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Calaim Jobs in Riverside, CA (NOW HIRING)

CalAIM is an initiative of the Department of Health Care Services (DHCS) to improve the quality of life and health outcomes of Medi-Cal recipients by implementing delivery system, program, and ...

Prospect referral source accounts for CalAIM service line through in-field and virtual sales activities * Schedule weekly meetings with new target contacts to educate them on available services

Prospect referral source accounts for CalAIM service line through in-field and virtual sales activities * Schedule weekly meetings with new target contacts to educate them on available services

Prospect referral source accounts for CalAIM service line through in-field and virtual sales activities * Schedule weekly meetings with new target contacts to educate them on available services

Prospect referral source accounts for CalAIM service line through in-field and virtual sales activities * Schedule weekly meetings with new target contacts to educate them on available services

Prospect referral source accounts for CalAIM service line through in-field and virtual sales activities * Schedule weekly meetings with new target contacts to educate them on available services

Prospect referral source accounts for CalAIM service line through in-field and virtual sales activities * Schedule weekly meetings with new target contacts to educate them on available services

Prospect referral source accounts for CalAIM service line through in-field and virtual sales activities * Schedule weekly meetings with new target contacts to educate them on available services

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Calaim information

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 easiest healthcare job that pays well?

A healthcare job like medical assistant is often considered one of the easier roles that pay relatively well, typically requiring a post-secondary certificate and on-the-job training. These positions usually involve administrative tasks or basic clinical duties and can offer a good balance of pay and entry-level accessibility.

What jobs pay $10,000 a month without a degree?

Jobs that can pay $10,000 a month without a degree include roles such as sales managers, real estate brokers, and certain skilled trades like electricians or plumbers with experience. These positions often require strong skills, certifications, or licenses, and may involve commission-based income or entrepreneurial efforts.

How to qualify for CalAIM?

CalAIM is a statewide initiative aimed at improving health outcomes and reducing disparities, not a specific job role. To qualify for jobs related to CalAIM, candidates typically need relevant healthcare experience, knowledge of Medicaid programs, and familiarity with community-based services. Certifications in healthcare administration or public health can also be beneficial.

What jobs pay 2000 a day?

High-paying jobs that can pay around $2,000 a day typically include roles such as specialized surgeons, anesthesiologists, corporate lawyers, and certain high-level consultants or contractors. These positions often require advanced degrees, certifications, extensive experience, and work in demanding environments or on a contract basis. Income can vary based on location, workload, and industry demand.

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 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 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 Riverside, CA? For Calaim jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Calaim jobs in Riverside, CA look for? The top searched job categories for Calaim jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Calaim jobs? Cities near Riverside, CA with the most Calaim job openings:
Infographic showing various Calaim job openings in Riverside, CA as of June 2026, with employment types broken down into 87% Full Time, and 13% Temporary. Highlights an 87% In-person, and 13% Remote job distribution.

Director of Services and Care Transitions

Illumination Health + Home

Santa Ana, CA โ€ข On-site

$140K - $155K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago


Job description

โ€œEvery person deserves compassion, dignity, and the safety of a place to call home.โ€

Homelessness is the largest social and public health crisis in California. Illumination Health + Home is a growing non-profit organization dedicated towards disrupting the cycle of homelessness by providing targeted, interdisciplinary services in our recuperative care centers, emergency shelters, housing services and children's and family programs. IH+H currently has 13+ facilities with 22+ micro-communities scattered across Orange County, Los Angeles County and the Inland Empire.

Job Description

The Director of Services and Care Transitions (RN) is a senior leadership role responsible for the strategic oversight, clinical quality, and operational integration of healthcare services across Illumination Health and Home programs. This role will lead all clinical staff within the Recuperative Care program and supervise all Enhanced Care Management (ECM) programs and staff, while advancing and scaling care management services across the organization.
As a key member of the senior leadership team, the Director will partner closely with operations to ensure high-quality, compliant, and patient-centered care delivery that aligns with organizational goals and community impact.

