Registered Nurse -Enhanced Care Management

Registered Nurse Case Manager

(CalAim/ECM program)

MedZed is the medical office of the twenty-first century, delivering care into the homes of patients with complex medical and social needs. Our multi-channel engagement approach is consistently reaching at or above 50% of members that cannot or have not been engaged through standard outreach campaigns. We utilize community health navigators and nurses in-the-home linked to MedZed primary care providers, over an intelligent member-centric telehealth platform, to deliver care and manage patient outcomes. Our care model is scalable and customizable to individual client and patient needs.

Our Enhanced Care Management program helps those that need help managing chronic conditions, care coordination, care transitions and follow ups, individual and family support with medical and social needs. As we embark on providing care for a new population of focus, we are seeking a Licensed Pediatric RN to assist individuals and families improve their quality of life by ensuring access to basic needs such as medical care, food, behavioral health, and safety.

The RN works in partnership with their patients and families to achieve better lives by analyzing the environment, relationships, systems, and policies that impact their patients' lives. RN collaborates with Community Health Navigators to help them build relationships based on trust and compassion with their patients to identify barriers their patients are facing and propose resources according to their needs.

Essential Duties and Responsibilities:

• Administer clinical rounds in which Community Health Navigators (CHN's) will present Care Plans for high-risk members for feedback on both clinical and social topics.

• Create and conduct training sessions on a variety of topics to coach and teach community health navigators. Topics include but are not limited to diabetes, COPD, food insecurity and education.

• Conduct one on one counseling with high-risk pediatric members when an escalation event occurs with a CHN who needs additional guidance or support.

• Counsel CHNs and/or members on how to create SMART goals with achievable interventions.

• Counsel CHNs on how to overcome barriers and objections when implementing SMART goals.

• Support members and CHNs in times of escalation for mental health and/or substance abuse needs.

• Evaluate member treatment plans on an ongoing basis when necessary.

• One off training on specific refresher & educational aids, i.e., how to find housing resources, benefits offered by Medi-Cal, how to speak with members with SMI or SUD (substance use disorder), motivational interviewing, etc.

Candidate Must Possess the Following:

• A valid driver's license.

• Access to an insured car

• Covid Vaccine Verification

Skills Required:

• Able to maintain clear professional boundaries with members and coworkers.

• Working knowledge of social and health issues

• Ability to quickly establish trust and build strong relationships.

• Highly organized and initiative-taking to work independently and manage schedules efficiently.

• Sound judgment and the ability to quickly analyze situations.

• Ability to establish priorities and meet deadlines.

• Ability to problem solve in an initiative-taking, creative manner.

• Ability to work independently within a virtual operating environment and as part of a team.

• Represent the company with professionalism.

• Cultural competency- able to work with diverse groups of community members.

• Multilingual capabilities preferred, but not required.

• Excellent communication skills

• Technologically knowledgeable or experienced in note entry systems, smart phones, and laptops.

Qualifications

Qualifications:

• Graduate of an accredited Nursing program (RN)

• Current California Registered Nurses license

• Bachelor of Science in Nursing preferred.

• Minimum of 1-2 years of health care experience with emphasis in complex medical management for a Pediatric Population

• Strong work ethic

• Advanced technological and analytical skills

• An adaptive person, adaptable to constant change, and work well under pressure in a challenging environment.

• Excellent written and verbal communication skills