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Rncm Jobs in California (NOW HIRING)

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Pediatric RN Case Manager

Modesto, CA · On-site

$48 - $62.04/hr

The RNCM provides skilled nursing assessment, care planning, and interventions in accordance with the plan of care and Community Hospice's policies and procedures in order to maximize the comfort and ...

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Rncm information

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$20

$43

$68

How much do rncm jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for rncm in California is $43.77, according to ZipRecruiter salary data. Most workers in this role earn between $35.10 and $50.29 per hour, depending on experience, location, and employer.

What is an RNCM?

RNCM stands for Registered Nurse Case Manager. RNCMs are licensed registered nurses who specialize in coordinating and managing patient care, often for individuals with complex or chronic health conditions. They assess patients' needs, develop care plans, work with healthcare teams, and advocate on behalf of patients to ensure the best possible outcomes. RNCMs may work in hospitals, clinics, insurance companies, or community health organizations. Their role is crucial in improving patient care coordination, resource utilization, and overall health outcomes.

What are the key skills and qualifications needed to thrive as a Registered Nurse Care Manager (RNCM), and why are they important?

To thrive as a Registered Nurse Care Manager (RNCM), you need a solid clinical nursing background, active RN licensure, and experience in care coordination or case management. Familiarity with case management software, electronic health records (EHRs), and knowledge of healthcare regulations such as HIPAA are typically required. Excellent communication, critical thinking, and organizational skills help RNCMs collaborate with patients, families, and multidisciplinary teams. These competencies are vital for ensuring effective patient care planning, improved outcomes, and efficient healthcare delivery.

What are some common challenges faced by Registered Nurses in Case Management (RNCM) roles and how can they be addressed?

Registered Nurses in Case Management (RNCM) often encounter challenges such as balancing large caseloads, navigating complex healthcare systems, and coordinating care across multiple providers. Effective time management, strong communication skills, and familiarity with electronic health records are essential for success. Building collaborative relationships with interdisciplinary teams and staying current with regulations and best practices can help RNCMs overcome these challenges and provide high-quality patient care.

What is the difference between Rncm vs Registered Nurse (RN)?

AspectRncmRegistered Nurse (RN)
CredentialsRequires Rncm certification, specialized in medical coding and billingRequires RN license, nursing degree, and licensing exam
Work EnvironmentTypically in medical billing offices, healthcare administrationHospitals, clinics, patient care settings
Employer & IndustryHealthcare billing companies, insurance firmsHospitals, clinics, healthcare facilities
Common Search & ComparisonOften compared for healthcare administrative rolesCompared for direct patient care roles

The main difference between Rncm and Registered Nurse (RN) lies in their credentials and work focus. Rncm professionals specialize in medical coding and billing, working mainly in administrative healthcare settings. In contrast, RNs are licensed healthcare providers involved in direct patient care. Both roles are essential in healthcare but serve different functions within the industry.

What other jobs can a registered nurse do?

Registered nurses can transition into roles such as nurse educator, healthcare administrator, clinical researcher, or health informatics specialist. They often utilize their clinical skills, patient care experience, and knowledge of medical procedures in these positions, which may require additional certifications or training.
Infographic showing various Rncm job openings in California as of August 2026, with employment types broken down into 5% As Needed, 78% Full Time, 14% Part Time, and 3% Contract. Highlights an 94% Physical, 4% Hybrid, and 2% Remote job distribution, with an average salary of $91,049 per year, or $43.8 per hour.

Part-Time Registered Nurse Care Manager (RNCM)

Heritage Health Network

Riverside, CA

$40 - $50/hr

Full-time, Part-time

Medical, Dental, Vision, PTO

Posted 10 days ago


Key responsibilities

  • Review member charts, assess care plans, and identify gaps in care to ensure high-quality care delivery.

  • Provide clinical guidance to non-clinical Lead Care Managers and support care coordination activities, including field-based member engagement.

  • Participate in weekly case reviews and collaborate with healthcare providers and community organizations to facilitate referrals and care transitions.


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.

RequirementsQualifications
  • 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.