This full-time Care Manager role, open to licensed RNs or LVNs, supports medically complex Medicare beneficiaries within a value-based care model across multiple states. The position involves assessing patient needs, developing person-centered care plans, and coordinating transitions between hospitals, nursing facilities, and home care settings. Key responsibilities include serving as the primary liaison for interdisciplinary teams, managing medication oversight, and educating caregivers while maintaining accurate regulatory documentation. The role offers a hybrid work arrangement combining remote duties with local travel and occasional in-office collaboration in Costa Mesa, California. It appeals to self-starters seeking to work in a dynamic, unstructured environment where they can directly impact the quality of life for frail patients while utilizing their clinical expertise in a collaborative team setting.