Clinical Consultant / Registered Nurse (CalAim ECM)
Position Title: Clinical RN CalAim ECM
Department: Clinical Ops
Reports To: VP of Clinical Operations
Location: Remote – California
Employment Type: Full-time
Travel Requirement: May require travel up to 10%
About MedZed
MedZed is a leader in delivering value-based, technology-enabled social support to high-cost Medicaid members who are unreachable and disconnected from their primary care provider. We combine innovative outreach and care models with technology to find and engage members, connect them to primary care, and improve outcomes. Our intervention yields reduced costs and assists our members in enhancing their quality of life. As we scale, we are seeking an experienced Product Manager to be part of the Technology Team.
Position Overview
We are seeking a skilled Registered Nurse (RN) to join our team and provide clinical support to Community Health Navigators (CHNs) in managing high-risk members through the Enhanced Care Management (ECM) program. In this role, you will provide guidance, training, and clinical expertise to CHNs, ensuring that they have the tools, knowledge, and resources to successfully support members with complex clinical needs as well as health-related social needs (HRSN). This role does not involve direct patient care but focuses on empowering the CHNs to deliver effective care and achieve positive member outcomes.
Key Responsibilities
• Conduct clinical rounds where Community Health Navigators (CHNs) present Care Plans for high-risk members. Provide clinical feedback and guidance to ensure that both medical and social aspects of care are properly addressed.
• Lead training sessions for CHNs on various health-related topics, including diabetes management, COPD, hypertension, medication adherence, and other chronic conditions, as well as social issues like food insecurity, housing support, and access to healthcare services.
• Offer clinical guidance and support to CHNs when they encounter challenging or escalating situations with high-risk members, helping with complex care decisions or clinical interventions.
• Assist CHNs in setting and implementing SMART goals for members, including helping to define achievable interventions and tracking progress.
• Provide advice to CHNs on overcoming barriers when implementing care plans and SMART goals, especially in difficult clinical situations.
• Offer guidance to CHNs on how to address mental health or substance abuse concerns when escalations occur, helping them coordinate appropriate resources or interventions.
• Review and evaluate patient treatment plans, offering advice and insights to CHNs on updates or modifications as needed to ensure optimal care delivery.
• Assist with onboarding new CHNs and provide ongoing education and support to ensure they are equipped to manage members with chronic health conditions and complex care needs.
• Deliver targeted, one-off trainings to refresh CHNs on specific topics, such as navigating housing resources, understanding Medi-Cal benefits, and engaging members with Serious Mental Illness (SMI) or substance use disorder (SUD).
Qualifications
Education & Experience
• Active Registered Nurse (RN) license in the state of California, or ability to gain within 10 weeks of employment
• Bachelor of Science in Nursing (BSN) nursing preferred, Master of Science in Nursing (MSN) a plus
• Experience in training and education is highly desired
• Minimum of 2 years of experience in a clinical or community health setting
• Experience in managing chronic health conditions, care coordination, and patient education is highly desirable
• Pediatrics experience a plus
• Behavioral health experience a plus
• Knowledge of CALAIM, ECM, CS programs and HEDIS measures is a plus
• Familiarity with community-based health resources and services
Skills & Competency
• Can write user stories that developers do not have to constantly ask questions about
• Strong clinical knowledge of common chronic conditions (e.g., diabetes, COPD, hypertension, heart failure, etc.)
• Experience with pediatrics and/or behavioral health issues is highly beneficial
• Ability to maintain clear professional boundaries while providing support and guidance to CHNs
• Excellent organizational skills with the ability to manage schedules and provide efficient support to multiple CHNs
• Strong problem-solving and critical thinking abilities, particularly in complex care situations
• Capacity to work independently and as part of a team in a virtual operating environment
• Compassionate, empathetic approach to supporting CHNs and enabling their success in managing high-risk members
• Cultural competency, with the ability to work with a diverse group of CHNs and community members
• Proficiency in using technology including EHRs, health plan portals, and Salesforce is a plus
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• Strong interpersonal and communication skills, both written and verbal
• Multi-lingual capabilities are a plus but not required
Physical Requirements
• This position requires the employee to remain in a stationary position for prolonged periods while performing desk-based computer tasks.
• The employee must be able to constantly operate a computer, keyboard, and other office productivity machinery, such as a calculator, copy machine, and computer printer.
• The person in this position may need to occasionally move about inside the office/remote workspace to access file cabinets, office machinery, or other resources.
• The employee may occasionally be required to lift and move objects weighing up to 10 pounds (e.g., a laptop, files, or small office equipment).
• Clarity of vision at approximately 20 inches or less is required for working with computers and reading small print.
Why MedZed?
• Join a team committed to empowering healthcare professionals to make a meaningful impact in underserved communities.
• Work in an innovative and flexible environment where your clinical expertise is focused on enhancing the skills and effectiveness of CHNs.
• Be part of a forward-thinking organization that values collaboration, continuous learning, and patient-centered care.
If you are an experienced Registered Nurse with a passion for supporting healthcare teams and improving care delivery through education and clinical guidance, we encourage you to apply and be part of our mission to transform healthcare.
Reasonable Accommodation
Consistent with the Americans with Disabilities Act (ADA), it is our policy to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause undue hardship.
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