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Job DescriptionAbout Pair Team At Pair Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we deliver whole-person care - clinical, behavioral, and social - by partnering with organizations deeply connected to the communities we serve. We're building a care model that empowers clinicians and care teams to do what they do best: provide compassionate, high-impact care. At Pair Team, we leverage AI and automation to reduce administrative burden, streamline coordination, and ensure patients receive timely, personalized support. Our work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients. We're one of the largest Enhanced Care Management providers in California and are on track to build the nation's largest clinically integrated network supporting high-need patients. Our model has demonstrated real impact, including a 58% reduction in emergency department visits and a 29% reduction in hospital admissions. At Pair Team, were not just delivering care - we're building the future of more equitable, community-driven healthcare. Our Values • Lead with integrity: We keep our commitments and take responsibility for our actions. We are dependable and choose authenticity over perfection., • Embrace challenges: We leave our egos at the door and step forward into discomfort instead of back into safety. We help each other to learn and provide feedback using candor and kindness., • Break through walls: We go the extra mile for our patients, partners and one another, and we run toward hard things. We are resilient in our push for consistent improvement and challenge the status quo., • Act beyond yourself: We build each other up and respect boundaries. We seek first to understand and assume positive intent., • Care comes first: We hold ourselves to the highest standards for our patients. We are relentless in the pursuit of our mission, and ensure that we are taking care of ourselves in order to care for others.In the News, • Forbes: For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The Most, • TechCrunch: Building for Medicaid's regulatory moment with Neil Batlivala from Pair Team We seek a full-time Lead Care Manager to play a critical role in our whole-person, interdisciplinary care model, responsible for directly outreaching and engaging with individuals living with Serious Mental Illness/ Substance Use Disorder, experiencing homelessness, and/or those who have high medical needs. We believe in the power of trust and relationships to successfully engage those who may have never received the kind of whole-health care that Pair Team can provide. This position primarily allows for remote work; however, it includes 1-2 times a month on-site visits in the community alongside a fellow PairMate. You can expect to engage in these in-person activities 1-2 times per month, close to your city, while the majority of your duties, approximately 90%, will be performed from your home What You'll Do • Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals, • Use relationship-based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system, • Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members, • Work with member to identify health/wellness goals and incorporate goals into Health Action Plan/Shared Care Plan, • Supports nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks, • Collaborates on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager, behavioral health care manager, and nurse practitioner before taking clinical actions, • Consistently meet monthly encounter metrics to ensure compliance with health plan regulations, • Identify and break down barriers ensuring individuals' continuation with the program, • Assists individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups, • Coordinate physical care management appointments through collaboration with external and internal providers, • Utilize external and internal online platforms to collaborate with team members and carry out daily tasks What You'll Need • 1+ years of general work experience (Case Management preferred), • You are physically located in California, • Field Ops requires you to maintain reliable transportation for engagement at clinic, community based organization, and health system partner locations, • Virtual Ops requires a quiet, HIPAA compliant and internet connected space, • Bilingual – English/Spanish, • Strong understanding of cultural fluency, • High degree of empathy, • Ability to work collaboratively in a multidisciplinary team, • An eye for optimization, • Organizational skills, • Ability to remain patient when faced with adversity, • Strong technical skills and comfort with technology innovation, past experience with CRM databases, basic Excel, Word, email, and video conferencing, • A valid driver's license and auto liability insurancePreferred Qualifications:, • Demonstrated professional or personal lived experience working closely with individuals experiencing complex chronic needs, homelessness, or Severe Mental Illness/Substance Use Disorder, • 2+ years of case management experience, • Experience with motivational interviewing, • Knowledge of medical terminology, • Zest for problem solving, seeking answers, and thinking outside the box, • Detail-oriented and organized self-starter who is a rockstar multitasker, • Reliable and comfortable in an ever-changing environment Because We Value You • Salary: $22-$25/hour, • Comprehensive health, vision & dental insurance, • 401k, • Monthly $100 work from home expense stipend for your WFH days, • Gas reimbursements for your on-site engagement days, • Flexible vacation policy -- take the time you need to recharge!, • We provide all of the equipment needed for the role, • Opportunity for rapid career progression with plenty of room for personal growth! Pair Team is an Equal Opportunity Employer. At Pair Team, we value diversity and strive to provide an inclusive environment for all applicants and employees. All applicants will be considered without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, marital status, age, disability, political affiliation, military service, genetic information, or any other characteristic covered by federal, state, or local law. Pair Team participates in E-Verify to verify employment eligibility for new hires. Any offer of employment at Pair Team is conditioned upon passing a pre-employment background check. Following a conditional job offer, candidates will undergo comprehensive employment background checks, including; criminal history, reference checks, and driving records if a role requires vehicle use. We do not conduct any TA business outside of our @pairteam.com emails. If you're ever concerned about spam or fraudulent activity, please reach out to . Note: Please be aware that while we sincerely appreciate your interest, due to the high volume of requests, we're unable to respond to general position inquiries via email. To apply for a position with us, please submit your application for the role you are interested in. Our team regularly reviews applications and will reach out to candidates whose qualifications align with our current openings listed below. Thank you!

