RN Clinical Consultant

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🕒 vor 1 Monat

🏄 California – Remote

🏄 California – Remote

💵 $80.000 - $95.000 / Jahr

⏰ Vollzeit

🟢 Junior

💼 Berater

Jetzt Bewerben

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Titanium Healthcare Inc.

WebsiteLinkedInAlle Stellen

201 - 500 Mitarbeiter

⚕️ Krankenversicherung

Healthcare Insurance

Titanium Healthcare Inc. ist eine Gesundheitsorganisation, die sich der Transformation und Verbesserung von Gesundheitsdienstleistungen für Millionen von Amerikanern widmet. Das Unternehmen bietet eine Reihe von Dienstleistungen an, darunter Primärversorgung, Pflegemanagement, Nachsorge und Telemedizin, mit einem Schwerpunkt auf umfassender und mitfühlender Pflege. Es betreibt mehrere Kliniken in Kalifornien und Washington, die Dienstleistungen wie erweitertes Fallmanagement und Gemeinschaftsunterstützung anbieten, insbesondere für Patienten mit komplexen Bedürfnissen. Titanium Healthcare legt Wert auf eine personalisierte Patientenbetreuung mit längeren Terminzeiten und umfassender Unterstützung außerhalb der regulären Zeiten, um die Lebensqualität und Gesundheitsergebnisse für Medicaid-Mitglieder und andere Patienten zu verbessern. Außerdem unterstützt das Unternehmen Patienten, die vor Hürden wie mangelndem Zugang zu medizinischer Versorgung, Nahrung, Wohnung und Transport stehen. Sie engagieren sich auch in der Gemeinschaftsunterstützung durch staatlich geförderte Programme und stellen sicher, dass Mitglieder die erforderlichen Leistungen ohne zusätzliche Kosten erhalten.

Beschreibung

• Provide clinical oversight and support to ensure high-quality effective care management for members across the ECM program • Collaborate closely with Lead Care Managers (LCMs) and ancillary clinical staff (e.g., RNs, LCSWs, RDs) to support member care needs and clinical decision-making • Facilitate access to appropriate healthcare services including primary care, behavioral health, and specialty services, as needed • Complete clinical oversight of Comprehensive Assessments and Care Management Plans to ensure accuracy, appropriateness, and alignment with healthcare plan guidelines • Lead and/or participate in Emergent and Non-Emergent Clinical Case Conferences to address complex member needs and ensure timely interventions • Participate in Interdisciplinary Care Team (ICT) meetings to provide clinical input and recommendations to support coordinated and whole-person care • Conduct and/or oversee medication reconciliation to ensure safety and accuracy of member medication regimens • Support and guide smooth Transitions of Care (TOC) following emergency room visits and hospitalizations, ensuring timely follow-up and continuity of care • Engage members, as appropriate, using clinical expertise and motivational interviewing techniques to support health behavior change and care plan adherence • Provide health education within scope of practice to promote improved health outcomes • Coordinate care through collaboration with internal teams and external providers, ensuring seamless communication and continuity of care • Ensure all clinical activities are documented accurately and in accordance with organizational, regulatory, and healthcare plan requirements • Consult and collaborate with clinical leadership as needed for complex cases or escalations • Participate in case reviews and clinical discussions to support quality, consistency, and continuous improvement • Adhere to all departmental and organizational policies, procedures, and compliance requirements • Perform other duties and projects as assigned

🎯 Anforderungen

• Associate’s degree in nursing • Minimum 1+ years of experience as an RN working in a healthcare setting, such as a medical clinic or acute care hospital • A current and unrestricted CA state RN license • Experience using an EHR/EPM • Distraction-free home workspace with a secure internet connection • Care management experience preferred • Bachelor's degree in nursing • Experience using eClinical Works (eCW) • Valid BLS certification from the American Heart Association • Valid CPR Certification • Bilingual in Spanish

🏖️ Vorteile

• Make an impact: an organization who cares about its employees, communities, and the future of healthcare • Inclusivity: be a part of a workplace where you not only belong but also can be the best version of yourself • Growth: opportunities to develop and grow your career with us • Community: you are encouraged to have a voice, share your opinions, and have an individual impact on the business • Paid Time Off: 12 holidays and up to 15 days of accrued PTO to rest and recharge plus additional time for sick, jury duty, bereavement, reproductive loss, and therapy • Work Life Balance: enjoy flexibility to maximize your well-being and success with our hybrid work model • Medical, Dental, & Vision Benefits: we cover up to 100% of your premium and 50% of your dependents depending on the plan • Prioritize your mental health with unlimited therapy sessions funded 100% by Titanium Healthcare • Flexible Spending, Health Savings & Dependent Care Accounts • Life/AD&D insurance funded 100% by Titanium Healthcare • Supplemental Short-Term Disability • Employee Assistance Programs • Protect your pet(s) with Pet Insurance • 401(k) plan