RN Clinical Consultant

WE ARE TITANIUM HEALTHCARE

Titanium is a healthcare company that puts heart and compassion above all else. Millions of Americans just aren’t getting the medical care they need. We’re on a mission to change that. For patients that means exceptional support and better care. For providers it means better support and time to focus on patients, and for partners that means higher quality and lower cost.

Join us in our mission!

POSITION SUMMARY

The RN Clinical Consultant provides clinical oversight and direct support to members of all ages in Titanium Healthcare’s Enhanced Care Management (ECM) and other assigned care management programs. ECM is a CalAIM benefit providing person-centered care management to eligible Medi-Cal members with complex medical, behavioral health, and social needs. The role may support non-ECM populations and markets based on organizational needs and program requirements.

Partnering with members, caregivers, Lead Care Managers (LCMs), and interdisciplinary teams, the RN assesses clinical needs, provides education, addresses barriers, and supports individualized health goals. Responsibilities include clinical consultation, assessment and care plan review, transitions of care, medication reconciliation, and clinical escalations to promote care continuity and improved outcomes.

WHERE YOU’LL WORK

This position is remote and is based out of California. Standard business hours are Monday through Friday from 8:30 am to 5:00 pm.

WHAT YOU’LL DO

• Review Comprehensive Assessments and Care Management Plans for clinical accuracy, appropriateness, member needs, and managed care plan requirements

• Conduct and oversee transitional care: discharge review, education, follow-up coordination, and post-discharge needs

• Reconcile medications and address concerns within RN scope

• Lead and participate in clinical case conferences, ICTs, and SCRs; communicate recommendations and complete action items

• Identify clinical and safety risks; consult providers or clinical leaders and escalate per protocol

• Assess member needs, address barriers, and support care goals through telephonic and virtual member/caregiver outreach

• Provide individualized, culturally responsive education using motivational interviewing and teach-back to support informed decisions and self-management

• Partner with LCMs, interdisciplinary teams, and clinical/nonclinical staff and leaders to prioritize risks and needs, develop interventions, coordinate care, resolve barriers, and support teamwork across programs

• Connect members to healthcare and community resources; follow up on referrals, interventions, and unmet needs

• Direct, delegate, and review LVN work within scope and policy

• Document accurately and promptly; meet engagement, clinical review, quality, and productivity expectations

• Support audits, quality improvement, training, and workflow development; protect confidentiality and follow organizational and program requirements

• Perform other related duties as assigned, consistent with professional qualifications and scope of practice

WHO YOU ARE

• Compassionate, member-centered, and committed to respectful, culturally responsive care

• Clear communicator and educator who explains clinical information, checks understanding, and collaborates with members, caregivers, and clinical/nonclinical colleagues

• Organized, proactive, and accountable for timely documentation and follow-through to resolution

• Adaptable to changing workflows, program requirements, and member needs

• Independent in remote work, seeking consultation and escalating concerns appropriately

• Clinically sound in assessing needs, recognizing condition changes and urgent concerns, developing nursing recommendations, coordinating care, and following through on interventions

Sensory Requirements

• Fluent in English (written and verbal)

• Ability to communicate clearly in-person, by phone, and electronically

• Adequate hearing and vision (with corrective devices if necessary) to conduct assessments and documentation

• Ability to identify problems and use logic and related information to develop and implement solutions

• Excellent organizational skills and attention to detail

• Commitment to maintaining patient confidentiality and adhering to ethical standards in healthcare practice

Physical Activity

• Must be able to remain in a stationary position

Environmental Conditions

• Ability to maintain professionalism

• Ability to work independently and carry out assignments to completion within the parameters of established policies and procedures

Technology Use

• Frequent use of computers, keyboard, and handheld/mobile devices

• Ability to type for extended periods

• Proficient with computers, electronic health records, virtual platforms, and Microsoft Office applications

WHAT YOU’LL NEED

• Associate’s degree in nursing from an accredited program and a current, unrestricted California RN license

• 2+ years of RN experience in direct care, clinical assessment, and management of complex needs, including multiple chronic conditions, medication concerns, and care access barriers

• EHR experience with accurate timely clinical documentation

• A private and distraction-free home workspace with a secure and reliable internet connection

NICE TO HAVES

• Bachelor of Science in Nursing (BSN)

• Experience in care management, community/population health, or transitions of care

• Experience with ECM, CalAIM, Medi-Cal, or populations with complex medical, behavioral, and social needs

• Pediatric and adult care experience

• Experience in telephonic nursing, motivational interviewing, teach-back, or trauma-informed care

• Experience leading case conferences, guiding care managers, or supporting LVN practice.

• eClinicalWorks (eCW) experience

• Nursing Case Management or Psychiatric-Mental Health Nursing Certification

• Bilingual in Spanish

WHAT YOU’LL ENJOY

• 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 off 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 Disability Plans

• Employee Assistance Programs

• Protect your pet(s) with Pet Insurance

• Employee Referral Program: earn up to $1000 for each referral

• 401(k) plan and Roth IRA options

EEO Statement

At Titanium Healthcare, our mission is to fearlessly reengineer the way healthcare works to reduce costs, ensure better outcomes, and provide everyone, everywhere, with the kind of compassionate and coordinated care they deserve. We believe that achieving this mission starts with a diverse and inclusive workforce.

Titanium Healthcare is an equal opportunity employer. We are committed to promoting and celebrating all backgrounds and encourage all applicants, regardless of race, religion, gender, sexual orientation, disability, age, marital status, parental status, military or veteran status, or any other legally protected status, to apply. We believe that diversity and inclusion drive innovation and equity in healthcare, enabling us to better serve our communities and make a lasting impact.