Senior Specialist - Nurse

Senior Specialist – Nurse

An active RN license in a compact state with ability to be licensed in other states as needed.
Currently hold or ability to be licensed in CA
2+ years experience in case management
2+ years experience in a hospital or clinical setting
To maintain current nursing licensure by completing applications for renewal in a timely manner and by complying with all requirements for continuing education.
Experience in these areas: med/surg, cancer, behavioral health, maternity, critical care/emergency, pediatric, community care.
Strong competence and ability to use multiple computer/medical record systems, as well as Google suite.
To be self-aware, able to prioritize and manage multiple assignments, while maintaining department performance standards in a remote setting.
To simultaneously talk, type, and navigate an electronic chart with ease.
To excel working in a telephonic care manager role with no direct/face to face patient contact.
A commitment to Collective Health’s core values of integrity, transparency and trust.

Deliver coordinated, patient-centered virtual Care Management by telephone that improves members’ health outcomes.
Lead outreach efforts to high-risk individuals and complete care management assessments and care plans for patients enrolled in the program.
Utilizes the Nursing Process and broad knowledge of the whole person including pharmacy interventions, crisis interventions, and disease-specific education to support members in their care journey.
Help members navigate the complexity of the healthcare system, providing education and empowerment to support members in meeting their healthcare goals.
Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family.
Identify and discuss current barriers related to member’s current conditions, and provide interventions to address these barriers and connections to relevant health benefit resources.
Work with other disciplines on co-managed cases and collaborate with other teams to assist with benefits and claims questions.
Coordinate necessary resources that holistically address members’ problems, whether clinical or social.
Provide compassionate, longitudinal follow-up care, building supportive relationships.

To be driven, passionate, attentive, enjoy change, and are excited to help people.
To identify and implement best practices.
To excel at managing a caseload, and can complete daily tasks and outreach.