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 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
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
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 preferred
Experience using eClinical Works (eCW) preferred
Valid BLS certification from the American Heart Association preferred
Valid CPR Certification preferred
Bilingual in Spanish preferred
Benefits
Medical, Dental, & Vision Benefits: we cover up to 100% of your premium and 50% of your dependents depending on the plan
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
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