Nurse Care Manager - (ECM) Inland Empire Campus

• Supports ECM Members with complex medical conditions and completes medication reconciliation in collaboration with pharmacy as available for all ECM-enrolled Members.
• Primarily works with a caseload of Members with complex medical needs (primarily Tiers 1 and 2 as defined in the Risk Grouping section).
• Engages Members and supports/encourages Member activation towards achievement of health goals.
• Promotes a collaborative and effective working environment within the ECM by engaging in evidence-based communication strategies (such as Motivational Interviewing) when discussing responsibility/sharing of tasks, effectively resolving conflicts, and collaborating on Member case discussions.
• Tracks medical and behavioral health outcome measures in the web-based care management platform or equivalent platform.
• 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 healthcare team.
• Works with Members to identify health/wellness goals and incorporates these goals into Health Action Plans/Shared Care Plans 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.
• Reviews Comprehensive Health Need Assessments (splits role with BHCM) upon completion by other care team members.
• Performs other related duties as assigned.

• Registered Nurse (RN) or Licensed Vocational Nurse (LVN) with the California Board of Registered Nursing
• Minimum of 5 years nursing experience, with at least 2 years in care management, population health, or related field.
• Expert knowledge of healthcare practices, care coordination, and patient-centered care.
• Strong analytical skills with the ability to interpret clinical data and translate findings into actionable strategies.
• Willingness to travel locally as needed to support program initiatives, trainings, and stakeholder engagement.

• Previous Clinical experience working with individuals recently released from jail or prison a plus. Previous Supervisory experience.

• RN or LVN
• Valid Driver License

• N/A

• Excellent organizational skills and attention to detail.
• Excellent written and oral communication skills.
• Extensive knowledge of non-profit organizations.
• Proficient in Microsoft Office Suite or similar software.
• Knowledge of contracting process and associated local, state, federal and other regulations.
• Ability to multi-task, identify problems, provide recommendations to management teams, and implement any applicable systems.
• Ability to work constructively with diverse people and with parties that may have divergent perspectives and interests.
• Understand and appropriately apply Amity policies and procedures and adhere to agency-wide practices and regulations. 

• Medical, Dental, Vision.
• Paid vacation, sick time, & holidays.
• 401K, HSA, & Life insurance programs.
• Organization committed to community action.
• Community oriented workplace.

Salary : $85,000 - $90,000