RN Case Manager/RN Coach- Conviva Care Solutions- Orange Park FL in clinic role

Profile

Description

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

Job 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, we want to help people everywhere, including our associates, lead their best lives. We support our associates 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 associates fresh perspective, new insights, and exciting opportunities to grow their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives, the lives of our members, and the healthcare industry as a whole.

Role Description

Conviva Care Solutions is seeking an RN to work in a dual role as case manager and care coach.

The Case Manager/Care Coach will work in clinic alongside providers and staff to assess discharge care coordination needs of patients, make telephonic follow up calls and coordinate services for identified members who have acute and long-term chronic conditions and or needs.

The RN will also work with members that have been discharged from acute facilities to facilitate care post discharge. The RN will be an integral part of daily clinical rounds and interact 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 RN will also assess for continuation of Long term needs and monitoring through the enrollment into the Conviva Case/Disease management program. The RN will simultaneously work with the members in the programs and follow the patients for continuity of care.

NOT A REMOTE/ Work at Home position

Responsibilities:

The Case Manager/ Care Coach you will work alongside a PCP in a clinic to engage our members to develop lifelong well-being and health


Able to utilize skills in an environment which has fluctuating and unpredictable work volumes
Able to use nursing experience and judgment to anticipate members' care coordination needs
Refer complex patient concerns to the member's physician and medical director for appropriate interventions
Works closely with the hospital case managers, attendings, PCP and medical director, community agencies and other approved vendors to ensure the member's healthcare needs are met
Acts as resource and is able to facilitate eligibility and benefit information
Acts as a resource and is familiar with the provider network
Maintains accurate and concise documentation and adheres to documentation guidelines
Adheres to the Conviva Care Solutions policies and procedures
Adheres to the attendance policies and procedures
Maintains confidentiality and adheres to HIPPA guidelines at all times
Maintains professionalism at all times
Attends meetings and in-services as assigned
Identifies barriers and problems and reports appropriately to ensure member satisfaction
Assists with other assignment coverage as needed
Able to prioritize workload
Able to provide face to face and telephonic patient care
Able to stand and walk for long periods of time
Demonstrates flexibility in work performance to meet department, company and individual goals
Makes suggestions to improve productivity and cost containment
Assists in monitoring logs and maintaining statistics
Consistently meets work schedules, productivity requirements and deadlines
Maintains licensure and certifications
Able to effectively use computer and other office equipment
Assists other employees as necessary


Role Requirements:


Active RN (Registered Nurse) license in the state of Florida without restrictions
Experience with Senior/Medicare aged population
Minimum of 2 years of managed care experience
Availability to work in the Middleburg, FL clinic Monday thru Friday 8 am to 5 pm
Health Coaching & Case Management experience with Medicare age population
Excellent written and verbal communication skills. Demonstrate active listening skills; communicates clearly and concisely; ensure understanding regardless of the communication vehicle; understand the needs and perspectives of others with ability to tailor the delivery accordingly; share information appropriately.
Demonstrated ability to create an exceptional patient experience leveraging excellent customer service skills.
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 and 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 face to face and telephonically regarding patient disease and procedures that will directly affect the patient.
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
Other duties as assigned
Computer literate with strong understanding and ability to use Word, Outlook, PowerPoint and Excel with demonstrated proficiency.
Familiarity with PC laptops/printers
Compile statistics
Attends and participates in meetings


Preferred Qualifications:


Bachelor's or Master's Degree in Nursing
Clinical experience in an acute or post-acute setting.
Home care, home health and/or hospice experience
Recent case management experience.


Scheduled Weekly Hours

40

Company info

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