RN Clinical Manager / Clinical Consultant (RN or MSW) California
Pay Rate: $52.50 $53.00/hr
Position Type: Special Projects 12-Month W2 Contract
(renewal based on performance, project continuation, and health plan needs)
Schedule: 9:00 AM 5:30 PM PST, Monday Friday
Model: Remote-First (with limited field visits as needed)
Benefits Package Available
Star Nursing Services is hiring a / Clinical Consultant (RN or MSW) to support statewide CalAIM programs , including the Assisted Living Waiver (ALW) , Enhanced Care Management (ECM) , and Community Supports .
This role focuses on remote clinical coordination, assessments, review of referrals, transition planning, and policy-driven program oversight.
Field work is minimal , but the Consultant must be available for occasional in-person assessments or partner site visits when required.
What You'll Do
CalAIM, ECM, ALW & Community Supports
Educate Medi-Cal members, families, providers, and facility staff on:
Assisted Living Waiver (ALW)
Enhanced Care Management (ECM)
Community Supports
Complete assessments (remote or in-person as needed)
Review member eligibility, clinical data, and transition needs
Identify resources and supports related to housing, health, and long-term care
Ensure all documentation follows DHCS and MCP standards
Hospital & SNF Coordination
Liaise with discharge planners, social workers, and case managers
Manage high-volume referrals and ensure efficient, timely processing
Assist in transition-of-care planning for ALW and CalAIM programs
Gather clinical/psychosocial data needed for application review
Care Management, Assessments & Planning
Conduct remote assessments, care plan review, and follow-up
Support ALW, ECM, and Community Supports transitions
Facilitate access to community-based programs
Participate in interdisciplinary care coordination when requested
Quality, Compliance & DHCS Requirements
Ensure work adheres to DHCS policies, procedures, and program requirements
Review assessments, care plans, and EMR documentation for compliance
Support audit readiness, CAP implementation, and quality improvement needs
Maintain accurate progress notes and electronic records
Respond to DHCS inquiries, MCP questions, and program oversight items
Referral Source Relations & Program Awareness
Serve as an educational resource for hospitals, SNFs, ALFs, and partners
Promote understanding of ALW and CalAIM benefits
Track referral sources and prepare trend reports
Remote-First Expectations
Role is primarily remote
In-person visits may be required periodically
Travel, if needed, will be local and reasonable
Required Qualifications
Care/Case Management experience required
RN or MSW required
10+ years of experience in each of the following:
Case management
Acute Care Hospital
- Sub-acute care
SNF or long-term care
Hospital discharge planning
CalAIM experience preferred
Strong understanding of:
Medi-Cal and CMS
DHCS policies, programs, and procedures
Assisted Living Waiver
Enhanced Care Management
Community Supports
Ability to manage high-volume work
Excellent communication and rapport-building skills
Strong organizational and documentation skills
Transportation (Occasional Field Needs)
Unrestricted California driver's license
Valid vehicle insurance
Current registration
Reliable vehicle
(used only for limited field visits if assigned)
Technology Requirements
Intermediate skill with Microsoft SharePoint, Excel, Word, Teams
Adobe applications (PDF editing, forms, signatures)
EMR experience (CalAIM-specific preferred)
Minimum PC Specifications
Education
RN or MSW required
Additional training in case management, gerontology, public health, or social services preferred
Why This Role Matters
This position ensures members receive timely coordination, accurate program guidance, and high-quality clinical review. Your work directly improves transitions, stabilizes housing and health needs, and strengthens our partnerships with DHCS and Managed Care Plans.
For additional information on CalAIM, please visit:
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