RN Clinical Consultant

📋 Description

• Provide clinical oversight and support to guarantee effective care management for members within the ECM program.

• Work collaboratively with Lead Care Managers (LCMs) and additional clinical staff (e.g., RNs, LCSWs, RDs) to address member care requirements and facilitate clinical decision-making.

• Assist in gaining access to necessary healthcare services, including primary care, behavioral health, and specialty services as required.

• Oversee the accuracy and alignment of Comprehensive Assessments and Care Management Plans with healthcare plan guidelines.

• Lead and/or engage in Emergent and Non-Emergent Clinical Case Conferences to tackle complex member needs and ensure prompt interventions.

• Contribute to Interdisciplinary Care Team (ICT) meetings by offering clinical insights and recommendations to enhance coordinated, whole-person care.

• Conduct and/or supervise medication reconciliation to ensure the safety and precision of member medication regimens.

• Support and facilitate smooth Transitions of Care (TOC) post-emergency room visits and hospitalizations, ensuring timely follow-up and continuity of care.

• Engage members, as suitable, utilizing clinical expertise and motivational interviewing techniques to encourage health behavior changes and adherence to care plans.

• Deliver health education within the scope of practice to promote better health outcomes.

• Coordinate care through collaboration with internal teams and external providers, ensuring uninterrupted communication and continuity of care.

• Ensure that all clinical activities are documented accurately and comply with organizational, regulatory, and healthcare plan requirements.

• Consult and collaborate with clinical leadership as necessary for complex cases or escalations.

• Participate in case reviews and clinical discussions to uphold quality, consistency, and ongoing improvement.

• Comply with all departmental and organizational policies, procedures, and compliance requirements.

• Perform additional duties and projects as assigned.

⛳️ Requirements

• Associate’s degree in nursing.

• At least 1+ years of experience as an RN in a healthcare environment, such as a medical clinic or acute care hospital.

• A current and unrestricted RN license in California.

• Proficiency in using an EHR/EPM.

• A distraction-free home workspace equipped with a secure internet connection.

• Preferred experience in care management.

• Bachelor’s degree in nursing.

• Familiarity with eClinical Works (eCW).

• Valid BLS certification from the American Heart Association.

• Valid CPR certification.

• Bilingual in Spanish.

🏝️ Benefits

• Make an impact: be part of an organization that values its employees, communities, and the future of healthcare.

• Inclusivity: join a workplace where you not only belong but can also become the best version of yourself.

• Growth: access opportunities to develop and advance your career with us.

• Community: feel encouraged to voice your opinions and make a personal impact on the business.

• Paid Time Off: enjoy 12 holidays and up to 15 days of accrued PTO for rest and rejuvenation, plus additional time for sick leave, jury duty, bereavement, reproductive loss, and therapy.

• Work-Life Balance: benefit from the flexibility of our hybrid work model to enhance your well-being and success.

• Medical, Dental, & Vision Benefits: we cover up to 100% of your premium and 50% of your dependents based on the plan.

• Prioritize your mental health with unlimited therapy sessions, fully funded by Titanium Healthcare.

• Flexible Spending, Health Savings & Dependent Care Accounts.

• Life/AD&D insurance fully funded by Titanium Healthcare.

• Supplemental Short-Term Disability.

• Employee Assistance Programs.

• Protect your pet(s) with Pet Insurance.

• 401(k) plan.