The pay range for this position is $140,000 - $155,000 annually, depending on experience.ย 

Responsibilities

Clinical Leadership & Oversight

  • Provide direct supervision and leadership to all clinicalย staff within the Recuperative Care program, including RNs, LVNs, and medical assistants.
  • Establish and maintain clinical standards, protocols, and workflows to ensure high-quality, evidence-based care.
  • Monitor clinical performance metrics and implement quality improvement initiatives.
  • Ensure compliance with all regulatory, licensing, and accreditation requirements.


Program Development & Care Management

  • Lead the enhancement and expansion of the organizationโ€™s care management programs, including ECM (Enhanced Care Management) and related services.
  • Develop scalable models that integrate clinicall, behavioral health, and social services.
  • Support the development and implementation of standardized case management workflows, documentation practices, and client engagement protocols across programs.
  • Develop strategies to improve client acuity management, service prioritization, and caseload efficiency while maintaining quality of care.
  • Utilize data and outcomes to drive continuous improvement and demonstrate impact.
  • Assist in the development of KPIs and performance improvement plans related to clinicalย and case management effectiveness, client outcomes, and service delivery standards.ย 
  • Partner closely with all CalAIM-related programs to ensure alignment, integration, and optimal performance across services.


Operational Partnership

  • Collaborate closely with the Operations team to align clinical services with program workflows, capacity planning, and client needs.
  • Promote interdisciplinary collaboration between clinical staff, behavioral health, and case management teams to support whole-person, client-centered care.
  • Support efficient utilization of resources while maintaining high standards of care.
  • Participate in program planning, budgeting, and performance management.


Leadership & Strategy

  • Serve as a key member of the senior leadership team, contributing to organizational strategy, decision-making, and growth initiatives.
  • Foster a culture of collaboration, accountability, and mission-driven service.
  • Identify opportunities for innovation, partnerships, and funding to support program growth.
  • Ensure care management services are culturally responsive, equitable, and aligned with organizational values and client-centered practices.
  • Represent Illumination Health and Home in external meetings with healthcare partners, payers, and community stakeholders.

Preferred Experience/Minimum Qualifications

Required:

  • Active Registered Nurse (RN) license in the State of California
  • Bachelor's of Nursing (BSN) is required
  • Minimum of 5โ€“7 years of progressive leadership experience in healthcare programs
  • Experience managing clinical teams and overseeing care delivery in complex settings
  • Strong knowledge of care management models, including ECM and Medi-Cal populations
  • Experience overseeing interdisciplinary care coordination and case management services within healthcare or community-based programs
  • Experience developing and implementing workflows related to case management documentation, client engagement, and continuity of care
  • Experience working with underserved or vulnerable populations

Preferred:

  • Masterโ€™s degree in Nursing, Public Health, Healthcare Administration, or related field preferred
  • Experience in recuperative care, homeless services, or community-based healthcare
  • Knowledge of CalAIM Community Supports, discharge planning, utilization management, and care transition processes
  • Familiarity with trauma-informed care, motivational interviewing, harm reduction, and client-centered service delivery models
  • Proficiency in MS Office Suite i.e. Outlook, Word, Excel, Teams

We recognize that strong candidates may come from a variety of healthcare leadership backgrounds. This role may be an excellent fit for Registered Nurses with leadership experience in case management, care management, population health, utilization management, complex discharge planning, community-based healthcare, ECM programs, managed care, recuperative care, or Medi-Cal-focused programs.
Candidates who have led interdisciplinary teams, managed clinical operations, partnered with payers, or overseen documentation and care coordination programs are encouraged to apply


Benefits

  • Medical Insurance funded up to 91% by Illumination Foundation (Kaiser and Blue Shield), depending on the plan
  • Dental and Vision Insurance
  • Life, AD&D and LTD Insurance funded 100% by Illumination Foundation
  • Employee Assistance Program
  • Professional Development Reimbursement
  • 401K with Company Matching
  • 15 days vacation PTO/year
  • 6 days sick PTO/year
  • 10 days holiday PTO/year
  • Potential eligibility for the Public Service Loan Forgiveness Program (PSFL) for federally qualified loans