Nurse Member Advocate

Teladoc Health•USA - AL - Remote, AL

5d•$80,000 - $84,000•Remote

About The Position

The Nurse Member Advocate is an integral part of a cross-functional clinical team comprised of physicians, nurses, medical assistants, pharmacy technicians and support staff that facilitates the 24/7 delivery of whole person healthcare, ensuring the optimal use of internal and external, diverse health care resources to improve health outcomes. The nurses are responsible for care delivery in all Teladoc service lines focusing on ensuring the highest clinical quality, as well as member and client satisfaction.

Requirements

5 years recent experience in the acute care setting preferred
Med-surg background preferred
Quality driven with a focus on flawless customer service
Strong clinical knowledge base
Excellent written and verbal communication skills
Outstanding team player & strong interpersonal skills
Bilingual-Spanish Speaking a plus
Strong organizational skills and the ability to multitask with ease
Ability to work independently but recognize when escalation is warranted
Proficiency using technology and software including Microsoft Word, Excel, Outlook
Ability to work required shift: evenings and weekend coverage
Active Registered Nurse license; BSN preferred.

Responsibilities

Works in partnership with clinical team in support of case development and management, care and treatment plans including accurate case documentation, identifying relevant medical data to be collected and providing clear, concise communication to members, internal and external partners.
Serve as the ongoing coordinator of primary and preventative care, episodic care, expert medical opinion and other service lines
Obtains a comprehensive health history by leading members through a systematic and dynamic intake assessment to capture all relevant data about their current condition and health history and directs members to most appropriate service line; sets appropriate member expectations for each process
Resolves prescription issues related to episodic care within established protocols and turn-around times
Maintains availability within Outlook for scheduling of member visits and all follow ups
Utilizes the company’s proprietary database to help connect members to Teladoc Health and external physicians and completes referrals where appropriate, both internal and external
Conducts member health coaching and provides treatment decision support service via printed educational materials and videos
Uses clinical judgment in the review of complex medical issues to ensure accuracy of clinical summaries/reports and care plans
Provides clinical support and guidance to support staff regarding case related inquiries
Ensures adherence to established processes and compliance with privacy legislation and regulations with all parties encountered in the service delivery
Is accountable for meeting service standards for speed of case progression, overall quality, and member satisfaction
Support additional projects as needed