RN Clinical Consultant
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
RN Clinical Consultant providing clinical oversight within Titanium Healthcare’s ECM program. Ensuring high-quality, coordinated care for complex members while collaborating with care teams.
Responsibilities:
- 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/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
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
Similar Jobs
Senior Federal Technical Consultant
Senior Federal Technical Consultant providing technology consulting and solutions delivery for HPE clients. Engaging in customer relationships and technical leadership to meet business needs, requiring US Citizenship.
Claims Consultant – Veterans Disability Appeals
VA Claims Consultant managing complex veteran disability claims processing for Allsup, LLC. Responsibilities include reviewing and analyzing claims files, evidence, and training peers.
Customer Education Consultant
As a Customer Education Consultant, you'll develop and deliver training programs for customer success. Motive empowers operations professionals with innovative tools for efficiency.
Corporate Travel Consultant
Corporate Travel Consultant managing travel support and assisting with online fulfillment at WTS. Working with a team on their proprietary tool and maintaining high standards of service.
AlloyDB Omni Solution Consultant
Consultant with AlloyDB Omni experience focused on deploying and supporting client solutions. Requires expertise in PostgreSQL, Linux, and Kubernetes for successful implementation.
Senior Compensation Consultant
Sr. Compensation Consultant at Gainwell analyzing compensation policies and programs for healthcare improvement. Collaborating with HR to design strategic compensation plans and ensure compliance.
Senior Consultant – Datacom
Senior Consultant specializing in Datacom and Data Base Management Systems for Broadcom. Responsible for installation, configuration, and support of CA IDMS with client interaction.
Analytic Consultant
Analytic Consultant developing data-driven predictive models and analyses in the financial services sector. Collaborating on international projects utilizing advanced technologies for impactful business solutions.
Consultant – Data Protection, Experienced
Consultant for Data Protection specializing in creating tailored strategies for clients in information security. Role involves building privacy structures and providing compliance support across projects.
Information Security Consultant
Consultant in information security at RST providing individualized strategies to protect client information assets. Engaging in a variety of security projects remotely with a focus on practical implementation.
Senior Cloud Solution Consultant
As a Senior Cloud Solution Consultant at Calix, lead complex cloud implementations for Broadband Service Providers. Collaborating with teams and architecture of Calix Cloud solutions.
Subrogation Consultant
Consultant with deep expertise in U.S. Subrogation developing client relationships and business opportunities. Working flexibly in a remote environment with an international team.
Delivery Consultant II
Delivery Consultant II leading Health & Benefits Administration implementations. Collaborating across teams to deliver high quality solutions and support operations.
Senior Consultant, Annuity Competitive Intelligence
Competitive Market Solutions Senior Consultant providing complex business intelligence, sales support, and competitive analysis at Lincoln Financial. Collaborating across key business areas to drive sales and strategic objectives.
Consultant, MLE Strategy
Consultant designing MLE systems for health programs at Evidence Action. Collaborating globally to enhance programmatic impact in health interventions.
Customer Service Consultant
Consultant for SONDA engaging in customer support and solutions integration. Aiming to enhance career through collaborative remote work culture and professional development opportunities.
Senior Investor Relations Consultant
Senior Consultant managing end-to-end investor onboarding and maintenance at Armanino. Collaborating with clients and internal teams to ensure compliance and accuracy in investor records.
Senior Consultant – Client Management
Senior Consultant managing client relationships within the healthcare industry for Axia Advisors, LLC. Focused on project success and delivering exceptional service aligned with client objectives.
Consultor/a BPM
Consultor/a BPM collaborating remotely with IRIUM on process modeling projects. Seeking experienced candidates with BPMN and APQC knowledge.
Principal Solution Consultant – Technical Advisor, US Federal
Solution Consultant leading Federal and Contractor presales for Workday's AI platform. Collaborate with teams to drive strategy, solution architecture, and client engagement in a mission-critical role.