RN Case Manager, Bilingual Required, Hybrid Position, TrueCare in Vista, California at TrueCare

TrueCare is a trusted healthcare provider serving San Diego and Riverside Counties, offering compassionate and comprehensive care to underserved communities. We are committed to making healthcare accessible to everyone, regardless of income or insurance status. With a focus on culturally sensitive, affordable services, TrueCare aims to improve the health of diverse communities. Our vision is to be the premier healthcare provider in the region, delivering exceptional patient experiences through innovative, integrated care.

TrueCare is seeking an experienced Registered Nurse (RN) Case Manager to lead and support our centralized Case Management team. This essential role focuses on population health, chronic care management, patient-centered medical home (PCMH) models, and team-based care delivery.

Key Responsibilities:
Care Delivery Optimization & Population Health

• Apply nursing standards, Patient-Centered Medical Home (PCMH) principles, and emerging care delivery models to optimize workflows, care coordination, and patient outcomes.
• Monitor and evaluate the effectiveness of care management activities, adjusting processes as needed to improve quality, access, and efficiency.
• Drive organization-wide improvements in care delivery by standardizing care management workflows, improving transitions of care, and enhancing interdisciplinary collaboration.
• Influence population health strategy through data analysis, quality improvement initiatives, and patient feedback to improve chronic care management and access to services.
• Use performance metrics and outcomes data to identify gaps in care, reduce fragmentation, and continuously improve patient outcomes across the organization.

• Lead care management initiatives that address health disparities and social determinants of health affecting underserved and vulnerable populations.
• Advance health equity through bilingual, culturally responsive care coordination that is patient-centered and accessible.
• Directly improve health outcomes for underserved patients, including those with chronic disease, behavioral health needs, and psychosocial barriers.
• Support staff in delivering compassionate, high-quality care aligned with TrueCare’s mission to serve the underserved.

• Ensure appropriate patient panel assignments and equitable workload distribution across the care management team.
• Promote consistent, high-quality care coordination practices that support staff effectiveness and sustainable operations.
• Ensure Care Coordinators operate within the Team-Based Care model and align with organizational goals and care delivery standards.

• Ensure accurate, timely electronic documentation in compliance with HIPAA and TrueCare standards.
• Implement, monitor, and audit transitions of care to ensure timeliness, accuracy, and continuity.
• Track, trend, and analyze clinical and operational data to support continuous quality improvement.
• Assist in preparation for audits conducted by health plans, regulatory agencies, and other external entities.

• Provide supervision and support for care coordination services, particularly for high-risk and complex patients.
• Facilitate timely patient access to primary care and specialty providers.
• Investigate and respond to patient, provider, and client concerns related to care management services.
• Assist care coordinators with direct patient care, preventive screenings, and daily patient interactions as needed.

• Promote multidisciplinary collaboration among providers, leadership teams, families, and caregivers to strengthen continuity of care.
• Partner with organizational leadership to align care management operations with population health goals, value-based care models, and regulatory requirements.
• Build and maintain relationships with health plans to support comprehensive, coordinated care for high-risk populations.
• Drive measurable improvements in population health, chronic disease management, patient satisfaction, and clinical outcomes.

Qualifications & Experience

• Active Registered Nurse (RN) license in California
• Graduate of an accredited California school of professional nursing
• Bachelor of Science in Nursing (BSN) from an accredited institution
• Minimum 3 years of outpatient clinical nursing experience
• Minimum 2 years of supervisory or management experience in a healthcare setting
• Minimum 1 year of case management experience
• Bilingual in English and Spanish (required)
• Proficiency with Electronic Health Records (EHRs) and Microsoft Office (Outlook, Word)

• Bachelor’s degree in nursing, health administration, or a related field (or equivalent combination of education and experience)
• Strong background in population health, chronic care management, or value-based care models

• Competitive Compensation
• Generous Paid Time Off
• Low-cost medical, dental, vision, and life insurance
• Supportive, mission-driven work environment focused on health equity and community impact

Pay transparency: If you are hired at TrueCare, your salary will be determined based on factors such as education, knowledge, skills, and experience. In addition to those factors, we believe in the importance of pay equity and consider the internal equity of our current team members when determining an offer.

TrueCare is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of any characteristic protected by applicable federal, state, or local law. Our goal is to support all team members recruited or employed here.