- · The clinical consultant is responsible for clinical oversight of BLEHEALTH CHWs, ECM lead care managers, Home Care aides, and housing navigators, who address the patient's medical and behavioral health needs and social determinants of health.
- · The Clinical Consultant will communicate directly with Case Managers and with patients via telephone, or during in-person, Interdisciplinary Care Team meetings (as needed), to discuss medication management/adherence, ensure appropriate follow up with Primary Care Provider, Behavioral Health Provider and other specialist(s)
- · They will provide guidance during any emergency situations encountered by Case Managers
- · The Clinical Consultant will collaborate with the broader care team (PCP, BH clinicians, etc.) to provide client advocacy and ensure that the enrollees are receiving needed services and measuring progress towards the goals outlined in their patient-centered care plan
- · As a clinical consultant within the ECM service:
- · Provides Clinical Oversight of ECM Health Risk Assessments and determines if Member's Care Management needs are sufficient to be managed by a ECM Lead Care Manager or require the Consultant's intervention in the form of recommendations to implement in their Care Plan
- · Participates in developing patient-centered care plans for the enrollees on their panel
- · Approves initial care plan and biannual updates
- · Actively consults with Care Managers to review medical visit summaries, discharge papers, prepare for upcoming appointments, or review appointment outcomes
- · Provides health and preventive care education for acute health conditions, chronic disease management, and medication monitoring
- · Engages vulnerable populations as part of a multidisciplinary outreach team
- · This includes home visits, accompaniment to appointments, outreach to hospitals, homeless shelters and other settings, as needed.
- · Uses data to evaluate outcomes from targeted interventions
- · Assists in developing appropriate adjustments to care plans based on this data
- · Helps to expand programming that addresses SDoH and enhances connections to community-based organizations.
- · Works with hospitals to coordinate hospital admission/discharge plans with the behavioral health clinician, PCP, pertinent specialists and other organizations with the goal of preventing readmission, if possible
- · Performs timely medication reconciliation following transitions in care
- · Supports medication adherence
- · Perform chart review and case conferences with Case Managers
- · Implements prevention & engagement activities
- · Engages in quality improvement efforts
- · Manages effectiveness of service delivery through ongoing supervision of all ECM team members
- · Ongoing client care coordination documentation monitoring includes assessments, care plans, community support referrals, outcome measures, and progress notes
- · Ensures timely and high-quality documentation of services by ECM in accordance with all agency and contractual requirements
- · Train, monitor, and support ECM staff to provide appropriate ECM services to managed care members and ensure ongoing achievement of quality measures
- · Ensure culturally appropriate and timely in-person ECM activities
- · Maintains ongoing communication with managed care providers (MCP) and other contractual partners
- · Ongoing communication and collaboration with MCP, provide updates on program efforts
- · Ensure timely outreach to eligible members
- · Responsible for timely ECM reporting, billing, and effectiveness of data management systems
- · Ensure accurate data input in compliance with MCP standards and requirements
- · Work with the organization as necessary to carry out supervisorial responsibilities
- · Provide weekly supervision to all ECM team members
- · Assist with Home Care, Home Health setup and maintenance.
- · Analyze and identify tailored solutions for our member's specific needs, aligning with their unique requirements.
- · Mastery of Home Care Marketing and Solution-Selling Techniques: Acquire proficiency in effective marketing strategies and solution-selling techniques tailored to the home care industry.
- · Development of a Super Network: Build a robust super network to enhance member acquisition, fostering strong connections within the industry.
-
Clinical Outsourcing Consultant
6 days ago
Redbock - an NES Fircroft company California, United StatesCLINICAL OUTSOURCING CONSULTANT (12-MONTH+ CONTRACT) · SUMMARY: · Consultant needed to support outsourcing activities for a thriving biopharmaceutical organization. · DUTIES & RESPONSIBILITIES: · RFP requests, reviews and related contract negotiations and contract, change order a ...
-
Software Implementation Consultant, Clinical
5 days ago
PointClickCare California, United States Full timePosition Summary · As part of the Professional Services, Solution Services team, the Software Implementation Consultant, will act as the principal liaison with the customer to implement leading practices to optimize workflows and drive business outcomes within the Long-Term an ...
-
Medical Assistant
2 weeks ago
Actalent Golden, United States Full timeActalent is hiring a dedicated Medical Assistant for a well-respected Heart and Vascular clinic in the Denver area. Seeking candidates with Bachelor's degrees interested in starting a long term career in healthcare. This facility supports growth and further schooling. Apply today ...
-
Occupational therapist
3 weeks ago
BlueSky Innovations Superior, United StatesOn behalf of our client, a renowned rehabilitation clinic in the Bielefeld area with approximately 220 beds, we are seeking you as part of our personnel consulting services in the position of: · Occupational Therapist (m/f/d) | Rehabilitation · The Offer / Your Benefits · Working ...
-
Senior physician
3 weeks ago
Velocity Solutions Albion, United StatesThere are many reasons to collaborate with European Medical Consulting Adam. In the following section, you will see how you can benefit from our free services and save valuable time: · You will learn about exclusive and unpublished positions · You will be relieved by our relocati ...
-
Senior Physician
2 days ago
Crimson Enterprises Alta, United StatesOn behalf of our client, an academic teaching hospital, we are currently seeking a Senior Physician in Hematology and Oncology (m/f/d) for the greater Gütersloh area. The position is available at the earliest possible date. · The offer: · - Interesting role as a Senior Physicia ...