Job DescriptionDescription: Job Summary: In the End Stage Renal Disease (ESRD)program, RN Case Managers provide comprehensive, community-based care coordination for high-need, high-risk individuals, with a focus on those with chronic conditions requiring dialysis. Leveraging clinical expertise, especially in nephrology and renal care, the RN Case Manager ensures person-centered, interdisciplinary support to help members navigate the healthcare system and improve health outcomes. Working primarily in person and also remote, the RN Case Manager engages dialysis patients with complex medical and psychosocial needs—that include high hospital utilization, transition of care, medication reconciliation, and education on multiple co-morbidities with higher emphasis on dialysis. This position plays a vital role in bridging gaps across acute care, dialysis treatment, social services, and long-term support systems. Essential Duties and Responsibilities: • Coordinate care and provide clinical oversight for members receiving dialysis, ensuring smooth transitions between treatment centers, primary care, specialists, and hospital systems., • Use nursing judgment to assess, plan, implement, and evaluate patient-centered care plans, integrating dialysis-specific needs., • Educate members on managing ESRD, dialysis adherence, nutrition, medication compliance, vascular access care, and early signs of complications., • Collaborate closely with nephrologists, nurse practitioners, dialysis centers, and interdisciplinary teams to support optimal renal care., • Conduct comprehensive assessments, incorporating SMART goals and motivational interviewing techniques., • Provide in-person visits at dialysis centers to support member engagement and reduce barriers to care., • Advocate on behalf of members to ensure timely access to renal treatment, specialty services, durable medical equipment (DME), medications, transportation, and other resources., • Document all care coordination encounters and follow-up actions in the electronic health record (EHR)., • Track and manage hospitalizations, discharges, missed appointments, and urgent care visits, especially related to dialysis complications., • Enroll members in the ESRD program and maintain compliance with all regulatory and programmatic guidelines., • Provide culturally competent, trauma-informed care in alignment with ESRD goals and population health strategies. Minimum Requirements: Education: • Current, unrestricted Registered Nurse (RN) license in the state of practice California., • Minimum 2 years of recent experience as an RN in dialysis or nephrology care (required)., • At least 1 year of experience in care coordination, case management, or community health preferred., • Valid driver’s license and reliable transportation., • Proof of current auto liability insurance per state requirements., • Proficiency in electronic documentation systems and Microsoft Office applications. Preferred Skills and Competencies: • Strong knowledge of ESRD, CKD, dialysis modalities, and vascular access care., • Skilled in interdisciplinary collaboration and care team leadership., • Excellent verbal and written communication and clinical documentation skills., • Demonstrated ability to engage resistant or vulnerable populations., • Ability to work independently while managing a dynamic caseload., • Bilingual in English/Spanish. Work Environment & Physical Demands: • Frequent community-based travel to dialysis clinics., • Hybrid schedule may include office and remote work, as applicable., • Must be able to lift up to 25 lbs occasionally and remain on feet for extended periods during visits. Requirements: