RN Care Manager

Start Date: 11/30/2026

Role Scope:

The RN Care Manager delivers personalized, longitudinal nursing care to a panel of PACE participants, conducting face-to-face assessments across physical, psychosocial, and behavioral domains in both center and home settings, and partnering with medical providers to implement care plans. This role manages care coordination end-to-end, collaborating and coordinating with the entire care team as needed. As a collaborative participant andleaderin Interdisciplinary Team (IDT) meetings, this role contributes clinical insights that inform whole-person care planning and educates participants, caregivers, and team members on carrying out personalized care plans all while contributing to a center culture grounded in Habitat's values and participant belonging

Core Responsibilities & Expectations for the Role

• Contribute to a center experience that Participants want to spend time in, a team culture that cares and creates joy, and an environment where all participants and team members belong.
• Continue to raise the bar.Constructivelyseekand sharefeedback andhelp us implement changesin order toimprove clinical outcomes and experience for participants.
• Exhibit and honor Habitat's Values.
• ParticipatenInterdisciplinary Team (IDT) meetings by contributing insights from assessments, care plan recommendations, and care coordination in a collaborative spirit.
• Conduct face-to-face nursing assessments that are inclusive of physical, psychosocial, and behavioral statuses in various settings, primarily in the Habitat center butalso in–homeas needed.
• In partnership with a medical provider,deliverpersonalized care for a panel of participants based on care plans.
• Deliver and document nursing interventions as agreed upon in participant's care plans, promptly and accurately responding to physician orders,and correctlyadministering medications and therapeutic interventions.
• Provide case managementlongitudinally andduring transitions of care.Proactivelycoordinate complex patient discharges, transfers, and immediate post-discharge needswithhospital and long-term care facility case managers.
• Coordinateall aspects of care delivery including medication.management,medicalequipmentand supplies,andspecialistand diagnostic referrals
• Triage in the outpatient setting, which includes independentlyinitiatingtherapies within scope of practice and collaboratively working with a medical provider to escalate care as needed.
• Educate participants, caregivers including family members, and team members on how to personalize and carry out care plans.
• Aid with all wound care (including complex wounds), IV (hydration, therapies), and anyadditionalprocedures within RN scope of practiceidentifiedto meet evolving participant needs.
• Delegate tasks to MAand Licensed Vocational Nurses within their respective scopes of practice.
• Optiontoparticipateinafter-hour calls that are triaged on a rotating schedulefor extra compensation.
• Perform related duties as assigned.

Required Qualifications:

• Graduateofan accredited school ofnursingorequivalent experience.
• Unencumbered California Registered Nurse (RN) licenserequired.
• Minimum 2-4 years of experience clinically caring for medically complex or older adults' population as an RN.
• Minimum 1-2year's experiencein case management.
• Strong clinical acumen in chronic disease management and complex geriatric care.
• Demonstrates experience in management of clinical interventions: wound care, IVs, phlebotomy, colostomy/ileostomy care, etc.
• Proof of current CPR/BLS certification required or requirement to obtain within30 daysof employment.
• A minimum of one year experience working with the frail or elderly.
• Aligns with our purpose and our values, and is excited about living those out in daily practice
• Ability to thrive in a fast-paced, evolving environment with comfort navigating ambiguity, adapting quickly, and contributing to continuous improvement.
• Strong learning and growth mindset, including seeking feedback, engaging in healthydebateand using data and curiosity to inform decisions.
• Acts with integrity and ownership, considering the broader organizational impact, doing the right thing, and following through to deliver results.

Nice to have:

• Bachelor'sof Science (BSN) preferred.
• Bilingual: Spanish/English preferred.
• PACE experience and/ or ADCH/CBAS experience.
• A state issued driver's license, personal transportation, and auto insurance as required by law.

Essential Functions & Physical Requirements

The following statements describe the general nature of work and physical expectations common across roles at Habitat Health. Specific responsibilities may vary by position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Team members in this role may be expected to:

• Work in healthcare, administrative, community, or remote environments, depending on role needs.

• Communicate effectively with participants, caregivers, team members, and other stakeholders in person, by phone, and through electronic systems.

• Remain stationary and/ormove aboutfor extended periods, consistent with job duties.

• Operate standard office equipment and/or clinical tools (e.g., computers, phones, medical devices, documentation systems).

• Travel between work sitesorcommunity locations as needed.

• Follow safety procedures, infection control protocols, and use personal protective equipment (PPE) whenrequired.

• Perform tasks that may involve bending, reaching, lifting, orassistingparticipants, depending on role responsibilities.

• Lift, carry, push, or pull supplies, equipment, or materials typically up to 25–50 pounds, withassistanceor mechanical aids, depending on job duties and role responsibilities.

Compensation:

The anticipated salary range for this position is $56 -$69 hourly. This position is also eligible for a target annual bonus of 5% of the annual salary and may be eligible foradditionalincentive compensation, as applicable.

The final compensation offered will bedeterminedbased on factors including, but not limited to, the candidate's qualifications, skills, experience, education, certifications, geographical location, and business needs.

In addition, this position is eligible for a comprehensive benefits package, including medical, dental, and vision insurance;paid parental leave,short- and long-termdisability coverage; life insurance; flexible spending accounts; a 401(k) savings planthat includes a match; paid time off; and companypaid holiday