-
Weatherby Healthcare California, United States PER_DIEM, Full timeIf this opportunity sounds right for you, give us a call today to speak with an expert Weatherby consultant for details.Must have active state license · BC or BE required · Weekdays, Call · NRP required · 20 deliveries per month, patients per day at clinic · Must have an NPDB, nu ...
-
Weatherby Healthcare California, United States OTHERIf you are seeking a new opportunity or would simply like to learn more about locum tenens, give Weatherby a call today for details.Must have active state license · BC or BE required · Call, Weekend call · EMR: Cerner · patients per day at clinic, deliveries per month · Trauma pr ...
-
Remote Licensed Mental Health Professional
1 week ago
Telemynd California, United States Full time*About Us* Telemynd is a leading national mental health platform dedicated to providing accessible and high-quality care to individuals, couples, and families. We prioritize the well-being of our clients and are committed to supporting our providers in delivering exceptional care ...
-
Occupational Health Nurse
2 weeks ago
SPECTRAFORCE , CA, United StatesPosition Title: EW-Occupational Health Nurse · Location: South San Francisco , CA · Work Hours: Standard business hours (8-5 PST) · Duration : 1+ years · Position Description: · The Occupational Health Nurse's primary purpose is to ensure the health, safety, and productivity of s ...
-
Family Physician
3 weeks ago
Eisner Health California, United StatesMission: · Since 1920, Eisner Health has operated as a quality-focused non-profit community health center dedicated to improving the physical, social, and emotional well-being of the people in the communities we serve. · The Role: · Eisner Health is seeking an experienced Family ...
-
Weatherby Healthcare California, United States OTHEREnjoy the locum tenens lifestyle knowing Weatherby is here to support you every step of the way. Call and speak to one of our consultants today for available dates and details.Must have active state license · BC or BE required · Weekdays, Days, Call · patients per day and 40 deli ...
-
Locum Physician
2 weeks ago
Consilium Staffing California, United States contractPrenatal, gynecological, obstetric and educational care in a patient-centered environment · Outpatient Only · Bread and Butter community Health · Provide prenatal, post-partum and outpatient GYN medical care including medical examination and evaluation, diagnosis, treatment, foll ...
-
Connect Life Sciences California, United StatesASSOCIATE DIRECTOR, CLINICAL STUDY MANAGEMENT (CONTRACT) · POSITION SUMMARY: · The Associate Director, Clinical Study Management leads both indirect and direct reports, external partners, consultants, vendors to ensure the timely and cost-effective implementation of clinical tria ...
-
lactation consultant rn
3 weeks ago
Kaiser Permanente , CA, United StatesJob Summary: · Collaborates with Education Consultants and managers to develop, design, deliver and evaluate/improve education strategies and special projects/programs based on clients departmental goals and needs, as well as organizational goals/objectives. Implements education ...
-
Faculty Resident
2 weeks ago
Enterprise Medical Recruiting California, United StatesDue to patient demand, a renowned non-profit health center in Bakersfield, California, with UCLA affiliation, is searching for a Geriatric Faculty physician. · Opportunity Highlights · Monday-Friday 8-5 · Faculty Appointment with UCLA · Join the Department of Medicine, Divisi ...
-
All Star Healthcare Solutions California, United StatesHematology Oncologist needed just over an hour to Sacramento California · Job ID #59255 · Job Details · Board Certified or Eligible in Hematology/Oncology · Employed position in comprehensive cancer center with radiation oncology academic partnership · Clinic is open Mon- Friday, ...
-
Veterinarian
6 hours ago
National Veterinary Associates Golden, United StatesJob Description · Table Mountain Veterinary Clinic is looking for a Full Time Associate Veterinarian for our busy 4 doctor practice · 4 day work week for full time DVMs, flexible scheduling including regular 3 day weekends · Location: · We are located in beautiful Golden, Colora ...
-
Occupational Therapist
2 weeks ago
Tilly , CA, United StatesTilly Therapy is seeking skilled and empathetic Occupational Therapists (OTs) *throughout California. *Our goal is to pair you with a position that aligns with *your location, expertise, and career aspirations.* · Apply with us today to connect with a member of our team. We're de ...
-
Bilingual Social Worker
1 week ago
Insight Global California, United StatesTHIS POSTION CAN BE WORKED FROM THE FOLLOWING LOCATIONS: · La Mirada · Fresno · Merced · Modesto · ESSENTIAL JOB RESPONSIBILITIES · Maintain an awareness of current trends and relevant evidence-based practices to recommend changes in agency policy and practice to advance the use ...
registered nurse clinical consultant - , CA, United States - BLEHEALTH, LLC
Description
BLEHEALTH, LLC -QUALIFICATIONS
1. Registered nurse with current licensure to practice professional nursing in the State of California.
2. Bachelor's degree in Nursing from an accredited program by the National League for Nursing. Master's degree in health care preferred.
3. Three years of management experience within the last five years in a home health or related health care organization, at least one year of which was a supervisory or administrative capacity.
4. A registered nurse with four years of experience within the last five years in a home care agency, primary care clinic or health facility, at least one year of which was in a supervisory or administrative capacity.
5. Demonstrated ability to supervise and direct professional administrative personnel.
6. Knowledge and expertise in clinical decision-making and Quality Management review and evaluation.
7. Ability to market and deal tactfully with customers and the community.
8. Must be a licensed driver with an automobile that is insured in accordance with state and/or Organization requirements and is in good working order.
9. Has excellent observation, verbal and written communication skills.
10. Knowledge of business management, and governmental regulations.
11. Participation in Quality Assurance/Performance Improvement Program.