RN Case Manager / Care Coach
Conviva

Jacksonville, Florida

This job has expired.


Description

Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole.

Responsibilities

Conviva Care Solutions is seeking an RN to work in a dual role as case manager and care coach. The Case Manager/Care Coach will work in clinic alongside providers and staff to assess discharge care coordination needs of patients, make telephonic follow up calls and coordinate services for identified members who have acute and long-term chronic conditions and or needs.

Job Functions

  • Implement physician approved care plans for patients in the Care Coordination System.
  • Lead and collaborate with other members of the healthcare team in the planning, directing and evaluating patients in the Care Coordination System
  • Monitor and care for high risk patients with acute and chronic medical conditions
  • Assess patient needs; develop, plan, implement and evaluate goals with interventions for the care plan to meet patient's and family's needs
  • Record patient care and progress on appropriate documents including patient-specific care plans. Maintain and properly log patient follow up calls as required
  • Educate and teach patients and families regarding patient disease and procedures that will directly affect the patient
Role Requirements
  • Active RN License
  • Active CPR-BLS from the American Heart Association
  • Minimum of 2 years of prior clinical experience in an acute or post-acute setting
  • Proficiency with computers including Microsoft products, Word, Excel, and Outlook
  • Able to provide face to face and telephonic patient care
Preferred Education, Experience & Skills
  • Prior intensive care and/or coronary care or Medical Surgical experience preferred
  • Bachelor's or Associate's Degree in Nursing preferred
  • Experience with Electronic Medical Records; e-Clinical Works (e-CW)
  • ICD-10, CPT codes, HCPCS knowledge preferred
  • Managed care experience including knowledge of HEDIS and CMS guidelines
  • English and Spanish bilingual preferred
Alert:

Conviva, a subsidiary of Humana, values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana's secure website.

Interview Format:

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Modern Hire interview. In this interview, you will receive a set of interview questions over your phone and you will provide recorded or text message responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

https://humana.wd5.myworkdayjobs.com/Conviva_External_Career_Site/job/Jacksonville-FL/RN-Case-Manager-Care-Coach_R-262581/apply

If you are an existing CenterWell or Humana associate, please apply through go/associatecareers using a Chrome or Edge browser.


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