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Transitions of Care RN – Carebridge

Transitions of Care RN – Carebridge

CompanyElevance Health
LocationIndianapolis, IN, USA, Nashville, TN, USA, Tampa, FL, USA, Mason, OH, USA, Sugar Land, TX, USA, Metairie, LA, USA, Columbus, OH, USA, Atlanta, GA, USA, Grand Prairie, TX, USA, Cincinnati, OH, USA
Salary$Not Provided – $Not Provided
TypeFull-Time
DegreesAssociate’s
Experience LevelMid Level

Requirements

  • Requires AS in nursing and minimum of 2 years of condition specific clinical or home health/discharge planning experience; or any combination of education and experience, which would provide an equivalent background.
  • Current unrestricted RN license in applicable state(s) required.

Responsibilities

  • Conducts behavioral or clinical assessments to identify individual member knowledge, skills and behavioral needs.
  • Identifies and/or coordinates specific health coaching plan needs to address objectives and goals identified during assessments.
  • Interfaces with provider and other health professionals to coordinate health coaching plan for the member.
  • Implements and/or coordinates coaching and/or care plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioral health needs.
  • Uses motivational interviewing to facilitate health behavior change.
  • Monitors and evaluates effectiveness of interventions and/or health coaching plans and modifies as needed.
  • Directs members to facilities, community agencies and appropriate provider/network.
  • Refers member to catastrophic case management.

Preferred Qualifications

  • Bilingual strongly preferred.
  • Current, unrestricted, Compact RN license in applicable state(s) is highly preferred.
  • Experience in care of adult, chronically ill patients, chronically ill pediatric patients, and patients with IDD.
  • Home Health, Utilization Management or Case Management experience strongly preferred.
  • Previous Transitions of Care experience a plus.
  • Working knowledge of computers and ability to document effectively and efficiently in an electronic system.
  • Expert communicator over the telephone, providing timely, appropriate advice and/or guidance with health care issues.
  • Experience in care of members with multiple chronic medical conditions such as COPD, CHF, CKD, Catheters, Wounds, Psych, Special Needs Population.