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

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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.

Part-Time Registered Nurse Care Manager (RNCM)

Riverside, CA • On-site

Heritage Health Network
See more jobs at Heritage Health Networkexternal

Other

Medical, Dental, Vision, PTO

Posted 17 days ago

Job description


Part-Time Registered Nurse Care Manager (RNCM)
Location: Hybrid / Field-Based
Employment Type: Part-Time
Position Overview
Heritage Health Network (HHN) is seeking a Registered Nurse Care Manager (RNCM) to provide clinical oversight and guidance to a team of non-clinical Lead Care Managers within our Enhanced Care Management (ECM) program.
In this part-time role, the RNCM will review member charts, assess care plans, identify gaps in care, and provide clinical guidance to ensure members receive comprehensive, high-quality care. The role includes a combination of remote clinical work and field-based activities, including in-person member and provider engagement as needed.
Most administrative and chart-review hours can be completed on a flexible schedule. However, one hour per week is required for participation in the ECM team's case review meeting.
Clinical Oversight & Quality Assurance
  • Review member charts in the EMR/EHR to assess care plans, medical history, and treatment adherence.
  • Ensure the quality and appropriateness of care coordination for ECM members.
  • Provide clinical guidance to non-clinical Lead Care Managers on complex member cases.
  • Identify gaps in care and recommend appropriate interventions to improve health outcomes.
Care Coordination & Field Support
  • Collaborate with a multidisciplinary care team, including:
    • Lead Care Managers
    • Behavioral Health Care Managers
    • Community Health Workers
  • Conduct field-based visits and member engagement activities as needed to support care coordination and clinical needs.
  • Participate in in-person member assessments, care coordination, and follow-up activities when appropriate.
  • Partner with healthcare providers, hospitals, and community organizations to facilitate referrals and access to care.
  • Support care transitions by coordinating with hospitals and healthcare providers to optimize discharge planning.
  • Participate in weekly case reviews to discuss high-risk members and support best practices in care management.
Regulatory Compliance & Documentation
  • Ensure care management activities align with Medi-Cal ECM guidelines and applicable healthcare regulations.
  • Maintain accurate and timely documentation in the electronic health record (EHR) system.
  • Provide clinical input for monthly reports required by health plans and regulatory bodies.
Requirements
Qualifications
  • Active Registered Nurse (RN) license in California.
  • Minimum 2 years of nursing experience.
  • At least 1 year of experience in care management, case management, or a leadership capacity.
  • Experience working with vulnerable populations and individuals with complex medical and social needs.
  • Strong clinical assessment and care planning skills.
  • Proficiency with electronic medical records (EMR/EHR) systems.
  • Excellent communication, collaboration, and clinical judgment skills.
  • Ability and willingness to perform field-based work and in-person member engagement as required.
Benefits
  • Health Insurance:Eligible for medical, dental, and vision insurance from the first of the month following or coinciding with your start date.
  • Paid Time Off: Sick time, paid holidays, and vacation time to support work-life balance.
  • Compensation and Incentives: Competitive salary with annual merit increases and quarterly bonus opportunities.
  • Flexibility: Work-from-home options several days a week.
  • Professional Growth: Opportunities for career advancement and continued professional development.

Heritage Health Network offers a supportive community and opportunities for professional growth, aiming to enhance both patient and employee experiences. Join us in making a lasting impact on community health.

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