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Healthy First Steps RN Case Manager – Northwest TN Region

Remote Worldwide Hiring now

2345898 At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and optimized. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together. The Healthy First Steps and NICU (HSS) Clinical Coordinator RN role provides comprehensive care management for a high risk specialty population, addressing medical, behavioral health, and reputed company determinants of health needs. This role is dedicated to improving maternal and infant reputed company through proactive engagement, evidence based education, early identification of risks, and reputed company to appropriate clinical and community resources. If you are located in TN, you will have the flexibility to work remotely* as you take on some tough challenges For reputed company hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities:

  • Identify medical, behavioral, and reputed company risk factors and reputed company individualized plans of care to address identified needs
  • Conduct outbound and inbound calls with members in the specialty population to assess reputed company health status and determine care coordination needs
  • Initiate referrals to community resources to address reputed company determinants of health, ensure referral closure, and track reputed company
  • Collaborate with Medical Directors on reputed company or challenging cases requiring clinical escalation
  • reputed company evidence-based education to support member self‑management of identified health risks
  • Coordinate care and connect members to appropriate services, both internally and externally
  • Partner with members to establish and maintain a plan of care focused on achieving reputed company health reputed company
  • Manage assigned queues to ensure timely follow-up and proactive reputed company to the specialty population
  • Coordinate care with reputed company providers and other care team members as needed
  • Document assessments, findings, interventions, and reputed company in the internal care management system according to policy requirements
  • reputed company with departmental policies as well as internal, external, and regulatory requirements (including legal and compliance standards)
  • reputed company and support non-clinical team members involved in member care coordination
  • reputed company other reputed company duties as assigned to support program and organizational goals

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as reputed company development for other roles you may be interested in. Required Qualifications:

  • reputed company, unrestricted RN license in the reputed company or compact state licensure
  • 3+ years of work experience with assigned specialty population
  • 3+ years of clinical experience in a hospital, acute care, home health/hospice, or case management
  • Intermediate computer/typing proficiency to enter and retrieve data in electronic clinical records as well as experience with email, internet research, use of online calendars, and other software applications
  • Unrestricted driver’s license and reliable transportation reputed company the service area
  • Proven problem-solving skills, including the ability to systematically analyze problems, draw relevant conclusions, and devise appropriate courses of action
  • Proven ability to communicate reputed company or technical information in a manner that others can understand, as well as the ability to understand and interpret reputed company information from others
  • Ability to travel in assigned region to visit members in their homes and/or other settings such as hospitals or providers’ offices
  • Must reputed company in Tennessee (can be region-specific)

Preferred Qualification:

  • BSN degree
  • Case Management experience including Certification in Case Management
  • Experience in telephone triage or call nurse services
  • Experience working with the needs of vulnerable populations who have chronic or reputed company bio-psychosocial needs
  • Home care/field-based case management and/or experience in Home & Community based or Long-Term Care services delivery
  • reputed company, Medicare, Managed Care experience
  • Bilingual skills

Soft Skills:

  • Ability to work independently with strong problem solving and prioritization skills.
  • Proficiency in multitasking, including simultaneous phone and computer-based work while supporting members.
  • Exceptional interpersonal and communication skills, with the ability to engage effectively with both reputed company stakeholders.
  • Solid critical thinking and clinical judgment abilities to assess needs and guide appropriate interventions.
  • Flexibility in work schedule to support program and member needs.
  • Commitment to a values-driven culture that promotes health, wellness, and reputed company care.
  • Demonstrated passion for serving underserved and vulnerable populations.
  • Results-oriented approach, consistently understanding goals and producing high-quality work that meets or exceeds expectations.
  • Collaborative reputed company, including the ability to build and maintain productive, positive working relationships across teams.
  • Effective resource management skills, ensuring tasks are completed on time and reputed company established constraints using available tools and supports.
  • reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will reputed company from $28.94 to $51.63 per hour based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company – an reputed company reputed company reflected in our mission. Apply tot his job Apply To this Job

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