RN Case Manager/Care Coach - Middleburg

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Job Information

Humana

RN Case Manager/Care Coach - Middleburg

in

Middleburg

Florida

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, a wholly-owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members 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 team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole.

Responsibilities

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.

Job Functions

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

Role Requirements

Active RN License

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

Preferred Education, Experience & Skills

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

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

English and Spanish bilingual preferred

Additional Information

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

For this job, associates are required to be fully COVID vaccinated 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. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.

If progressed to offer, you will be required to:

Provide proof of full vaccination or commit to testing protocols

*OR  *

Provide proof of applicable exemption including any required supporting documentation

Medical, religious, state, and remote-only work exemptions are available.

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:

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire 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 interview. In this interview, you will receive a set of interview questions over your phone, and you will provide recorded or text message responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Company info

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