RN Care Navigator

Job not on LinkedIn

🔥 13 hours ago

🐊 Florida – Remote

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💵 $71.1k - $97.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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Logo of CenterWell Senior Primary Care

CenterWell Senior Primary Care

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

CenterWell Senior Primary Care is a healthcare provider focused on delivering personalized primary care to senior citizens. The company emphasizes a comprehensive and holistic approach to healthcare, addressing the physical, social, and emotional needs of older adults. As part of its service offerings, CenterWell includes home health services and pharmacy support to complement its senior primary care. The organization is committed to offering stability, inclusive benefits, and career growth opportunities for its employees while maintaining a culture of mutual respect and mindfulness. CenterWell is a brand under the larger healthcare entity, Humana.

📋 Description

• Assess and evaluate members’ needs and requirements to achieve and maintain optimal wellness • Guide members and families toward appropriate care and wellbeing resources • Conduct transitions-of-care management for hospital, observation, and post-acute care follow-up • Complete post-discharge outreach and assessments covering discharge needs, medication understanding, PCP follow-up, symptoms, barriers, and support needs • Coordinate PCP follow-up appointments and oversee discharge instructions and next steps • Provide assessment guidance and supportive consultation to team members • Handle escalated complex cases within RN scope of practice • Develop a holistic view of patient needs related to Social Determinants of Health • Identify barriers to engagement with necessary resources and supports • Educate patients on chronic health conditions, medications, symptom monitoring, behavioral care options, and social support resources • Liaise between patients, caregivers, providers, practice contacts, and interdisciplinary team members • Support patient self-determination and motivate patients toward identified health goals • Refer patients to services and supports across interdisciplinary and community resource networks • Participate in interdisciplinary care team and provider/practice touchpoints for transition-of-care coordination • Support family and caregiver systems and participate in virtual patient/family discussions • Maintain patient confidentiality in accordance with HIPAA • Document patient encounters and outreach promptly in designated systems • Follow fire safety, infection control, attendance, and remote work policies • Report to the Associate Director, Clinical Strategy & Program Development

🎯 Requirements

• Registered Nurse (RN license) • 4+ years of experience working in human services, care coordination, care management, case management, or transitions of care • Advanced clinical experience • Experience working in a fully remote/work-at-home environment using electronic documentation and approved systems • Private, secure workspace appropriate for confidential patient communication and HIPAA-compliant documentation • Flexibility to transition and adjust in an evolving role • Compassion and desire to advocate for patient needs • Ability to maintain confidentiality and protect PHI in a remote work setting • Ability to work in the Eastern Time Zone • Minimum internet speed of 25 Mbps download and 10 Mbps upload • Preferred: experience in care/case management, transitions of care, or post-discharge patient support • Preferred: prior value-based care experience and experience with complex senior populations • Preferred: experience working with interdisciplinary teams and PCP practice partners • Preferred: experience providing patient education related to chronic condition management, medications, discharge instructions, and follow-up coordination • Preferred: bilingual English and Spanish or Creole, with ability to speak, read, and write both languages without limitations or assistance • Preferred residence in the Treasure Coast, FL area

🏖️ Benefits

• Bonus incentive plan based upon company and/or individual performance • Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Remote work arrangement • Occasional travel to Humana offices for training or meetings

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