RN, Clinical Care Manager I

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🕒 November 14, 2025

🏄 California – Remote

🏄 California – Remote

💵 $91.7k - $128.3k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

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Gold Coast Health Plan

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2011

⚕️ Healthcare Insurance

Healthcare Insurance • Managed Care • Health and Wellness

Gold Coast Health Plan is a managed care health plan that provides comprehensive healthcare services to residents of Ventura County, California. Its mission is to deliver affordable, high-quality healthcare, including medical, dental, and mental health services, ensuring accessibility for all members. GCHP emphasizes compassionate care and community support through various programs focused on preventive health and enhanced care management.

📋 Description

• Supports the GCHP mission to improve the health of the members through provision of the best possible quality care and services • Collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services • Works closely with other team members and is a role model and resource to colleagues • Acts as a bridge by facilitating communication between the member, member’s family and the providers • Provides member advocacy and education to maintain or improve clinical outcomes • Promotes the most cost-effective healthcare delivery by coordinating with the medical management team • Engages members into care coordination activities to reduce care gaps • Evaluates for and works toward elimination of barriers to care

🎯 Requirements

• Bachelor's Degree (four-year college or technical school) in a health-related field preferred • Registered Nurse (RN) valid and current license • 2 plus years of experience in the health care field required • Care management, discharge planning, or equivalent combination of education and experience • Managed care experience in a health plan preferred • Ability to evaluate clinical and other health data and to communicate effectively both orally and in writing • Ability to balance multiple tasks • Strong organizational skills • Critical thinking skills • Flexibility in role delineation and workload assignments • Bilingual in English and Spanish preferred • Active, valid and unrestricted California Registered Nurse CCM or other CM certification preferred

🏖️ Benefits

• Flexible work environment • Health plan of the future • Collaborative work culture • Empowerment to grow and thrive