RN Client Care Manager

Care Indeed • Menlo Park, CA

4d • $95,000 - $115,000 • Onsite

About The Position

The Client Care Manager (CCM) is a Registered Nurse who serves in a dual-function capacity across two Care Indeed entities: Care Indeed Home Care and AskVanessa Geriatric Care Management. For Care Indeed Home Care, the CCM acts as a player/coach pod leader, managing a direct client caseload supported by Virtual Care Coordinators. The RN licensure provides clinical assessment capability to the non-medical home care model. For AskVanessa Geriatric Care Management, the CCM is the licensed RN clinical lead for Tier 3 clients, providing comprehensive geriatric care management including medical appointment attendance, hospital discharge planning, specialist coordination, medication reconciliation, crisis intervention, and detailed monthly clinical reports. The CCM also provides clinical support for Tier 4 clients under direct oversight. This role bridges non-medical home care operations and clinical geriatric care management, leveraging clinical knowledge to identify pathways for higher-acuity care management services.

Requirements

• Active California RN license in good standing required.
• BSN preferred; ADN with relevant experience considered.
• CPR/BLS certification required.
• 3+ years clinical nursing experience with significant geriatric, home care, or community-based experience.
• 1+ year supervisory or team lead experience.
• Experience attending medical appointments with/on behalf of clients and communicating with multidisciplinary provider teams.
• Experience with hospital discharge planning and care transitions.
• Experience with medication reconciliation and polypharmacy management in elderly populations.
• Dual-function capability to manage pod operations and deliver high-touch clinical care management.
• Strong clinical assessment skills.
• Exceptional communication skills, including translating clinical information into understandable language for families and writing detailed clinical reports.
• Composure under pressure to manage crisis situations, hospital discharges, and family distress.
• Comfortable serving as a clinical advocate in medical settings.
• Player/coach mindset to carry a personal caseload while managing and developing a pod team.
• Comfortable in a matrix environment.
• Empathy, dignity, and respect for client autonomy in all interactions.

Nice To Haves

• Certified Geriatric Care Manager (CMC, C-ASWCM) or willingness to obtain within 12 months preferred.
• Familiarity with Care management, CMC, CDSS HCO licensing, and geriatric care management standards preferred.
• Experience working with families navigating complex medical situations, high anxiety, grief, or guilt preferred.

Responsibilities

• Conducts comprehensive medical/non-medical assessments for assigned clients, including functional status, ADL/IADL needs, cognitive status, home environment, safety risks, and psychosocial factors.
• Develops individualized service plans based on comprehensive geriatric assessments, client preferences, and family input.
• Serves as the primary contact for assigned clients and families, providing updates and adjusting plans as needs change.
• Conducts supervisory home visits, using RN clinical judgment to identify health changes and initiate appropriate referrals or escalations.
• Ensures all documentation for assigned cases meets Care Management Policies and Procedures, ALCA and CDSS standards.
• Directly supervises Virtual Care Coordinators who provide scheduling and administrative support for caregiver-client matching, shift coverage, documentation, and coordination tasks.
• Coordinates with Virtual Care Coordinators on caregiver-client matching, shift coverage, and service continuity.
• Manages pod census and triggers Virtual Care Coordinator additions as caseload grows.
• Facilitates pod team meetings and provides the Care Management Director with regular pod performance reports.
• Reviews and ensures quality and compliance of all service plans across pod clients.
• Monitors client outcomes, including service plan adherence, satisfaction trends, incident frequency, and caregiver performance patterns.
• Partners with QA/PI Program Manager on compliance documentation, quality audits, and corrective actions within the pod.
• Provides daily clinical and operational direction to caregivers assigned to the pod, supported by Virtual Care Coordinators.
• Communicates caregiver performance observations and training needs to CG Success Supervisors.
• Escalates caregiver performance concerns to the CG Success Manager/Supervisors for formal HR action.
• Participates in new caregiver introductions for pod clients.
• Provides licensed RN clinical oversight for every Tier 3 client interaction and care decision.
• Attends all medical appointments with or on behalf of the client, serving as the clinical interpreter between providers and family.
• Leads hospital discharge planning and coordination, including reviewing discharge orders, reconciling medications, coordinating follow-up appointments, and arranging home care adjustments.
• Provides 24-hour on-call access for Tier 3 families for urgent clinical concerns.
• Manages specialist referral and coordination, identifying needs, facilitating referrals, preparing clinical summaries, and following up on recommendations.
• Conducts medication reconciliation after every care change, hospitalization, specialist visit, or new prescription.
• Provides crisis intervention and stabilization support, responding to acute clinical changes, medical emergencies, family distress, or care breakdown situations.
• Prepares and delivers a detailed monthly clinical report to the family.
• Maintains comprehensive clinical documentation for each Tier 3 client in the AskVanessa system, separate from CareIndeed Home Care records, in compliance with HIPAA and organizational standards.
• Provides clinical support to Vanessa for Tier 4 clients as directed, including attending medical appointments, conducting clinical assessments, performing medication reconciliation, and preparing clinical documentation.
• Serves as Vanessa’s clinical backup for Tier 4 clients during absences or scheduling conflicts.
• Prepares clinical briefing materials and reports for Vanessa’s family briefings and care orchestration meetings.
• Supports Vanessa with specialist coordination, discharge planning, and crisis response as delegated.
• Maintains clinical documentation for Tier 4 clients under Vanessa’s case leadership.
• Identifies Care Indeed Home Care pod clients who would benefit from AskVanessa’s geriatric care management services and communicates these opportunities.
• Ensures continuity between CareIndeed home care services and AskVanessa care management for clients who receive both.
• Maintains clear documentation boundaries between Care Indeed Home Care records and AskVanessa GCM records.
• Participates in AskVanessa case conferences and quality reviews as scheduled.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree