Registered Nurse | Care Coordination

Akido
31d$95,000 - $110,000

About The Position

We are looking for a Registered Nurse to join Akido's Enhanced Care Management team supporting IEHP members across the Inland Empire. This is a unique opportunity for an RN who thrives in collaborative, interdisciplinary environments and wants to make a measurable impact on patients with complex health and social needs. You'll work primarily in clinic-based settings with significant telehealth and telephonic care coordination, while also providing in-person, community-based care when needed. As a key member of an interdisciplinary team alongside a Community Health Worker and Program Manager (with a future Behavioral Health Coordinator joining), you'll combine direct nursing services with comprehensive care coordination—helping patients navigate the healthcare system, manage chronic conditions, and achieve their health goals.

Requirements

  • Comfortable delivering care across multiple modalities—clinic-based, telehealth/telephone, and occasional community-based visits
  • Possess strong assessment, critical thinking, and clinical decision-making skills
  • Excellent communicator who can build rapport with diverse populations and collaborate effectively across interdisciplinary teams
  • Self-directed with ability to manage a complex caseload and prioritize competing demands
  • Comfortable with technology, electronic health records, and telehealth platforms
  • Patient-centered approach with deep commitment to health equity and addressing social determinants of health
  • Valid California Driver's License, reliable form of transportation, and ability to travel locally for occasional in-person visits.
  • Current, unrestricted California Registered Nurse (RN) license
  • Bachelor of Science in Nursing (BSN) preferred; ASN considered with relevant experience
  • Minimum 2 years of clinical nursing experience with care coordination, case management, or community health nursing

Nice To Haves

  • Bilingual in English and Spanish preferred but not required
  • Experience with Medi-Cal/Medicaid populations and understanding of social determinants of health
  • Knowledge of Enhanced Care Management (ECM) or similar care coordination programs
  • Experience with chronic disease management, care transitions, and population health
  • Familiarity with Inland Empire community resources
  • Case Management Certification (CCM, ACM, or similar) preferred but not required

Responsibilities

  • Provide RN level care coordination for ECM-eligible and/or enrolled IEHP members with complex medical, behavioral health, and social needs
  • Conduct nursing assessments via telehealth, telephone, clinic based visits, and occasional community or home visits to identify health needs, barriers to care, and opportunities for intervention
  • Perform direct nursing services including medication reconciliation, health education, chronic disease monitoring, and self-management support.
  • Serve as the RN responsible for care plan review and sign off in accordance with ECM and health plan requirements
  • Develop and implement individualized care plans in partnership with members, families, and the interdisciplinary team
  • Coordinate care across multiple providers, specialists, hospitals, and community resources to ensure seamless transitions and continuity of care
  • Deliver telephonic and telehealth support for ongoing care management, follow-up, and member engagement
  • Partner closely with Community Health Worker to address social determinants of health and connect members to community resources
  • Collaborate with the Program Manager on care plan implementation, member outreach strategies, and team workflows
  • Document all encounters accurately and timely in compliance with ECM requirements and HIPAA standards
  • Participate in team meetings, case conferences, and quality improvement initiatives
  • Other duties as assigned

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

501-1,000 employees

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