Clinical Care Manager (Registered Nurse)

{
  "content_hash": "0513e0460f4ca97f771f1c71a2b6d7ae5c1d59c0a83efcfc1ba78d9779715e5b",
  "source_hash": "55f13933ba85f34abf0145d4b45e10277a948972f83b03ec1966466edb1e1da9",
  "last_changed_at": "2026-05-29T07:02:53.472Z",
  "active_status": "active"
}

{
  "language": "en",
  "location": {
    "raw": "San Leandro, CA",
    "city": "San Leandro",
    "region": "CA",
    "country": "United States",
    "is_remote": false,
    "confidence": 0.9
  },
  "salary_max": 148903,
  "salary_min": 140000,
  "inferred_at": "2026-06-06T07:56:09.049Z",
  "launch_scope": {
    "reason": "english_us_canada",
    "included": true,
    "language": "en",
    "location": {
      "raw": "San Leandro, CA",
      "city": "San Leandro",
      "region": "CA",
      "country": "United States",
      "is_remote": false,
      "confidence": 0.9
    },
    "countries": [
      "United States"
    ]
  },
  "remote_policy": null,
  "salary_period": "year",
  "workplace_type": "on_site",
  "salary_currency": "USD"
}

{}

{
  "lists": [
    {
      "text": "Essential Job Functions",
      "content": "\n<li><strong>Clinical leadership</strong>\n\n</li><li>Supervise, mentor, and evaluate nursing and clinical staff (RNs, LPNs, CNAs, medical assistants); oversee staffing, scheduling, and performance to ensure continuity and accountability.</li>\n<li>Monitor participant outcomes and clinical workflows to ensure timely assessments, interventions, and follow-up, thereby optimizing care quality and participant well-being.</li>\n<li>Address participant emergencies and complex clinical cases by offering clinical guidance and ensuring comprehensive, coordinated care.</li>\n<li>Partner with the Quality Improvement (QI) team in infection control initiatives by analyzing data, identifying trends, and implementing evidence-based corrective actions.</li>\n<li>Ensure cilnic compliance with CMS, the SAA, OSHA, CDC, and PACE policies by maintaining audit readiness and accurate documentation within the EHR.</li>\n<li>Plan, lead, and assess staff education and training programs, promoting evidence-based practice and ensuring licensure, certification, and competency standards are achieved.</li>\n<li>Engage actively as a member of the PACE leadership team, helping shape strategy, policy, and program growth while advocating for nursing perspectives in decision-making forums.</li>\n<li>Participate in required IDT, leadership, and nursing on-call rotations, reporting on participant clinical status and supporting after-hours coverage as needed.<br><br></li>\n\n\n<li><strong>IDT participation and care planning</strong>\n\n</li><li>Conduct initial, semiannual, and annual nursing assessments and update the participant record per PACE requirements.</li>\n<li>Present assessment findings to the IDT; collaborate to develop and update the participant’s plan of care, including measurable goals and interventions.</li>\n<li>Ensure care plan interventions are <strong>implemented (effectuated)</strong> and tracked; follow up on barriers and gaps with IDT members and external providers.<br><br></li>\n\n\n<li><strong>Longitudinal care management</strong>\n\n</li><li>Provide ongoing clinical oversight for an assigned participant panel, including routine monitoring, triage, and early identification of change in condition.</li>\n<li>Coordinate preventive care and chronic disease management (e.g., CHF, COPD, diabetes), health maintenance, and risk factor reduction.</li>\n<li>Provide participant and caregiver education aligned to the care plan (self-management, medication adherence, symptom monitoring, etc.).<br><br></li>\n\n\n<li><strong>Transitions of care</strong>\n\n</li><li>Coordinate care during transitions to/from hospital, emergency department, SNF, and home.</li>\n<li>Communicate with hospital/SNF case managers and treating teams; support safe discharge planning, timely post-discharge follow-up, and reconciliation of orders.</li>\n<li>Arrange post-acute services and DME/supplies as indicated by the plan of care.