RN Case Manager / Care Coach - San Antonio TX

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Job Information

Humana

RN Case Manager / Care Coach - San Antonio, TX

in

San Antonio

Texas

Description

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.

Responsibilities

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.

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

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 18414 US Hwy 281 N, San Antonio, TX

We will require full COVID vaccination for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve. This job must be in the office and requires close personal interaction with patients. You will not be able to social distance.

If progressed to offer, you will be required to provide proof of full vaccination where allowed by law. Medical and religious exemptions will be considered on a case by case basis. Requests for these exemptions should be submitted at least 2 week prior to your scheduled first day of work.

Preferred Requirements:

Prior intensive care and/or coronary care or Medical Surgical experience

Prior case management and/or hospital discharge experience

Bilingual

Bachelor's or Associate's Degree in Nursing preferred

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

Interview Format:

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire Text to enhance our hiring and decision-making ability. Modern Hire Text allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Modern Hire text interview. In this interview, you will read to a set of interview questions and you will provide text responses to each question. You should anticipate this interview to take about 15 minutes. Your text interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from

Humana@myworkday.com

with instructions to add the information into the application at Humana's secure website.

Conviva Care Solutions is more than an equal opportunity employer, Conviva's dedication to promoting diversity, multiculturalism, and inclusion is at the heart of what we do in all of our Conviva roles. Diversity is more than a commitment to us, it is the foundation of what we do. We are fully focused on diversity of race, gender, sexual orientation, religion, ethnicity, national origin and all of the other fascinating characteristics that make us each uniquely wonderful.

Scheduled Weekly Hours

40

Company info

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