RN Care Coach

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, 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.

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. 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

Required Qualifications

Registered Nurse with 2 years of experience of in home case/care management

Experience working with the adult population

Knowledge of community health and social service agencies and additional community resources

Ability to travel to member's residence within 30 to 40 miles

Exceptional communication and interpersonal skills with the ability to quickly build rapport

Ability to work with minimal supervision within the role and scope

Ability to use a variety of electronic information applications/software programs including electronic medical records

Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel

Excellent keyboard and web navigation skills

Ability to work a full-time (40 hours minimum) flexible work schedule

This role is a part of Humana's Driver Safety program and therefore requires and individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits.

Must have a separate room with a locked door that can be used as a home office to ensure continuous privacy while you work

Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana At Home systems if 5Mx1M

This role is considered patient facing and is part of Humana At Home's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Valid driver's license, car insurance, and access to an automobile

Associates working in the State of Florida will need ACHA Level II Background clearance

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

BSN

3-5 years of in home assessment and care coordination experience

Experience with health promotion, coaching and wellness

Previous managed care experience

Bilingual - English, Spanish is preferred, but not required

Certification in Case Management

Motivational Interviewing Certification and/or knowledge

Additional Information

Schedule: Monday - Friday 8:00 AM to 5:00 PM

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 Humana@myworkday.com 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.

Please Note

Associates are required to be fully COVID vaccinated, including booster, or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home.

If progressed to offer, candidates will be required to:

Provide proof of full vaccination, including booster OR

Provide proof of applicable exemption including any required supporting documentation

Medical, religious, and state exemptions will be available.

Scheduled Weekly Hours

40

Company info

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