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Calaim Jobs in Merced, CA (NOW HIRING)

Institute on Aging

Nurse Liaison

Merced, CA · On-site

$53 - $56/hr

Provide ongoing trainings to CalAIM staff relevant to client population and program. * Complete required assessments and documentation for waived services programs. Liaise with Care Management staff ...

Institute on Aging

Nurse Liaison

Merced, CA · On-site

$53 - $56/hr

Provide ongoing trainings to CalAIM staff relevant to client population and program. * Complete required assessments and documentation for waived services programs. Liaise with Care Management staff ...

Ioaging

Nurse Liaison

Merced, CA · On-site

$53 - $56/hr

Provide ongoing trainings to CalAIM staff relevant to client population and program. * Complete required assessments and documentation for waived services programs. Liaise with Care Management staff ...

GroundGame.Health

Lead Care Manager (LCM)

Merced, CA · On-site

$70K - $85K/yr

About the Role We are seeking a compassionate, driven Lead Care Manager to identify, engage, enroll, and support members participating in CalAIM Enhanced Care Management (ECM), Community Health ...

Wellpath

Licensed Mental Health Professional

Merced, CA · On-site

$54.22 - $65.80/hr

The position completes clinical documentation, supports pre-release planning for CalAIM-eligible individuals, and provides training, consultation, and information to facility staff as required. Key ...

GroundGame.Health

Lead Care Manager (LCM)

Merced, CA · On-site

$70K - $85K/yr

About the Role We are seeking a compassionate, driven Lead Care Manager to identify, engage, enroll, and support members participating in CalAIM Enhanced Care Management (ECM), Community Health ...

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All JobsCalaim JobsCalaim Jobs in Merced, CA

Calaim information

What is CalAIM?

CalAIM stands for California Advancing and Innovating Medi-Cal. It is a multi-year initiative by the California Department of Health Care Services (DHCS) to improve and transform the Medi-Cal program. CalAIM aims to streamline services, better coordinate care for individuals with complex needs, and address social determinants of health such as housing and behavioral health. The initiative focuses on whole-person care and integrating healthcare delivery across physical, behavioral, and social services.

What are some common challenges faced by professionals working in CalAIM implementation roles, and how can they be addressed?

Professionals working in CalAIM (California Advancing and Innovating Medi-Cal) implementation often encounter challenges such as coordinating care across multiple providers, navigating evolving state guidelines, and managing complex member needs. Success in these roles requires strong communication and collaboration skills, as well as adaptability to policy changes and new workflows. Building effective relationships with community-based organizations and regularly participating in training or knowledge-sharing sessions can help address these challenges and ensure smooth program execution.

What are the key skills and qualifications needed to thrive as a California Advancing and Innovating Medi-Cal (CalAIM) program manager, and why are they important?

To thrive as a CalAIM Program Manager, you need expertise in Medi-Cal policy, program implementation, and healthcare administration, often supported by a degree in public health, healthcare management, or a related field. Familiarity with state healthcare systems, data analytics tools, project management software, and regulatory compliance is typically required. Outstanding organizational, leadership, and stakeholder communication skills help drive collaboration and effective program delivery. These skills are crucial for successfully managing complex healthcare initiatives that aim to improve care coordination and outcomes for Medi-Cal beneficiaries.

What is the difference between Calaim vs Claims Adjuster?

AspectCalaimClaims Adjuster
Required CredentialsCertification in insurance claims processing, relevant licensesInsurance license, certification in claims adjusting often preferred
Work EnvironmentInsurance companies, third-party claims firmsInsurance companies, independent adjusting firms
Industry UsageUsed mainly in insurance claim processing rolesCommonly used in insurance claim assessment and settlement

Both Calaim and Claims Adjuster roles involve evaluating insurance claims, but Calaim typically refers to a specialized certification or platform, whereas Claims Adjuster is a broader job title for professionals assessing and settling claims. Understanding these differences helps job seekers target the right roles and certifications in the insurance industry.

What are popular job titles related to Calaim jobs in Merced, CA?

For Calaim jobs in Merced, CA, the most frequently searched job titles are:

What job categories do people searching Calaim jobs in Merced, CA look for?

The top searched job categories for Calaim jobs in Merced, CA are:

What cities near Merced, CA are hiring for Calaim jobs?

Cities near Merced, CA with the most Calaim job openings:

Calaim jobs near you
Infographic showing various Calaim job openings in Merced, CA as of August 2026, with employment types broken down into 81% Full Time, 16% Part Time, and 3% Contract. Highlights an 98% In-person, and 2% Remote job distribution.

RN Discharge Planner - CalAIM

Wellpath / Correct Care Solutions

Merced, CA • On-site

$75 - $95/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

Job description

We're on a path to better healthcare. Join us
  • Make a difference every day in the lives of the underserved
  • Join a mission driven organization with a people first culture
  • Excellent career growth opportunities
Join us and find a career that supports:
  • Caring for overlooked, underserved, and vulnerable patients
  • Diversity, equity, inclusion, and belonging
  • Autonomy in a warm team environment
  • Growth and training
How you make a difference

The RN Discharge Planner is responsible for coordinating daily clinical care and managing the discharge planning process for CalAIM-eligible individuals. This role provides clinical oversight of reentry care plans, ensuring they are appropriate, compliant, and aligned with Enhanced Care Management and Community Supports. The position works closely with managed care plans, community providers, and facility leadership to coordinate care and support successful transitions. The RN Discharge Planner conducts assessments as needed and ensures adherence to applicable nursing standards and regulatory requirements. This role serves as the accountable clinician for the discharge planning process.

Key Responsibilities
  • Provides clinical review and oversight of discharge planning activities, including off‑site, outpatient, and acute care services
  • Reviews and manages utilization, pre‑certification, and documentation within care management systems to ensure accuracy and compliance
  • Coordinates care with medical directors, providers, managed care plans, and community partners to support effective transitions
  • Reviews referrals, claims, and medical records to ensure appropriate level of care, coding accuracy, and cost management
  • Communicates discharge needs and collaborates with facility and operations leadership to determine appropriate placement and release planning
Qualifications & Requirements

Education

  • Unrestricted, current RN license in state of employment
  • BSN, CCM preferred.

Experience

  • Two (2) years’ clinical experience with Discharge Coordination experience
  • Previous correctional/detention facility experience

Licenses/Certifications

  • Must maintain all certifications, educational requirements, licensing, etc. for RN license

We’re looking for candidates with strong RN case management, discharge planning, or care coordination experience, ideally with exposure to CalAIM, Medi‑Cal, managed care plans, Enhanced Care Management, Community Supports, or reentry services. The ideal candidate is comfortable coordinating complex discharge needs, connecting patients to community resources, and helping vulnerable populations transition successfully back into the community. A strong fit would be an RN who is organized, resourceful, patient‑centered, and persistent with follow‑up. This role requires someone who can think beyond the immediate medical need and help create a realistic plan for what happens after the patient leaves the Merced County Jail.

Perks and Benefits
  • Medical, dental, vision, paid time off, and 401k
  • DailyPay, receive your money as you earn it
  • Tuition Assistance and dependent Scholarships
  • Employee Assistance Program (EAP) including free counseling and health coaching
  • Company‑paid life insurance
  • Tax‑free Health Spending Accounts (HSA)
  • Wellness program featuring fitness memberships and product discounts
  • Preferred banking partnership and discounted rates for home and auto loans

*Eligibility for perks and benefits varies based on employee type and length of service.

We are an Equal Employment Opportunity/Affirmative Action Employer

We celebrate diversity and are committed to creating an inclusive environment for all employees.

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