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 is 100% virtual, enabling associates to work remotely full-time, with the exception of required in-person training sessions. This approach aims to provide flexibility and autonomy, promoting productivity and work-life integration. The Transitions of Care RN is responsible for patient education, disease management interventions, and health coaching for members across multiple lines, focusing on chronic disease management programs. The role involves conducting assessments, developing health coaching plans, coordinating with providers, implementing coaching strategies, using motivational interviewing for behavior change, monitoring intervention effectiveness, directing members to resources, and referring members 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 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
