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Complex Care Manager Jobs in Riverside, CA (NOW HIRING)

Independent Living Systems

Care Manager - CA

Riverside, CA · On-site

$26 - $43.81/hr

We are seeking a Care Manager - CA to join our team at Independent Living Systems (ILS). ILS, along ... Requires at least 5 years of experience working with people who need assistance with complex health ...

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Complex Care Manager information

See Riverside, CA salary details

$27.1K

$58.8K

$104.8K

How much do complex care manager jobs pay per year?

As of Sep 12, 2026, the average yearly pay for complex care manager in Riverside, CA is $58,796.00, according to ZipRecruiter salary data. Most workers in this role earn between $43,800.00 and $66,800.00 per year, depending on experience, location, and employer.

What is a complex care manager?

A Complex Care Manager is a healthcare professional who coordinates care for patients with multiple or serious health conditions. They work closely with patients, families, and a multidisciplinary team of providers to develop and implement comprehensive care plans. Their goal is to improve patient outcomes, enhance quality of life, and reduce hospitalizations by ensuring seamless communication and access to necessary services. Complex Care Managers often provide education, monitor progress, and help patients navigate the healthcare system.

How does a complex care manager typically collaborate with interdisciplinary teams to ensure comprehensive patient care?

As a Complex Care Manager, you regularly work alongside physicians, nurses, social workers, and other healthcare professionals to coordinate patient-centered care plans. You’ll facilitate team meetings, share insights from patient assessments, and communicate updates to ensure everyone is aligned on goals and progress. This collaborative environment allows you to advocate for patients’ needs while leveraging the expertise of diverse team members. Effective collaboration not only improves outcomes but also supports seamless transitions across care settings, which is central to the role.

What are the key skills and qualifications needed to thrive as a complex care manager, and why are they important?

To thrive as a Complex Care Manager, you need a background in nursing or social work, clinical assessment skills, and experience in care coordination, often supported by a relevant degree and licensure (such as RN or LCSW). Familiarity with care management software, electronic health records (EHRs), and population health management tools is typically required. Strong interpersonal skills, problem-solving abilities, and cultural competence help you build trust and collaborate with patients, families, and multidisciplinary teams. These skills and qualities are crucial for delivering effective, patient-centered care and improving outcomes in populations with complex medical and psychosocial needs.

What is the difference between Complex Care Manager vs Care Coordinator?

AspectComplex Care ManagerCare Coordinator
CredentialsRN, LPN, or social work degree; certifications in case management often preferredVaries; often nursing, social work, or health administration background
Work EnvironmentHospitals, clinics, home health, or community settings managing complex casesPrimary care clinics, hospitals, or community health settings coordinating patient care
Employer & IndustryHealthcare providers, insurance companies, community health organizationsHospitals, clinics, health plans, community agencies
Search & Comparison IntentUnderstanding roles in managing complex patient needsLearning about care coordination and patient management

While both roles focus on patient care, a Complex Care Manager specializes in managing patients with complex, chronic conditions, often requiring advanced clinical skills. A Care Coordinator handles broader patient coordination across services, often with less emphasis on complex clinical management. Both roles are vital in healthcare but differ in scope and specialization.

What cities near Riverside, CA are hiring for Complex Care Manager jobs?

Cities near Riverside, CA with the most Complex Care Manager job openings:

Complex Care Manager jobs near you
Infographic showing various Complex Care Manager job openings in Riverside, CA as of August 2026, with employment types broken down into 2% As Needed, 69% Full Time, 22% Part Time, and 7% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $58,796 per year, or $28.3 per hour.

Case Manager II-Lead Care Manager

Rancho Cucamonga, CA • On-site

SIMPLE SOLUTIONS PSYCHOTHERAPY
See more jobs at SIMPLE SOLUTIONS PSYCHOTHERAPYexternal

$25 - $30/hr

Full-time

Re-posted 28 days ago

Job description


At Simple Solutions Psychotherapy we believe "It's SIMPLE people just make it complicated." 

The Case Manager for CalAIM Enhanced Care Management (ECM) and provides comprehensive, person-centered care coordination to Medi-Cal members with complex medical, behavioral health, and social needs. This role works collaboratively with healthcare providers, community-based organizations, and social service agencies to address health-related social needs and improve health outcomes in alignment with CalAIM program requirements.

The Case Manager serves as a primary point of contact for members, ensuring timely access to services, continuity of care, and advocacy across medical, behavioral health, and social systems.

Position Summary


The Case Manager II is an experienced ECM Lead Care Manager who carries a moderate-to-high acuity caseload, serves as the primary CalAIM Lead Care Manager for assigned members, and provides peer guidance to Case Manager I staff. This role independently manages complex care coordination across the full ECM Population of Focus categories, leads interdisciplinary care team meetings, and ensures compliance with IEHP, Molina, Kaiser and DHCS programmatic and documentation standards.
Minimum Qualifications


Master of Social Work (MSW) preferred, OR Bachelor's degree in Social Work, Psychology, Nursing, Public Health, or related field with three (3) or more years of progressive case management experience in Medi-Cal managed care, ECM, Community Supports, Health Homes, Whole Person Care, behavioral health, hospital case management, or community-based care coordination. Equivalent combinations of education and directly relevant case management experience will be considered. Prior experience as a Lead Care Manager under CalAIM ECM is strongly preferred. Bilingual (English/Spanish) preferred. ASW, AMFT, or APCC registration a plus. Valid California driver's license, reliable transportation, and auto insurance required. LiveScan and TB clearance required.
Caseload and Population

Caseload of approximately 30 to 50 moderate-to-high acuity ECM members. Serves as Lead Care Manager for members with complex co-occurring conditions, including individuals experiencing homelessness with serious mental illness, justice-involved adults and transition-age youth re-entering the community, individuals with high utilization patterns (frequent ED or inpatient use), pregnant and postpartum individuals with complex needs, and members transitioning from incarceration, hospitals, or institutions. Authorizes and coordinates the full menu of Community Supports.
Essential Duties

•       Serve as Lead Care Manager under CalAIM ECM, with primary accountability for the member's Care Plan, ICT coordination, and care continuity.
•       Conduct comprehensive biopsychosocial assessments, risk stratification, and Care Plan development and revision in alignment with DHCS ECM Policy Guide standards.
•       Lead and facilitate interdisciplinary care team meetings, including representatives from primary care, behavioral health, CS providers, MCP care managers, and community partners.
•       Coordinate complex transitions of care from hospitals, SNFs, jails, and residential treatment, including 30-day post-discharge follow-up requirements.
•       Authorize, refer to, and monitor Community Supports utilization, ensuring appropriate documentation and Managed Care Plan authorization workflows.
•       Provide informal mentoring and case consultation to Case Manager I staff.
•       Participate in quality improvement, case review, and program fidelity monitoring activities.
•       Ensure all documentation meets MCP audit standards, encounter data submission requirements, and contractual deliverables for IEHP and Molina.
Knowledge, Skills, and Abilities

Working knowledge of the DHCS ECM Policy Guide, CS Policy Guide, MCP contracts, and Medi-Cal billing/encounter requirements. Demonstrated ability to manage complex caseloads independently. Strong clinical judgment in risk assessment, crisis response, and care plan development. Familiarity with motivational interviewing, harm reduction, trauma-informed care, and culturally responsive practice. Proficient in EHR documentation, care coordination platforms (e.g., MCP portals), and outcome tracking.