Personal Health Nurse

Job not on LinkedIn

🕒 August 6

🇺🇸 United States – Remote

💵 $64.2k - $96.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Logo of Tenet Healthcare

Tenet Healthcare

10,000+ employees

🏥 Healthcare

👥 B2C

💰 $2G Post IPO debt on 2022-07

Healthcare • B2C

Tenet Healthcare is a for-profit healthcare services company that owns and/or operates hospitals and hospital programs through subsidiaries and affiliates across the United States. The company's website and materials describe acute-care hospitals, emergency centers, specialty services (including cancer centers and advanced cardiac imaging), medical office buildings, physician careers and community health networks; Tenet emphasizes compliance, community service, and clinical innovation.

📋 Description

• Manage accounts using the 4-Prong approach, meeting expected billable hours and using Conifer Value Based Care tools according to standard protocol • Document Status, Sub-status, Patient Severity, and Medical Management Acuity accurately • Review the daily calendar for new episodes and due tasks and prioritize activities • Complete Personal Health Management assessments using clinical claim charts, member discussions, and physician assessment and treatment plans • Identify and document member goals and engage members in the Personal Health Management process • Develop and maintain individualized plans of care with timeframes, expected outcomes, interventions, and member goals • Follow through on interventions and document outcomes in the Current Clinical Status section of the care plan • Engage PCPs and treating physicians in the Personal Health Management process • Collaborate with members and PCPs to develop individualized plans of care • Close episodes as indicated, including evaluating impactability • Interface with clients and CCCS client managers regarding medical management of designated clients • Perform Personal Health Management and some Utilization Management functions • Travel approximately 5–30% depending on the assigned client

🎯 Requirements

• Bachelor’s degree in a health-related field • Three to five years of diverse clinical experience required • Five years of UM/CM experience preferred • RN (Registered Nurse) license required • Current active professional license in the state of residence • Eligibility for unrestricted professional licenses in all states • CCM preferred • Understanding of holistic medical management and client needs • Understanding of legislative acts such as the ADA • Competency in Microsoft Word and email with attachments • Excellent verbal and written professional communication skills • Ability to analyze and resolve complex problems • General understanding of cost containment and its relationship to medical management • Excellent organizational, prioritization, and time management skills • Ability and willingness to work independently and as part of a team • Ability to work seated, use a computer, and answer the telephone • Ability to travel and walk through hospital-based departments, including Emergency Department environments • Required vaccinations and screenings may need to be obtained and confirmed before employment, as applicable and permitted by law

🏖️ Benefits

• Medical, dental, vision, disability, life, and business travel insurance • Paid time off (vacation & sick leave) – min of 12 days per year • 401k with up to 6% employer match • 10 paid holidays per year • Health savings accounts • Healthcare and dependent flexible spending accounts • Employee Assistance program • Employee discount program • Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance • Colorado paid leave in accordance with Colorado’s Healthy Families and Workplaces Act • Sign-on and relocation bonuses may be available for management level positions • Competitive benefits package • Resources, incentives, and leadership to support career development

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