RN Clinical Care Coordinator

Jobtailor

Torrance (CA)

On-site

USD 90,000 - 120,000

Full time

3 days ago

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Job summary

Jobtailor is seeking a California-licensed Registered Nurse to coordinate clinical care for ALWP clients in the Torrance area. The role requires developing ISPs, assessing client needs, and ensuring timely service delivery while maintaining comprehensive documentation and regulatory compliance.

Responsibilities include telehealth visits, risk reporting, case conferences, and continuous quality improvement activities.

Qualifications

Must hold a current, un-revoked California RN license.
Knowledge of California Assisted Living Waiver Provider Handbook and RCFE Provider Handbook.
Knowledge of CCT, ALWP transition process, and Nursing Practice Act.

Responsibilities

Coordinate clinical care for ALWP clients under the Care Coordination Agency.
Identify, organize, coordinate, and monitor services needed by recipients.
Assist waiver recipients in accessing waiver services, state plan services, and community resources.
Act as the clinical resource for the CCT Program.
Complete clinical documents required for the State Waiver Program Application.
Conduct assessments using the ALW Assessment Tool and determine each client’s level of care.
Develop and modify Individualized Service Plans (ISPs).
Monitor service delivery according to the prescribed client-contact schedule.
Conduct monthly and as-needed face-to-face or supervisor-approved telehealth visits.
Maintain charting, progress notes, and case records for enrolled clients.
Manage complaints from clients, families, or friends.
Report abuse or neglect to the appropriate agencies.
Attend monthly or as-needed Case Conferences with RCFE facilities.
Evaluate ISP effectiveness through client observation and communication with clients and health team members.
Review Significant Incident Reports with clients and RCFE staff as necessary.
Provide clinical support to CCA Office Coordinators.
Participate in ALWP education, training, and quality improvement activities.
Assist with compliance with Federal, State, Local, HIPAA, and Joint Commission requirements.
Establish and maintain relationships with RCFE, SNFs, and other vendors.
Self-assess nursing skills and educational needs.
Drive to geographical areas covered by the company as required.
Maintain proper timekeeping, follow Employee Handbook policies, report fraud and abuse, conduct mandated reporting, document client contact, attend department meetings, and perform other assigned duties.

Skills

RN License (CA)

Clinical Care Coordination

ISPs

Healthcare Quality Management

CPR Certification

Tools

ALW Assessment Tool

Electronic Health Records

Computers

Job description

Coordinate clinical care for ALWP clients under the Care Coordination Agency
Identify, organize, coordinate, and monitor services needed by recipients
Assist waiver recipients in accessing waiver services, state plan services, and community resources
Act as the clinical resource for the CCT Program
Complete clinical documents required for the State Waiver Program Application according to ALWP and Agency policy
Conduct assessments using the ALW Assessment Tool and determine each client’s level of care
Develop and modify Individualized Service Plans (ISPs)
Monitor service delivery according to the prescribed client-contact schedule
Conduct monthly and as-needed face-to-face or supervisor-approved telehealth visits
Maintain charting, progress notes, and case records for enrolled clients
Manage complaints from clients, families, or friends
Report abuse or neglect to the appropriate agencies
Attend monthly or as-needed Case Conferences with RCFE facilities
Evaluate ISP effectiveness through client observation and communication with clients and health team members
Review Significant Incident Reports with clients and RCFE staff as necessary
Provide clinical support to CCA Office Coordinators
Participate in ALWP education, training, and quality improvement activities
Assist with compliance with Federal, State, Local, HIPAA, and Joint Commission requirements
Establish and maintain relationships with RCFE, SNFs, and other vendors
Self-assess nursing skills and educational needs
Drive to geographical areas covered by the company as required
Maintain proper timekeeping, follow Employee Handbook policies, report fraud and abuse, conduct mandated reporting, document client contact, attend department meetings, and perform other assigned duties

Requirements

Must have a current, unsuspended, un-revoked license to practice as a Registered Nurse in California
Knowledge of The State of California Assisted Living Waiver Care Coordination Agency Provider Handbook and RCFE Provider Handbook
Knowledge of the clinical requirement of the CCT and ALWP transition process
Knowledge of the current Nursing Practice Act
Current CPR certification
Proficient in the use of computers
Minimum two (2) years’ experience in a home health organization, primary care clinic, or a health facility
One (1) year experience in healthcare quality management, preferred
Current and satisfactory pre-employment physical examination including TB Screening Test or chest X-ray as required by Agency policies and procedures
Must be free from signs of infection and illness
Demonstrated exemplary clinical, analytical, and documentation skills
Good written and verbal communication skills
Fluent in English
Must be a licensed driver with an insured automobile in good working order, in accordance with state and/or organizational requirements
Ability to meet physical requirements, including frequent computer/telephone/keyboard use, bending, walking, driving, and lifting/pushing up to 25 lbs
Familiarity with Title 22
Must maintain all required credentials up-to-date
Must attend all state mandated in-service trainings

Core Competencies

Demonstrates expertise in clinical care coordination, including the development and monitoring of Individualized Service Plans (ISPs) and compliance with healthcare regulations. Proficient in conducting assessments and maintaining accurate documentation while ensuring effective communication with clients and healthcare teams.

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