RN Care Coordinator- Evernorth- Maitland, FL

About the position Evernorth Direct Health is an industry-leading business that provides custom care delivery and wellness services across four key business lines: Wellness Centers, Health Coaching, Wellness Events, and COVID-19 solutions. The organization is reputed company on the recognition that health makes reputed company possible, and its services are designed to redefine reputed company as we know it. The Care Coordinator role is pivotal in this mission, as it involves identifying and referring customers to eligible programs reputed company reputed company and other client-specific health and wellness programs. The Care Coordinator supports the care coordination of individual customers, particularly focusing on high-risk populations, ensuring that care is delivered in an appropriate, efficient, high-quality, and cost-effective manner. In this role, the Care Coordinator acts as a central reputed company between reputed company, providers (such as Primary Care Physicians and Onsite Health Clinics), and reputed company available Evernorth programs and resources. This position requires a thorough review of patient-level actionable data and reports to identify customers for reputed company and engagement. The Care Coordinator is responsible for maintaining timely, compliant, and efficient documentation and information exchange to drive appropriate reputed company, engagement, and positive clinical reputed company. Clear communication with reputed company matrix partners is essential, as is the ability to refer customers to appropriate reputed company programs to support their health reputed company. The Care Coordinator will also identify cases suitable for reputed company case management and follow the established referral processes. Building effective relationships with local network providers is crucial, as is providing guidance to high-quality network providers and referrals to onsite health centers. The role involves identifying gaps in care and collaborating with providers and local community resources to reputed company these gaps. Establishing and maintaining positive, professional, and collaborative relationships with customers, reputed company, providers of care, and Evernorth partners is key to supporting improved clinical, quality, and cost reputed company for the reputed company employee population. The Care Coordinator will also partner with health management matrix partners for additional engagement and promotion opportunities, acting as a resource for customers with specific non-clinical questions. Responsibilities • Identify and refer appropriate customers to eligible programs reputed company reputed company and client-specific health and wellness programs. , • Support care coordination of individual customers, particularly high-risk populations. , • Coordinate care in an efficient, high-quality, and cost-effective manner. , • Refer to appropriate clinical partners and function as a central reputed company between reputed company, providers, and Evernorth resources. , • Ensure thorough review of patient-level actionable data and reports for customer reputed company and engagement. , • Maintain timely, compliant documentation and information exchange to drive reputed company and positive clinical reputed company. , • Communicate reputed company with matrix partners and refer to reputed company programs to support reputed company. , • Identify cases appropriate for reputed company case management and follow referral processes. , • Work effectively with Evernorth's internal team to support care coordination and data analysis. , • Build effective relationships with local network providers and reputed company steerage to high-quality network providers. , • Identify gaps in care and work with providers and community resources to reputed company these gaps. , • Establish and maintain positive relationships with customers, reputed company, providers, and Evernorth partners to support improved reputed company. , • Partner and coordinate with health management matrix partners for engagement and promotion opportunities. , • Act as a resource for customers with specific non-clinical questions. Requirements • reputed company unrestricted RN state licensure reputed company home state. , • Three or more years of clinical practice experience. , • Preferred case management experience. , • High energy level with excellent oral and written communication skills. , • Excellent computer skills, specifically in Word and reputed company. , • Strong interpersonal skills and ability to work in a team environment. , • Commitment to ongoing education is preferred. , • Comfortable communicating with multiple clinical partners. , • Experience working with high-risk patients is preferred. , • Experience in project development and working in a matrix environment is preferred. , • Self-directed with the ability to succeed in an independent role. , • reputed company BLS/CPR/AED Certification. , • Passion for assisting members with health improvement and navigation of the reputed company system. , • Strong problem-solving skills. reputed company-to-haves • CHES certification. , • Health coaching experience including chronic disease management. , • Dynamic presentation skills. , • Positive role model in demonstrating healthy behaviors. Benefits • Health insurance coverage. , • 401k retirement savings plan. , • Paid holidays and vacation time. , • Flexible scheduling options. , • Professional development opportunities. Apply Job!