Pediatric Registered Nurse - Clinical Consultant

March 26

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

💵 $80k - $95k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

💼 Consultant

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Titanium Healthcare Inc.

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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.

Utilization management • Revenue cycle • Cost containment • Level of care reviews • Hospitalists

201 - 500 employees

⚕️ Healthcare Insurance

📋 Description

• The Pediatric RN Clinical Consultant is responsible for conducting clinical consultations, evaluating member Comprehensive Assessments and Care Management Plans (CMPs), and acting as a clinical resource to the CalAIM team • Conduct clinical consultations for member’s care management • Evaluate, adjust, and advise on member CMPs • Review assessments and communicate clinical recommendations • Monitor interventions/consultations to ensure proper follow up care and documentation has been completed • Provide clinical support and oversight when a team member identifies changes or issues in the member’s condition • Lead Multi-Disciplinary Case Conferences for assigned region • Present education at weekly clinical office hours • Review and approve Comprehensive Assessments • Detect and assist in reporting medication errors, duplicate doses, and possible adverse drug reactions • Facilitate access to primary care and behavioral health providers, as needed • Assist with New Hire Orientation training • Assist with establishing policies and procedures by providing clinical input • Complete administrative duties such as answering phone calls, emails, messages, updating calendars, scheduling appointments, data entry, creating reports, attending meetings, etc. • Understand and abide by all departmental and companywide policies and procedures • Attend weekly meetings to provide clinical input • Comply with all safety and injury prevention policies and regulations • Perform other duties as assigned or required

🎯 Requirements

• BSN and valid, unrestricted CA RN license • Minimum 2+ years of experience as an RN working in a healthcare setting, such as a medical clinic or acute care hospital • Valid BLS certification from the American Heart Association • Valid CPR Certification • Distraction-free home workspace with a secure internet connection • Experience working with EHR/EPM • Experience working in an internal medicine clinic • Previous experience with pediatric care management • Fluent in English (written and verbal) • Competent with computers, email, virtual platforms, Excel and other Microsoft Office based programs • Excellent verbal and written communication skills, including the ability to convey and exchange information in a clear, effective manner • Ability to identify problems and use logic and related information to develop and implement solutions • Ability to work independently and carry out assignments to completion within the parameters of established policies and procedures

🏖️ Benefits

• 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