to nursing and patient care activities. Demonstrated knowledge of effective management and supervisory practices. Highly developed written and verbal communication skills. Three or more years of progressive nursing management experience in behavioral health setting preferred Ability to plan, direct, and monitor others’ activities with demonstrated leadership abilities that contribute to a positive work environment EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Notice At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449

Home Health

Full-time

6 days ago

Care Manager, RN - Health Access, ECM - Rancho Cucamonga (Remote)

Inland Empire Health Plan CA

$91,249.60 - $120,910.40 / year

Overview: What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Reporting to Health Access Enhanced Care Management Department Leadership, this position is responsible for working effectively with the Health Access Enhanced Care Management (ECM) Care Coordination team, members and families, other professionals, and the designated healthcare care organization (HCO) medical team to provide high quality, effective care management to IEHP members. This position focuses on a person-centered model of care which takes in to account the member’s medical, behavioral, and social needs. This position provides high quality, effective care management to IEHP members ensuring coordinated continuous care. Care Management is broadly defined, and can include outreach and engagement to members, engaging members in skilled therapeutic interactions to promote health behaviors, other behavioral health interventions within scope, coordination of care, resource linkages, working with other professionals, and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member. As a licensed clinician, this position provides clinical expertise, clinical leadership, and clinical oversight in a variety of ways within the Enhanced Care Management program. This position, like all positions within the HA ECM team, is expected to model behavioral health principles of relationship-based care, as well engage in promoting education and understanding of behavioral health and its importance in whole health, to those within IEHP and in the community. This is a field-based position in which Care Team Members will meet with our highest risk/high utilizer population face to face, per member's consent. The individual in this position is to utilize their clinical expertise to support and engage members to promote positive health behaviors, assist with coordination of care, provided resource linkages, and collaborate with other Team Members within their care team, as well as external partners, to ensure a seamless transition of care experience. Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits: Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more Competitive salary State of the art fitness center on-site Medical Insurance with Dental and Vision Life, short-term, and long-term disability options Career advancement opportunities and professional development Wellness programs that promote a healthy work-life balance Flexible Spending Account – Health Care/Childcare CalPERS retirement 457(b) option with a contribution match Paid life insurance for employees Pet care insurance Key Responsibilities: Exercise independent clinical judgment and strategic planning in managing a caseload of members with medical needs according to department processes and procedures. Recommend care coordination strategies for members, including but not limited to: Utilize clinical tools and metrics (i.e., brief medical interventions) as necessary to inform interventions, manage caseloads, and escalate high-risk cases appropriately. Engage with members, both in-person and on the phone, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promotes collaboration between the member and his or her medical/behavioral team, as well as improving the member’s ability to manage and control their whole health. Conduct comprehensive, holistic assessment according to the scope of the RN license. Assimilate assessment information into an individualized care plan (ICP), communicate ICP with members, approved family or caregiver, and other members of the care team. Lead inter/transdisciplinary care team meetings to share information, update and inform care plan Coordinate with internal and external health partners to support Members comprehensive care needs Participate and lead care transition plan responsibilities Assist with the coordination of medical and behavioral health access issues with PCP offices, specialists, and ancillary services Coordinate care for members with complex medical and social needs, including across the physical, behavioral, and dental health delivery systems Provide formal and informal training and support for Health Access Team Members on medical conditions, including treatments and evidence-based for treatment. Provide clinical consultation and support for Health Access ECM Team Members on physical health conditions, including evidence-based care Represent the Enhanced Care Management team as the lead member when necessary Develop interventions to improve the member’s ability to manage their own health Support the clinical scope of responsibilities for non-clinically licensed care Team Members within the RN scope of practice Cultivate and sustain productive partnerships with providers, team members, and community stakeholders. Employ advanced communication methods to strengthen collaboration across in-person, telephonic, and digital platforms. Model supportive and collaborative relationships with Members, co-workers, and community relations Promote a collaborative and effective working environment within the Health Access Enhanced Care Management team by engaging in evidenced-based communication strategies (such as Motivational Interviewing) when discussing responsibility/sharing of tasks, effectively resolving conflicts as arise, and collaborating on Member case discussions Model the highest ethical behavior in relationships with co-workers, supervisors, Members, Providers, and colleagues in the community Model commitment to continuous quality improvement by engaging in quality improvement initiatives and projects, such as identifying and addressing performance indicator measures, HEDIS gaps, and other quality measures Participate in staff meetings, trainings, committee meetings, or other activities as needed or as directed by Leadership Ensure documentation is accurate and in compliance with regulatory requirements and accreditation standards Perform any other duties as required to ensure Health Plan operations and department business needs are successful Qualifications: Education & Requirements Three (3) or more years of care management experience in a health care delivery setting required. Experience working successfully within a team, and experience in developing and maintaining effective relationships with both clients and coworkers is mandatory Experience in a Managed Care setting preferred Minimum of one (1) year clinical experience in an acute care facility, skilled nursing facility, home health or clinic setting preferred Population of Focus Experience: Adults, unaccompanied youth & children, and families experiencing homelessness Adults, youth, and children who are at risk for avoidable hospital or ED care Adults, youth, and children with serious mental health and/or substance use disorder needs Adults living in the community and at risk for long-term care institutionalization Adult nursing facility residents transitioning to the community Children & youth enrolled in CCS or CCS Whole Child Model with additional needs beyond their CCS conditions Children & youth involved in child welfare (foster care) Adults & youth who are transitioning from incarceration Pregnant & postpartum individuals; birth equity population of focus Associate’s degree in Nursing from an accredited institution required Bachelor’s degree in Nursing from an accredited institution preferred Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required Certified Case Manager (CCM) preferred Key Qualifications Must have a valid California Driver’s license and valid automobile insurance. Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points Strong knowledge and in-depth understanding of: Skill in evidenced based communication such as Motivational Interviewing, or similar empathy-based communication strategies Understanding of and sensitivity to multi-cultural community Self-management philosophies and practices, especially as they relate to chronic medical conditions Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both Bilingual (English/ “Target Language”) preferred Highly skilled interpersonally, with excellent relationship skills Highly skilled in interpersonal communication, including resolving conflict with co-workers Skillful in informally and formally sharing expertise Must have skills to tolerate, manage and make effective use of a high level of ambiguity around new team models, new models of care, and new care management practices Start your journey towards a thriving future with IEHP and apply TODAY ! Work Model Location: Telecommute (All IEHP positions approved for telecommute work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership) Significant travel outside of the office to Providers offices, member’s homes, and out to the community. Must live within a 25-mile radius of the assigned service area and have reliable transport Pay Range: USD $91,249.60 - USD $120,910.40 /Yr.