About The Position

The Transitions of Care RN at CareBridge Health, part of Elevance Health’s Carelon business, participates in patient education and disease-management interventions and provides health coaching to members across multiple lines of business, with a focus on chronic disease health improvement and management. The position is 100% virtual except for required in-person training sessions. Candidates generally must live within commuting distance of an office unless an accommodation is granted; alternate locations may be considered. The schedule is four 10-hour shifts, Monday through Sunday, with two weekends per month required. Hours are 8:00 a.m. to 7:00 p.m.; Central, Mountain, and Pacific time zones are preferred. The role is classified as non-management and exempt.

Requirements

  • Associate degree in nursing and at least 2 years of condition-specific clinical or home-health/discharge-planning experience, or an equivalent combination of education and experience.
  • Current unrestricted RN license in applicable state(s).

Nice To Haves

  • Bilingual in Spanish.
  • RN compact license.
  • Bachelor of Science in nursing.
  • Prior case-management experience.
  • Experience working with members who have chronic diseases.
  • Experience working in home health.

Responsibilities

  • Conduct behavioral or clinical assessments to identify members’ knowledge, skills, and behavioral needs.
  • Identify and coordinate health-coaching plans that address objectives and goals found during assessments.
  • Coordinate with providers and other health professionals regarding members’ health-coaching plans.
  • Implement or coordinate coaching and care plans by educating members about clinical needs and facilitating referrals for behavioral health needs.
  • Use motivational interviewing to facilitate health behavior change.
  • Monitor and evaluate intervention and health-coaching plan effectiveness, modifying plans as needed.
  • Direct members to facilities, community agencies, and appropriate providers or networks.
  • Refer members to catastrophic case management.

Benefits

  • Merit increases
  • Paid holidays
  • Paid Time Off
  • Incentive bonus programs, unless covered by a collective bargaining agreement
  • Medical benefits
  • Dental insurance
  • Vision insurance
  • Short- and long-term disability benefits
  • 401(k) with matching
  • Stock purchase plan
  • Life insurance
  • Wellness programs
  • Financial education resources
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