CalAIM Clinical Consultant (30447)

GENERAL PURPOSE:

Under the supervision of the Director of Patient Support Services, the CalAIM Clinical Consultant performs Clinical Consultation activities for CalAIM. They will determine if the Members Care Management needs are sufficient to be managed by an ECM Lead Care Manager and make recommendations to implement in the patient Care Plan.

MAIN RESPONSIBILITIES & DUTIES:

• Provides Clinical oversight and ensures comprehensive intake assessments and care plans as directed by the Director of Patient Support Services.

• Provides clinical advice to the following Departments:

• CalAIM: RN clinical consultants provide clinical expertise and guidance to the CalAIM Program Manager and Lead Case Managers. They can help with patient intakes and care plans, allowing for the appropriate customization of individualized care plans to address specific patient needs. They can also help identify and manage high-risk patients, ensuring they receive the appropriate care and support.

• Care Coordination: RN clinical consultants provide guidance to Care Coordinators on individualized patient care plans, helping them provide seamless and well-coordinated care tailored to each patient's unique needs. They can also ensure that the patient receives the appropriate level of care after being discharged from the hospital and provide guidance to decrease utilization.

• Referral Center: RN clinical consultants provide clinical consulting to the LVN Referral Center Manager.

• Call Center: RN clinical consultants provide clinical consulting and expertise to the call operators on phone calls and the Call Center Manager.

• Transportation Manager: RN clinical consultants provide clinical consulting to the Transportation Manager as needed for patients being transported to and from appointments.

• Treat all clients, staff, and the community with respect and courtesy.

• Utilizes effective means to resolve conflict.

• Utilize effective verbal and written communication skills.

• Other duties as assigned by supervisor.

QUALITIES &CHARACTERISTICS

• Maintains a professional relationship and positive attitude with co-workers, the public, patients, and all Ampla Health's staff, Board of Directors, and vendors.
• Maintains the highest professional ethics and is honest in dealing with people; is a model for all employees through his/her actions.
• Strives to learn more and is receptive to new challenges and opportunities.
• Displays enthusiasm toward the work and the mission of Ampla Health

PROFESSIONAL KNOWLEDGE, SKILLS & ABILITIES

• RN License required. BSN preferred.
• Ability to use Microsoft Word for basic correspondence.
• Ability to type a minimum of 40 WPM.
• Bilingual (English/Spanish) (English/Punjabi) (English/Hmong) preferred but not required.
• Ability to adapt to specific environments and duties.
• Demonstrate clear knowledge of Ampla Health's clinic structure, standards, procedures, and protocols.
• CPR certification required.

COMMUNICATIONS SKILLS

• Good communication skills.
• Ability to communicate clearly with providers and nursing staff.
• Must have neat and legible handwriting.
• Must be able to interact with patients courteously and calmly.
• Ability to communicate well with the public.

WORKING CONDITIONS & PHYSICAL REQUIREMENTS

Work well with patients in a generally comfortable office environment. Employees must possess the following physical requirements:

• Must be able to hear and communicate with clients and staff on the telephone and those who are served in person and speak clearly in order to communicate information to clients and staff.
• Must be able to lift up to 40 pounds and push up to 100 pounds (on wheels)
• Must have vision that is adequate to read memos, computer screens, registration forms, and other clinic documents.
• Must have high manual dexterity.
• Able to reach above shoulder level to work, must be able to bend, squat and sit, stand, stoop, crouch, reach, kneel, twist/turn.
• May be exposed to contagious/infectious diseases.

GENERAL PURPOSE:

Under the supervision of the Director of Patient Support Services, the CalAIM Clinical Consultant performs Clinical Consultation activities for CalAIM. They will determine if the Members Care Management needs are sufficient to be managed by an ECM Lead Care Manager and make recommendations to implement in the patient Care Plan.

MAIN RESPONSIBILITIES & DUTIES:

• Provides Clinical oversight and ensures comprehensive intake assessments and care plans as directed by the Director of Patient Support Services.

• Provides clinical advice to the following Departments:

• CalAIM: RN clinical consultants provide clinical expertise and guidance to the CalAIM Program Manager and Lead Case Managers. They can help with patient intakes and care plans, allowing for the appropriate customization of individualized care plans to address specific patient needs. They can also help identify and manage high-risk patients, ensuring they receive the appropriate care and support.

• Care Coordination: RN clinical consultants provide guidance to Care Coordinators on individualized patient care plans, helping them provide seamless and well-coordinated care tailored to each patient's unique needs. They can also ensure that the patient receives the appropriate level of care after being discharged from the hospital and provide guidance to decrease utilization.

• Referral Center: RN clinical consultants provide clinical consulting to the LVN Referral Center Manager.

• Call Center: RN clinical consultants provide clinical consulting and expertise to the call operators on phone calls and the Call Center Manager.

• Transportation Manager: RN clinical consultants provide clinical consulting to the Transportation Manager as needed for patients being transported to and from appointments.

• Treat all clients, staff, and the community with respect and courtesy.

• Utilizes effective means to resolve conflict.

• Utilize effective verbal and written communication skills.

• Other duties as assigned by supervisor.

QUALITIES &CHARACTERISTICS

• Maintains a professional relationship and positive attitude with co-workers, the public, patients, and all Ampla Health's staff, Board of Directors, and vendors.
• Maintains the highest professional ethics and is honest in dealing with people; is a model for all employees through his/her actions.
• Strives to learn more and is receptive to new challenges and opportunities.
• Displays enthusiasm toward the work and the mission of Ampla Health

PROFESSIONAL KNOWLEDGE, SKILLS & ABILITIES

• RN License required. BSN preferred.
• Ability to use Microsoft Word for basic correspondence.
• Ability to type a minimum of 40 WPM.
• Bilingual (English/Spanish) (English/Punjabi) (English/Hmong) preferred but not required.
• Ability to adapt to specific environments and duties.
• Demonstrate clear knowledge of Ampla Health's clinic structure, standards, procedures, and protocols.
• CPR certification required.

COMMUNICATIONS SKILLS

• Good communication skills.
• Ability to communicate clearly with providers and nursing staff.
• Must have neat and legible handwriting.
• Must be able to interact with patients courteously and calmly.
• Ability to communicate well with the public.

WORKING CONDITIONS & PHYSICAL REQUIREMENTS

Work well with patients in a generally comfortable office environment. Employees must possess the following physical requirements:

• Must be able to hear and communicate with clients and staff on the telephone and those who are served in person and speak clearly in order to communicate information to clients and staff.
• Must be able to lift up to 40 pounds and push up to 100 pounds (on wheels)
• Must have vision that is adequate to read memos, computer screens, registration forms, and other clinic documents.
• Must have high manual dexterity.
• Able to reach above shoulder level to work, must be able to bend, squat and sit, stand, stoop, crouch, reach, kneel, twist/turn.
• May be exposed to contagious/infectious diseases.