Transitions of Care RN Case Manager

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $85k - $100k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

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Devoted Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • 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

• Provide telephonic, short-term, interdisciplinary care management during the 30 days post-discharge for patients at high risk for readmission • Advocate for patients, coordinate care, and ensure necessary resources and support • Engage newly discharged patients telephonically to understand their needs using technology and data tools • Conduct assessments covering comorbid conditions, ED/hospitalization history, medications, psychosocial factors, and patient values and preferences • Develop care plans with patients and caregivers, including problems, goals, and interventions, and continuously evaluate progress • Explain complicated medical terms in plain language • Educate patients on chronic conditions, red flags, exacerbation plans, and barriers such as medication adherence • Provide active care management to close care gaps • Partner with TOC Nurse Practitioners and Physicians for smooth handoffs, follow-up, and coordinated post-discharge care • Refer patients to Devoted Medical when applicable and collaborate on patient care • Work with Devoted Community Guides to identify community-based organizations supporting patient goals • Coordinate post-treatment care and DME needs • Collaborate with PCP partners to coordinate evidence-based, effective, and accessible healthcare

🎯 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 • Candidates located in CT/MT/PT time zones • Enthusiasm for working in a setting where meaningful time is spent on the phone with patients and/or their caregivers • 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 • Parental leave program • 401K program