Care Coach- Conviva Sunrise amp Conviva Cocogate

Profile

Description

Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry.

The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

Be a part of the Clinical Care Team-- as a Care Coach you will work alongside a PCP in a clinic to engage our members to develop lifelong well-being and health. The Conviva Care Center Care Coach helps coordinate and evaluate the management of patients with acute and chronic conditions, as well as patients discharged from acute facilities, to achieve high quality care. The Care Coach is an integral part of clinical rounds and interacts with all levels of nursing and other departments to assure effective utilization of resources that meet the physiological and safety needs of the patient and their families.

The Care Coach nurse for this position will work in our Conviva Sunrise & Conviva Cocogate center location. Monday-Friday 8am-5pm

Role Competencies:


Demonstrated ability to create an exceptional patient experience leveraging excellent customer service skills
Serve as liaisons between doctors, care providers, patients, and patient representatives.
Effective communication is key to this position to ensure understanding regardless of the communication vehicle; understand the needs and perspectives of others and tailor delivery accordingly; share information appropriately; actively listen
Interpersonal effectiveness (emotional intelligence): Understand oneself, effectively manage emotions, listen and communicate with respect, and build trusting relationships
Ability to work well with a team; Develop and manage interpersonal relationships with entire care team
Responsible for achieving organizational goals and accountable for results. Meet established expectations and take accountability for results; encourage others to do the same
Strong organization and time management skills with the ability to prioritize, multi-task organize and manage multiple priorities and/or projects using appropriate methodologies and tools

Self-motivated and committed to achieving best results

Possess critical thinking skills, independent decision-making capability
Proactively identify, evaluate, and solve problems with logic and a systematic approach; look beyond the obvious to see root cause issues and creative solutions. Make appropriate decisions in the face of ambiguity. Anticipate and resolve barriers and constraints

Implement physician approved care plans for patients in the Care Coordination System.
Lead and collaborate with other members of the healthcare team in the planning, directing and evaluating patients in the Care Coordination System
Monitor and care for high risk patients with acute and chronic medical conditions
Assess patient needs; develop, plan, implement and evaluate goals with interventions for the care plan to meet patient's and family's needs
Record patient care and progress on appropriate documents including patient-specific care plans. Maintain and properly log patient follow up calls as required
Educate and teach patients and families regarding patient disease and procedures that will directly affect the patient
Provide direct care to patients for interventions that require nurse licensure such as: administering intravenous medication or hydration, insertion of urinary bladder catheter
Flexible to changes in work schedule and location as needed by the organization
Maintain standards for professional nursing practice and demonstrate the ability to use the nursing process in setting
Maintain clear and active nursing license
Other duties as assigned


Role Requirements:


Must genuinely love to work with the Senior Adult population, and desire to work to support them to age well
Active RN License in the State in which they practice
Active CPR-BLS from the American Heart Association
Minimum 2 years prior nursing experience in an acute or post-acute setting, case management or disease management
High proficiency with computers including Microsoft products, Word, Excel, and Outlook
Able to engage with patients face to face and telephonic


Role Desirables:


Prior clinical experience in an acute care, intensive care and/or coronary care or Medical Surgical experience preferred
RN license, Bachelor's or Associate degree in Nursing preferred, Certified Case Manager
Experience with Electronic Medical Records; e-Clinical Works (e-CW)
ICD-10, CPT codes, HCPCS knowledge preferred
Managed care experience including knowledge of HEDIS and CMS guidelines
Fluent in English and Spanish


Environmental / Working Conditions: Medical office environment.

Physical Demands: Requires sitting and standing associated with normal medical office environment.

Additional Information:

Being a part of the Conviva team gives you: We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k, tuition reimbursement, vacation, paid holidays, work-life balance, growth, a positive and fun culture and much more.

Alert:

Conviva, a subsidiary of Humana, values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from **** with instructions to add the information into the application at Humana's secure website.

Interview Format: MODERN HIRE

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Company info

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