RN Case Manager/Care Coach - San Antonio/San Pedro

Profile

Description

Responsibilities

About Us

At Conviva Care Solutions, we want to inspire people to live life their best healthy life. Conviva Care Solutions is a management services organization representing nearly 300 physician practices, 800 clinicians, and 300,000 patients across the states of Florida and Texas. We need people with a passion for helping others and making change happen. We don't want to be like everyone else in the industry-we want to be better. And we're looking for talent that wants to grow, be challenged and inspired to help make that happen.

The Role

Conviva Care Solutions is seeking a hard-working and dedicated RN Care Coach who is interested in being part of a team that focuses on excellent service to others.

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. Conviva Care Solutions is seeking a Care Coach to help 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. You will be an integral part of 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.

Role Competencies:

Demonstrated ability to create an exceptional patient experience leveraging excellent customer service skills

Excellent communication skills. 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 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 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

Vaccine Policy

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters.

Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Role Requirements:

Active RN License in state of practice (Texas)

Active CPR-BLS from the American Heart Association

Minimum of 2 years of prior clinical experience in an acute or post-acute setting

Proficiency with computers including Microsoft products, Word, Excel, and Outlook

Able to provide face to face and telephonic patient care

Must be able to work at the Conviva Care clinic located at 7142 San Pedro Ave

Preferred Requirements:

Prior Medical Surgical experience preferred

Bachelor's or Associate's Degree in Nursing preferred

Experience with Electronic Medical Records; e-Clinical Works (eCW)

ICD-10, CPT codes, HCPCS knowledge preferred

Managed care experience including knowledge of HEDIS and CMS guidelines

Additional Information

Some local travel in San Antonio area; <20%

Scheduled Weekly Hours

40

Company info

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