Transitions of Care RN 100% Virtual, CareBridge

Elevance HealthNashville, TN
Remote

About The Position

Transitions of Care RN 100% Virtual, CareBridge CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through home-care and community based services. Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Work Hours: Monday – Sunday with mandatory 2 weekends a month (4, 10 hour shifts) Eastern Time: 8:00AM – 7:00PM All other time zones: 7:00AM – 6:00PM, 8:00AM -7:00PM or 9:00AM -8:00PM The Transitions of Care RN- Carebridge is responsible for participating in delivery of patient education and disease management interventions and for performing health coaching for members, across multiple lines, for health improvement/management programs for chronic diseases. How you will make an impact: 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.

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 or Mandarin 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

  • We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
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