Clinical Care Manager

Job Details

Job Location
164 - 1500 Expo Parkway - Sacramento, CA

Description

Clinical Care Manager

Department: Nexus

Location: 164

Reports to: UM Director

Status: Full-Time

FLSA:Non-Exempt

Pay Range:$101,100 - $131,430/year
EEO-1:Professional

Organization Information

WellSpace Health believes that everyone deserves to be seen, no matter who you are, where you come from, where you work or what place you call home. We see you and are here for you. To that end, we've committed ourselves to finding solutions for our community's health and wellbeing to achieve regional health through high quality comprehensive care.

Our focus has always been to offer a full range of quality medical care, dental care, mental health and behavioral health services, and enabling services to underserved people. We do this by placing ourselves within the communities we serve and employing outstanding healthcare professionals who are devoted to our mission.

We are a Federally Qualified Health Center (FQHC) and are accredited by the Joint Commission for Ambulatory Care and Behavioral Health. We're also certified by the Joint Commission as a Primary Care Medical Home and a Behavioral Health Home.

Position Summary

The Clinical Care Manager delivers indirect patient care in a healthcare office, demonstrating professionalism, initiative, and responsibility with minimal supervision. They prioritize care based on physical, psychosocial, and system flow factors, while communicating with the primary care team about patient status, symptoms, and diagnostic results. The role requires the ability to swiftly and accurately respond to changes in patient conditions or treatment outcomes.

Required Qualifications (Knowledge, Skills, Abilities, Education, Training, and Licensure)

• Graduate of an accredited school of Nursing with up to six (6) months Registered Nurse experience.
• Current Registered Nurse (RN) license within the state of California.
• Previous nursing experience in Case Management.
• Demonstrate clear and concise communication skills both verbally and in writing and demonstrate a high level of listening skills.
• Computer (PC) literate in general office functions such as MS Word, access, email and preparation of spreadsheets.
• Demonstrated commitment to the provision of services for the underserved and sensitivity working with a variety of people from low-income populations, with diverse educational, lifestyle, ethnic, and cultural origins; disabled, homeless, substance users, HIV (AIDS) infected, and/or physiologically impaired.
• Commitment to HIPAA and ability to abide by standards of professional ethics and maintain confidentiality.
• Adherence to infection control procedures, including but not limited to, standard precautions of temperature monitoring, hand washing, symptom self-monitoring, masking and social distancing.
• Assist and support the Center/Department/Program to meet standards of High Reliability.
• Fluency in additional languages preferred.
• Enhance professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops; show responsibility for own professional practice and ongoing education.
• Support and maintain a culture of safety and quality.

Essential Responsibilities and Duties

• Provide indirect patient care, evaluate outcomes, consult with other specialists as required and adjust nursing care processes as indicated to ensure optimal patient care.
• Attend annual review and department in services, as scheduled; staff meetings as required.
• Actively participate in performance improvement and continuous quality improvement (QA/QI) activities.
• Maintain accurate and continued nursing documentation, including patient history, conditions, treatments, responses, and assessment of changes.
• Serve as a liaison between provider and pharmacy for questions on dosages/alternative meds, etc, answer patient questions regarding medication.
• Respond to and complete requests from Home Health Agencies per an established protocol and obtain provider signatures when required.
• Review patient forms with the provider, complete them (when appropriate), and obtain the provider's signature per established protocol.
• Identify and address psychosocial and cultural needs of patients and family-functions as a liaison between administration, patients, physicians, and other healthcare providers.
• Demonstrate knowledge of growth and development principles over the life span and the skills necessary to provide appropriate age care to the patients served. Able to interpret data about the patient's status to identify each patient's age-specific needs and provide the care needed by the patient group.
• Interact professionally with patients and family and involve patients and family in forming the plan of care.
• Maintain current knowledge of medications and correct administration based on the age of the patient clinical condition.
• Plan, develop, assesses, and evaluates care provided to members. Develop and maintain case management policies and procedures.
• Coordinate the interdisciplinary approach to providing continuity of care.
• Arrange and monitor follow-up appointments. Encourage members to follow prescribed course of care (e.g., drug therapy, physical therapy). Make referrals to appropriate community services
• Identify and recommend opportunities for cost savings and improving the quality of care across the continuum
• Act as liaison for outside agencies, non-plan facilities, and outside providers. In conjunction with physicians, evaluate and develop treatment plans, recommend alternative levels of care, and ensures compliance with federal, state, and local requirement.
• Perform other related duties as assigned or requested

Benefits

Successful candidates will receive regionally competitive salary, above average health benefits at reduced costs, company paid life insurance & long-term disability insurance, additional voluntary retirement plan with company match and no vesting schedule requirement.

• Paid bereavement and jury duty leave
• 11 paid holidays per year
• Paid time off
• Paid sick leave
• Flexible Spending Program
• Company paid malpractice insurance for all providers
• Professional development hours offered annually

Physical Demands and Work Environment

The work environment is characteristic of an office environment. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is frequently required to sit; use hands to handle or feel. The employee is also required to stand; walk; and reach with hands and arms. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, and the ability to adjust focus. The employee must also possess hearing and speech to communicate in person and over the phone. The noise level in the work environment is usually quiet.

The employee may be in contact with individuals and families in crisis who may be ill, using substances and/or not attentive to personal health and safety for themselves or their homes. The employee may experience a number of unpleasant sensory demands associated with the client's use of alcohol and drugs, and the lack of personal care. The employee may also be exposed to bodily fluids (blood, urine) and hazardous chemicals.

WellSpace Health is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. It is the intent of WellSpace Health to maintain a work environment free of harassment, discrimination, or retaliation because of age, race, religious creed, color, national origin, ancestry, physical disability, medical condition, genetic information, marital status, sex (including pregnancy, childbirth, breastfeeding and/or related medical conditions), gender, gender identity, gender expression, sexual orientation, military or veteran status, or any other status protected by federal, state or

Local laws. WellSpace Health is dedicated to the fulfillment of this policy in regard to all aspects of employment, including but not limited to recruiting, hiring, placement transfer, training, promotion, rates of pay, and other compensation, termination, and all other terms, conditions, and privileges of employment.

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

WellSpace Health is an Equal Opportunity Employer