Care Guide, RN

Spira Care • Olathe, KS

444d

About The Position

The Care Guide, RN at Spira Care plays a crucial role in enhancing member experiences by managing interactions and assisting members in navigating the complexities of healthcare. This position emphasizes a collaborative, patient-centered approach, allowing healthcare professionals to make a significant impact on patients' lives. The Care Guide will engage with members primarily in face-to-face settings and over the phone, providing a seamless healthcare experience through a blend of administrative, educational, and care coordination functions.

Requirements

• Associate or bachelor's degree in nursing.
• Valid and active Registered Nurse (RN) license in Kansas and Missouri or multi-state compact license.
• BLS certification from American Red Cross or American Heart Association.
• 5 years of healthcare experience.
• 3 years of full-time direct patient care and clinical experience in medical/surgical, pediatrics, or obstetrics.
• Intermediate level knowledge of Clinical Guidelines required.
• Previous experience in customer service or serving customers in some direct capacity.

Nice To Haves

• Bachelor's degree in nursing.
• Case Management Certification.
• 5 years' experience in Care/Case/Disease Management, Health Plan, or Utilization Review.
• Understanding of the Patient Centered Medical Home (PCMH) / Primary Care First (PCF) model.
• Thorough knowledge of URAC and NCQA guidelines and state and federal regulations.

Responsibilities

• Establishes a trusted partnership with patients in both face-to-face and phone settings.
• Completes patient assessments by collecting and analyzing information and developing individualized care plans.
• Monitors the effectiveness of care plans and intervenes as appropriate to improve health outcomes.
• Provides high-quality customer service in interactions with patients, providers, and community organizations.
• Acts as a liaison between patients, employers, providers, and support systems.
• Utilizes effective communication to maximize collaborative relationships.
• Manages projects and competing priorities to ensure timely information delivery to patients and relevant entities.
• Builds relationships within the Care Center and shares best practices across other Care Centers.
• Educates and works with patients at different educational and health literacy levels in a culturally sensitive manner.
• Maintains confidentiality of all regulated information in compliance with laws and policies.

Benefits

• 401(k)
• Dental insurance
• Employee discount
• Health insurance
• Paid holidays
• Paid parental leave
• Paid time off

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Hospitals
• Education Level: Associate degree