Transitions of Care RN 100% Virtual, CareBridge
About The Position
CareBridge Health, a member of the Elevance Health family of companies within Carelon, is seeking a Transitions of Care RN. This role 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 position is 100% virtual, offering flexibility and autonomy, with potential for alternate locations if candidates are within commuting distance of an office. 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
