RN Clinical Consultant

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🏄 California – Remote

🏄 California – Remote

💵 $80k - $95k / year

⏰ Full Time

🟢 Junior

💼 Consultant

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Titanium Healthcare Inc.

WebsiteLinkedInAll Job Openings

201 - 500 employees

⚕️ Healthcare Insurance

Healthcare Insurance

Titanium Healthcare Inc. is a healthcare organization dedicated to transforming and improving healthcare services for millions of Americans. The company provides an array of services, including primary care, care management, post-acute care, and telehealth, focusing on comprehensive and compassionate care. It operates multiple clinics in California and Washington, offering services such as enhanced care management and community supports, particularly for patients with complex needs. Titanium Healthcare emphasizes personalized patient care with longer appointment times and robust after-hours support, aiming to enhance the quality of life and health outcomes for Medicaid members and other patients. Moreover, they assist patients who face barriers like lack of access to medical care, food, housing, and transportation. They are also involved in community support through government-funded programs, ensuring that members receive necessary benefits at no additional cost.

📋 Description

• 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

🎯 Requirements

• 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 • Distraction-free home workspace with a secure internet connection • Care management experience (NICE TO HAVES) • Bachelor's degree in nursing (NICE TO HAVES) • Experience using eClinical Works (eCW) (NICE TO HAVES) • Valid BLS certification from the American Heart Association (NICE TO HAVES) • Valid CPR Certification (NICE TO HAVES) • Bilingual in Spanish (NICE TO HAVES)

🏖️ Benefits

• 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 • 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