RN Care Coach - Conviva - Sunrise and Cocogate

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

Roles Description:

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 & Cocogate center locations. 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.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com