<p>General Information</p> <p>Press space or enter keys to toggle section visibility</p> <p>Work Location: Los Angeles, CA, USA</p> <p>Onsite or Remote</p> <p>Flexible Hybrid</p> <p>Work Schedule</p> <p>Monday-Friday, 8:00am - 5:00pm PST</p> <p>Posted Date</p> <p>08/08/2025</p> <p>Salary Range: $129018 - 166852 Annually</p> <p>Employment Type</p> <p>2 - Staff: Career</p> <p>Duration</p> <p>indefinite</p> <p>Job #</p> <p>25986</p> <p>Primary Duties and Responsibilities</p> <p>Press space or enter keys to toggle section visibility</p> <p>Step into a vital role at New Century Health Plan and coordinate the care for our Medicare Advantage members. As a Care Management Nurse, you will focus on improving health outcomes and streamlining the care journey for members with complex healthcare needs.</p> <p>In this position, you will work closely with members, their families, and healthcare providers. Your responsibilities will include:</p> <ul> <li>Develop, implement, and monitor individualized care plans based on Health Risk Assessment. </li><li>Facilitate transitions of care, including hospital discharge planning and follow-up. </li><li>Close care gaps for members enrolled in the Complex Care Management program. </li><li>Support members in participating in the care planning process to empower them to make informed decisions. </li><li>Collaborate with physicians, social workers, pharmacists, and other healthcare professionals to ensure comprehensive care coordination. </li></ul> <p>Salary Range: $129,018- $166,852/annually</p> <p>Note: This position is flexible-hybrid and will require you to come on-site once or twice a week.</p> <p>Job Qualifications</p> <p>Press space or enter keys to toggle section visibility</p> <p>We're seeking a highly qualified candidate with:</p> <ul> <li>BSN or MSN degree, required </li><li>Current unrestricted California RN license, required </li><li>Certified Case Manager (CCM) preferred </li><li>Three or more years of clinical nursing experience, preferably in care management, care coordination, or a related field </li><li>Experience with Medicare Advantage plans and knowledge of CMS regulations is highly desired </li><li>Strong assessment and critical thinking skills, with the ability to work independently and as part of a team </li><li>Proficiency in electronic health records (EHR) and care management software, along with exceptional organizational and time management skills </li><li>Dependability, integrity, initiative, and a strong ethical standard, with attention to detail and the ability to learn quickly </li><li>Exceptional interpersonal, written, and verbal communication skills </li><li>Proficiency in Microsoft Office applications (Word, Excel, PowerPoint) </li><li>A proactive approach to take initiative while appropriately soliciting input and advice </li></ul>