Transitions of Care RN Case Manager

🔥 15 hours ago

🌵 Arizona, Colorado, +2 more states – Remote

🌵 Arizona – Remote ⛰️ Colorado – Remote 🌲 Oregon – Remote ☕ Washington – Remote

💵 $85k - $100k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Devoted Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare Insurance • Wellness

Devoted Health is a healthcare company that offers Medicare Advantage plans designed to provide comprehensive health coverage with added benefits like dental, eyewear, gym memberships, and prescription drugs at competitive rates. The company emphasizes member support and service, ensuring that clients can easily navigate their benefits and access needed healthcare services. Devoted Health is committed to helping customers save money and enhance their health and wellness through a complete package of benefits and support.

📋 Description

• Engaging with our newly discharged patients telephonically to understand their needs, supported by technology and data tools. • Conducting assessments to identify comorbid conditions, ED/hospitalization history, medications, psychosocial factors, and patient values and preferences. • Developing care plans in partnership with patients and their caregivers - problems, goals, interventions - while continuously evaluating the patient’s progress. • Explaining complicated medical terms in plain language. • Educating patients on their chronic conditions including teaching “red flags,” developing plans during an exacerbation, and identifying barriers to important care elements such as medication adherence. • Partnering with the TOC Nurse Practitioners and Physicians to ensure smooth handoffs, comprehensive follow-up, and coordinated care during the post-discharge period. • Referring patients to Devoted Medical when applicable and working closely on partnering for patient care. • Working closely with Devoted Community Guides (locally-based social workers) to identify community-based organizations to support our patients in meeting their goals. • Coordinating post-treatment care and DME needs. • Collaborating closely with our PCP partners, to coordinate care and deliver evidence based, effective, and accessible health care.

🎯 Requirements

• An unrestricted Compact RN license obtained in the United States with the ability to secure other licensure states • 3-4 Years of Experience of RN Care Management/telephonic case management experience • Enthusiasm for working in a setting where meaningful time is spent on the phone with patients and/or their caregivers to build trust, educate, and coordinate care • Comfort and confidence working in an environment guided by performance and productivity metrics, with a focus on quality outcomes and patient experience • Health insurance experience, particularly Medicare Advantage • Prior Special Needs Plan, Population Health, or Transitions of Care case/care management experience • Clinical analytical thinking that allows you to apply your skills to the individual needs of each patient • Telephonic care/case management experience

🏖️ Benefits

• Employer sponsored health, dental and vision plan with low or no premium • Generous paid time off • $100 monthly mobile or internet stipend • Stock options for all employees • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles • Parental leave program • 401K program • And more....