Transitions of Care RN – Bilingual Preferred

Role Overview

• responsible for participating in delivery of patient education and disease management interventions
• performing health coaching for members
• 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
• minimum of 2 years of condition specific clinical or home health/discharge planning experience
• Current unrestricted RN license in applicable state(s) required
• 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

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