<br><br></li>\n\n\n<li><strong>Direct nursing care and clinical interventions</strong>\n\n</li><li>Provide direct nursing care within RN scope as needed (e.g., wound care, injections, IV hydration/therapies per policy, specimen collection/phlebotomy if applicable).</li>\n<li>Carry out and document nursing interventions and provider orders accurately and timely in the EHR.</li>\n<li>Triage participant symptoms (in person, by phone, and/or virtually) and escalate appropriately to the PCP/NP/Medical Director.<br><br></li>\n\n\n<li><strong>Medication-related coordination (in collaboration with Pharmacy/Providers)</strong>\n\n</li><li>Support medication reconciliation, monitoring for adverse effects, and coordination with the pharmacy team and prescribers.</li>\n<li>Identify and communicate medication adherence issues and safety concerns to the IDT and providers.<br><br></li>\n\n\n<li><strong>Documentation, compliance, and quality</strong>\n\n</li><li>Maintain complete, accurate, timely documentation consistent with PACE policies and regulatory requirements.</li>\n<li>Participate in quality improvement, infection prevention, and safety activities; report incidents and follow through on corrective actions.</li>\n<li>Support audit readiness and adherence to CMS/DHCS PACE requirements and organizational policies.<br><br></li>\n\n\n<li><strong>Teamwork and culture</strong>\n\n</li><li>Collaborate respectfully with participants, caregivers, and colleagues; contribute to a welcoming, culturally responsive center environment.</li>\n<li>Participate in required meetings, trainings, and on-call/after-hours coverage as applicable.<br><br></li>\n\n\n<li><strong>Working Conditions</strong>\n\n</li><li>Work occurs in the PACE center and in the community (participant homes, hospitals, SNFs, specialty offices) as needed.\n<div>Ability to travel locally; may require a valid driver’s license and reliable transportation if home/community visits are part of the role.</div>\n<div>Ability to lift/move supplies and perform clinical tasks consistent with RN role requirements.</div>\n<strong> </strong></li>\n\n\n\n"
    },
    {
      "text": "Minimum Qualifications",
      "content": "<div>\n\n<li>Graduate of an accredited School of Nursing.</li>\n<li>Current Registered Nurse (RN) license in good standing in California (or ability to obtain as required).</li>\n<li>Minimum <strong>2 years</strong> experience working with a frail or elderly population (or completion of documented PACE training prior to independent care), consistent with CMS requirements.</li>\n<li>Demonstrated ability to work collaboratively with teams to perform comprehensive assessments, clinical triage, and care coordination across care settings.</li>\n<li>Ability to document in an Electronic Health Record (EHR) and use standard office software.</li>\n<li>Current CPR/BLS certification (or ability to obtain within required timeframe).</li>\n<li>Must meet PACE program competency requirements for the role prior to working independently.</li>\n<li>Must be medically cleared for communicable diseases and have up-to-date immunizations/vaccines per policy.</li>\n\n</div>"
    },
    {
      "text": "Preferred Qualifications",
      "content": "<div>\n\n<li>3+ years of RN experience with medically complex older adults and/or community-based geriatrics.</li>\n<li>1–2+ years of care management/case management experience.</li>\n<li>Experience in capitated models (PACE, Medicare Advantage, managed Medicaid) and/or home health.</li>\n<li>Bilingual ability (e.g., Cantonese, Mandarin, Spanish) and experience providing culturally and linguistically appropriate services.</li>\n<li>Wound care certification and/or case management certification.</li>\n\n</div>"
    }
  ],
  "country": "US",
  "createdAt": 1776794592515,
  "updatedAt": null,
  "categories": {
    "team": "SpringLight PACE",
    "location": "San Leandro, CA",
    "commitment": "Full-time",
    "department": "Clinical & Program Services",
    "allLocations": [
      "San Leandro, CA"
    ]
  },
  "salaryRange": {
    "max": 148903,
    "min": 140000,
    "currency": "USD",
    "interval": "per-year-salary"
  },
  "workplaceType": "onsite"
}