Risk Adjustment Registered Nurse
About The Position
Sharecare is the digital health company that helps people manage all their health in one place. The Sharecare platform provides each person – no matter where they are in their health journey – with a comprehensive and personalized health profile, where they can dynamically and easily connect to the information, evidence-based programs and health professionals they need to live their healthiest, happiest and most productive life. With award-winning and innovative frictionless technologies, scientifically validated clinical protocols and best-in-class coaching tools, Sharecare helps providers, employers and health plans effectively scale outcomes-based health and wellness solutions across their entire populations. We are always looking for people that value the opportunity to work hard, have fun on the job, and make a difference in the lives of others through their work every day! Job Summary: The RN has the responsibility for supporting the goals and objectives of the care enhancement program by providing high quality telephonic support in an appropriate, efficient, and cost-effective manner while ensuring high quality care. The RN coordinates with the Primary Care Provider and all other members of the health care team to support appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for early identification of those assigned participants who are at risk for increasing acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines. All Sharecare clinicians are required to participate in the orientation and to take the pre and post-tests to review competency during orientation. Yearly competency test is required for all Sharecare clinicians.
Requirements
- Current RN license appropriate for the state in which the Business Unit is located and able to obtain licensure in other states, as required by state law or contract.
- The successful candidate must possess a High School diploma and a Diploma in Nursing, an Associate’s Degree in nursing or Bachelor’s Degree in nursing with a BSN preferred.
- Basic knowledge of physiology and chronic disease appropriate for an RN.
- Minimum of 3 years recent experience in a clinical setting.
- Must have received the COVID-19 vaccine by date of hire to be considered for employment.
Nice To Haves
- Excellent listening skills.
- Ability to be self-directed, highly organized, and proactive.
Responsibilities
- Reviews status of participant’s preventive health exams as defined by the disease-specific Standards of Care guidelines. Initiate appropriate interventions for member.
- Contacts participant by telephone as needed for information sharing, assessment, intervention, and behavioral goal setting.
- Identifies educational needs of participant and facilitate educational opportunities (i.e. mails patient education materials; refer to health plan if appropriate).
- Reviews participant’s functional status, formal and informal family support system, determining participant’s desired outcome of care and needs for participant education.
- Develops and facilitates implementation of a care plan addressing the total healthcare needs of the participants. Specific focus and resources will be directed to the specific problem resulting in the appropriate stratification level.
- Identifies participant barriers to accessing health care services. Coordinates with Provider Service Managers and/or other members of the disease management program team when available to remove system barriers.
- Functions as integral part of the multi-disciplinary team. Facilitates communication exchange with primary managing physician and other providers, health plan, and the disease management program team.
- Coordinates with other colleagues to ensure continuity of care for assigned participant panel to avoid gaps in care or call campaigns.
- Accepts warm transfer calls from non-RN colleagues for assessment and/or additional discussion with participant when necessary.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
