ECM Registered Nurse
- Free Medical, Dental & Vision
- 13 Paid Holidays + PTO
- 403 (B) retirement match
- Life Insurance, EAP
- Tuition Reimbursement
- Flexible Spending Account
- Continued workforce development & training
- Succession plans & growth within
- Valid CA Registered Nurse license.
- Bachelor of Science degree in nursing, medical, social work, psychology, public health, or related field preferred
- 3-5 years’ related experience working as a Registered Nurse
- Working knowledge of health information systems and data needed to monitor/assess utilization, performance management, and health outcomes.
- Experience preparing and delivering presentations.
- Experience managing a team preferred
- Extensive knowledge of development of evaluation tools, and evaluation of health programs, data analysis, and report writing.
- Strong knowledge of community health evaluation tools, approaches, frameworks, and methods; and
- Bilingual English/Spanish preferred (read, write, speak)
- The ECM RN CM supports ECM Members with complex medical conditions and completes medication reconciliation in collaboration with pharmacy as available for all ECM-enrolled Members.
- Responsible for primarily working with a caseload of Members with complex medical needs (primarily Tiers 1 and 2 – High and / or Moderate Acuity).
- Engages Members and supports/encourages Member activation towards achievement of health goals.
- Responsible for promoting a collaborative and effective working environment within the ECM by engaging in evidenced-based communication strategies (such as Motivational Interviewing) when discussing responsibility/sharing of tasks, effectively resolving conflicts as they arise, and collaborating on Member case discussions.
- Tracks medical and behavioral health outcome measures in the web-based care management platform or internal EHR system.
- Provides Member and family education about chronic medical and behavioral health conditions to improve health literacy.
- Gathers input from other ECM Care Team members to prioritize Member cases for systematic population/caseload review.
- Facilitates and ensures recommendations are communicated across the health care team.
- Works with Members to identify health/wellness goals, and incorporates these goals into Health Action Plans/Shared Care Plan that facilitate communication among Members and Providers.
- Champions healthy lifestyle changes.
- Coordinates physical care management and care coordination relationships with external healthcare Providers.
- Receives, identifies and follows-up treatment and medication alerts.
- Consults with the ECM Care Team members about clinical concerns or questions, and provides educational training on chronic disease states, prevention, treatment, medications and healthy living.
- Ensures smooth transitions of care, coordination with hospitals for M1 or with IEHP transitions of care team for M2, regarding Member admission/ discharges.
- Conducts medication reconciliations with input from the Member’s PCP.
- Tracks and assures required assessments and screenings are performed, including Comprehensive Health Assessment and Shared Care Plan; and Reviews Comprehensive Assessments (splits role with BHCM) upon completion by other care team members.
- Other duties may be assigned or may be modified as business needs dictate.
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