Transitions of Care RN 100% Virtual, CareBridge
About The Position
CareBridge Health, a member of the Elevance Health family of companies within the Carelon business, is seeking a Transitions of Care RN. This role is 100% virtual, enabling associates to work remotely full-time with occasional in-person training. The position focuses on enabling individuals in home and community-based settings to maximize their health, independence, and quality of life through home-care and community-based services. The role involves patient education, disease management interventions, and health coaching for members across multiple lines for chronic disease management programs.
Requirements
- Requires AS in nursing and minimum of 2 years of condition specific clinical or home health/discharge planning experience; or any combination of education and experience, which would provide an equivalent background.
- Current unrestricted RN license in applicable state(s) required.
Nice To Haves
- RN compact license is highly preferred
- BS in nursing preferred
- Prior case management experience preferred
- Bilingual in Spanish is highly preferred
- Experience working with members that have chronic diseases is highly preferred
- Experience working in home health is preferred
Responsibilities
- Conducts behavioral or clinical assessments to identify individual member knowledge, skills and behavioral needs.
- Identifies and/or coordinates specific health coaching plan needs to address objectives and goals identified during assessments.
- Interfaces with provider and other health professionals to coordinate health coaching plan for the member.
- Implements and/or coordinates coaching and/or care plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioral health needs.
- Uses motivational interviewing to facilitate health behavior change.
- Monitors and evaluates effectiveness of interventions and/or health coaching plans and modifies as needed.
- Directs members to facilities, community agencies and appropriate provider/network.
- Refers member to catastrophic case management.
Benefits
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical
- dental
- vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
