Clinical Nurse Specialist

20 hours ago

Oakland, California, United States Alameda Alliance for Health Full time
Job Summary

We are seeking a highly skilled and experienced Clinical Nurse Specialist to join our team at Alameda Alliance for Health. As a Clinical Nurse Specialist, you will play a critical role in evaluating the clinical presentation of members in need of Community Supports services and determining medical necessity for the required services.

Key Responsibilities
  • Evaluate clinical presentation against clinical guidelines and applicable regulatory requirements
  • Collaborate with healthcare providers, community-based organizations, and other stakeholders to provide highly coordinated care
  • Assess member medical and social determinants of health, including housing status and other Community Supports
  • Develop and implement care plans to ensure optimal outcomes for members
  • Communicate effectively with members, providers, and other stakeholders to ensure seamless care transitions
  • Participate in multidisciplinary care team meetings to discuss member care and develop strategies for improvement
  • Stay up-to-date with relevant clinical guidelines, policies, and procedures to ensure compliance and quality care
Requirements
  • Bachelor's degree in Nursing required; BSN or MSN strongly preferred
  • Registered Nurse license, active and unrestricted licensed in the State of California before start of work
  • Three years of clinical experience in an acute care setting required; three years' experience in managed care or healthcare setting preferred
  • Excellent verbal and written communication skills; fluency in English required; fluency in Vietnamese, Cantonese, Spanish, Tagalog, or other appropriate language preferred
  • Ability to work independently and as part of a team; ability to motivate and educate members and providers
What We Offer
  • Competitive salary range: $105,853.04-$158,779.55 annually
  • Opportunity to work with a dynamic and growing healthcare organization
  • Collaborative and supportive work environment
  • Professional development opportunities

Alameda Alliance for Health is an equal opportunity employer and makes employment decisions on the basis of qualifications and merit. We strive to have the best qualified person in every job. Our policy prohibits unlawful discrimination based on race, color, creed, gender, religion, veteran status, marital status, registered domestic partner status, age, national origin or ancestry, physical or mental disability, medical condition, genetic characteristic, sexual orientation, gender identity or expression, or any other consideration made unlawful by federal, state, or local laws.

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