RN Job

Managed Long Term Services and Supports Nurse Specialist RN II
Full-time
Req #7987
Los Angeles, 90017
The Managed Long Term Services and Supports (MLTSS) Nurse Specialist RN II applies advanced clinical judgment and critical thinking skills to facilitate appropriate physical and behavioral healthcare and social services for L.A. Care members. Utilizes assessments, member-centered care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available Health Plan, Home and Community Based Services (HCBS), and MLTSS resources, optimal member functioning, and cost-effective outcomes.
Responsible for performing assessments of members referred to MLTSS programs for the identification, evaluation, coordination and management of members' needs, including physical health, behavioral health, social services, and MLTSS.Provides direction to non-clinicians who assist members with accessing services.
Qualifications
- Education Required: Associate's Degree in Nursing
- Education Preferred: Bachelor's Degree in Nursing
- ExperienceRequired:
- At least 5-7 years of clinical nursing experience in direct patient care, such as ambulatory care, home care, or case management.
- OR experience in Utilization Review or Care Management will be considered in lieu of direct patient care.
- 3 years of relevant Licensed Vocational Nurse (LVN) experience may be substituted for 2 years of RN experience.
- Clinical experience working with individuals with chronic illnesses, comorbidities, and/or disabilities in a case/care management environment.
- Preferred: Experience in utilization review, skilled nursing, home health, discharge planning, behavioral health, community resources, and/or other home and community-based agencies.
- Licenses/Certifications RequiredRegistered Nurse (RN) - Active, current and unrestricted California License.
About the Hospital
As the nation's largest publicly-operated health plan, we have a great responsibility to the communities we serve, and our employees play an essential role in ensuring we meet those needs.
Why Join Us?
Opportunity. Amazing co-workers. A supportive management team. Great compensation and benefits. Camaraderie and a true sense of mission. If you want a career that truly contributes to the good of all, join us as we work towards a healthier L.A.