About this opportunity
Titanium Healthcare lists this RN Clinical Consultant opportunity in california, Missouri. Review the employer’s description below for duties, qualifications and application requirements.
Job description
WE ARE TITANIUM HEALTHCARE
Titanium is a healthcare company that puts heart and compassionabove all else. Millions of Americans justaren’tgetting the medical care they need.We’reon a mission to change that. For patients that means exceptional support and better care. Forprovidersit 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 is a key member of Titanium Healthcare’s Enhanced Care Management (ECM) program, providing clinical oversight and guidance to support high-quality, coordinated care for complex member populations. ECM is a benefit under California Advancing and Innovating Medi-Cal (CalAIM), designed to deliver comprehensive, person-centered care that addresses medical, behavioral, and social determinants of health.
In this role, the RN Clinical Consultant partners closely with Lead Care Managers (LCMs) and interdisciplinary team members to ensure care delivery is clinically appropriate, compliant, and aligned with healthcare plan requirements. The Clinical Consultant supports clinical decision‑making, risk stratification, and care planning across the ECM population.
The RN Clinical Consultant is responsible for oversight of Comprehensive Assessments, Care Management Plans, Transitions of Care, and clinical escalations, ensuring timely interventions and continuity of care. This role plays a critical part in improving health outcomes, reducing avoidable utilization, and supporting members through complex care journeys.
ECM services are provided to eligible Medi-Cal members enrolled in managed care plans and focus on sustained engagement, care coordination, and connection to community-based resources. Through collaboration with internal teams and external providers, the RN Clinical Consultant helps ensure members receive the right care, at the right time, in the most appropriate setting.
WHERE YOU’LL WORK
This position is remote and is based out of California. Standard business hours are Monday through Friday from 8:00 am to 5:00 pm.
WHAT YOU’LL DO
Provide clinical oversight and support to ensure high-quality effective care management for members across the ECM program
Collaborate closely with Lead Care Managers (LCMs) and ancillary clinical staff (e.g., RNs, LCSWs, RDs) to support member care needs and clinical decision‑making
Facilitate access to appropriate healthcare services including primary care, behavioral health, and specialty services, as needed
Complete clinical oversight of Comprehensive Assessments and Care Management Plans to ensure accuracy, appropriateness, and alignment with healthcare plan guidelines
Lead and/or participate in Emergent and Non‑Emergent Clinical Case Conferences to address complex member needs and ensure timely interventions
Participate in Interdisciplinary Care Team (ICT) meetings to provide clinical input and recommendations to support coordinated and whole‑person care
Conduct and/or oversee medication reconciliation to ensure safety and accuracy of member medication regimens
Support and guide smooth Transitions of Care (TOC) following emergency room visits and hospitalizations, ensuring timely follow–up and continuity of care
Engage members, as appropriate, using clinical expertise and motivational interviewing techniques to support health behavior change and care plan adherence
Provide health education within scope of practice to promote improved health outcomes
Coordinate care through collaboration with internal teams and external providers, ensuring seamless communication and continuity of care
Ensure all clinical activities are documented accurately and in accordance with organizational, regulatory, and healthcare plan requirements
Consult and collaborate with clinical leadership as needed for complex cases or escalations
Participate in case reviews and clinical discussions to support quality, consistency, and continuous improvement
Adhere to all departmental and organizational policies, procedures, and compliance requirements
Perform other duties and projects as assigned
WHO YOU ARE
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
Competent with computers, email, virtual platforms, and Microsoft Office based programs
WHAT YOU’LL NEED
Associate’s degree in nursing
Minimum 1+ years of experience as an RN working in a healthcare setting, such as a medical clinic or acute care hospital
A current and unrestricted CA state RN license
Experience using an EHR
Distraction‑free home workspace with a secure internet connection
NICE TO HAVES
Care management experience
Bachelor's degree in nursing
Experience using eClinical Works (eCW)
Valid BLS certification from the American Heart Association
Valid CPR 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 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 Short-Term Disability
Employee Assistance Programs
Protect your pet(s) with Pet Insurance
401(k) plan
EEO Statement
At Titanium Healthcare, our mission is to fearlessly reengineer the way healthcare works to reduce cost, 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.
#J-18808-Ljbffr
Worksite address
california, MO, 65018, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.