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Kaiser Case Management Jobs in Riverside, CA (NOW HIRING)

Boutique Recruiting

Executive Assistant

Irvine, CA · On-site

$75K - $85K/yr

Familiarity with legal technology or case management platforms such as Filevine, Westlaw, LexisNexis, or legal AI tools is preferred Benefits: * Medical insurance through Anthem PPO or Kaiser HMO ...

All JobsKaiser Case Management JobsKaiser Case Management Jobs in Riverside, CA

Kaiser Case Management information

See Riverside, CA salary details

$15

$25

$44

How much do kaiser case management jobs pay per hour?

As of Jul 30, 2026, the average hourly pay for kaiser case management in Riverside, CA is $25.83, according to ZipRecruiter salary data. Most workers in this role earn between $20.05 and $28.08 per hour, depending on experience, location, and employer.

What is the difference between Kaiser Case Management vs Kaiser Social Worker?

AspectKaiser Case ManagementKaiser Social Worker
Required CredentialsCase Management Certification, RN or related healthcare backgroundSocial Work Degree (BSW or MSW), State Licensure
Work EnvironmentHealthcare settings, hospitals, clinicsHealthcare facilities, community agencies, hospitals
Employer & Industry UsageHealthcare providers, insurance companiesHealthcare providers, social service agencies

While both roles work within healthcare settings, Kaiser Case Management primarily focuses on coordinating patient care and managing treatment plans, often requiring healthcare credentials. Kaiser Social Workers provide emotional support, counseling, and connect patients with community resources, requiring social work licensure. Understanding these differences helps clarify career paths and job expectations within Kaiser healthcare services.

How does a Kaiser Case Manager typically collaborate with other healthcare professionals to ensure optimal patient outcomes?

Kaiser Case Managers work closely with physicians, nurses, social workers, and other allied health professionals to coordinate comprehensive care for patients. They facilitate communication among team members, ensure that treatment plans are followed, and address any barriers to care, such as insurance or social needs. Regular interdisciplinary meetings and case conferences are common, allowing case managers to provide updates and advocate for patient needs. This collaborative approach helps Kaiser maintain high standards of integrated, patient-centered care.

What is Kaiser Case Management?

Kaiser Case Management refers to the coordinated process of planning, facilitating, and advocating for health care services for members within the Kaiser Permanente health system. Case managers, typically nurses or social workers, work with patients and their families to assess needs, develop care plans, and connect them with appropriate resources and services. Their goal is to ensure patients receive efficient, high-quality care while navigating complex health systems, often after hospital discharge, during chronic disease management, or in cases of complex medical needs.

What are the key skills and qualifications needed to thrive as a Kaiser Case Manager, and why are they important?

To thrive as a Kaiser Case Manager, you need a background in nursing or social work, case management certification (such as CCM or ACM), and strong knowledge of healthcare regulations and care coordination. Familiarity with electronic medical record (EMR) systems, utilization review tools, and care planning software is typically required. Excellent communication, critical thinking, and problem-solving skills are vital for advocating for patients and collaborating with multidisciplinary teams. These skills ensure efficient patient care transitions, resource utilization, and optimal health outcomes within the integrated healthcare environment.
What are popular job titles related to Kaiser Case Management jobs in Riverside, CA? For Kaiser Case Management jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Kaiser Case Management jobs in Riverside, CA look for? The top searched job categories for Kaiser Case Management jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Kaiser Case Management jobs? Cities near Riverside, CA with the most Kaiser Case Management job openings:
Kaiser Case Management jobs near you
Infographic showing various Kaiser Case Management job openings in Riverside, CA as of July 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $53,722 per year, or $25.8 per hour.

Case Manager II

SIMPLE SOLUTIONS PSYCHOTHERAPY

Rancho Cucamonga, CA • On-site

$25 - $30/hr

Full-time

Re-posted 6 days ago

Job description

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, Kaiser, and Molina.