Registered Nurse - Care Manager

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

👔 Manager

🚫👨‍🎓 No degree required

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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 RN Care Manager is an essential part of the ECM team. • Facilitate access to primary care and behavioral health providers, as needed. • Responsible for working effectively with and as part of Titanium’s interdisciplinary team to provide high quality and effective care management to members. • Engage members in skilled therapeutic interactions to promote health behaviors, and/or other behavioral health interventions within scope of practice. • Coordinate care using resource linkage and partnering with other professionals and organizations in the community to ensure quality of care for members. • Provide seamless transition of care that meets IEHP’s requirements for post ER visits and hospitalizations. • Complete regularly scheduled follow-up visits. • Provide care coordination through phone calls, emails, messages, updating calendars, scheduling appointments, data entry, and attending meetings. • Complete clinical oversight by reviewing members comprehensive health assessments and care plans for sign off. • Complete medication reconciliations for members. • Support the Behavioral Health Care Manager, Community Health Worker, and Care Coordinator with delegated tasks. • Collaborate on member care issues with other ECM care team members. • Participate in weekly systematic case reviews and ad hoc case reviews. • Consult with the Clinical Nurse Leader and/or the Behavioral Health Care Manager before taking any clinical action. • Strategize to engage members in care and conduct motivational interviews. • Provide health education to members within scope of practice. • Initiate a care plan and complete all necessary assessments of healthcare plan guidelines. • Understand and abide by all departmental and companywide policies and procedures. • Perform other duties and projects assigned.

🎯 Requirements

• Fluent in English (written and verbal) • Competent with computers, email, virtual platforms, and Microsoft Office based programs • Possess skills and resilience to tolerate a moderate level of change and development around new models of care and care management practices • Excellent verbal and written communication skills, including the ability to convey and exchange information in a clear and concise 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 • Ability to consistently operate a computer and other office equipment such as a telephone, calculator, copy machine, and printer • Must be able to remain in a stationary position • High School Diploma/GED • Minimum 1 year of experience as an RN working in a healthcare setting, such as a medical clinic or acute care hospital • A valid, unrestricted CA state RN license • Experience with an EHR/EPM • Distraction-free home workspace with a secure internet connection

🏖️ 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