RN Care Manager: Remote Care Leadership

Heritage Victor Valley Medical Group seeks an RN Care Manager to provide clinical leadership in care management, design SMART care plans, and oversee LVN activities. You will evaluate HRAs, coordinate multidisciplinary care, and ensure safe transitions of care following NCQA and CMS guidelines.

Responsibilities include leading IDT reviews, managing high-acuity caseloads, and ensuring medical necessity and service utilization align with payor standards.