Transitions of Care RN 100% Virtual, CareBridge
About the role
The Transitions of Care RN-Carebridge is responsible for delivering patient education and disease management interventions, performing health coaching for members across multiple lines, and managing care plans for chronic diseases.
Responsibilities
- Conducts behavioral or clinical assessments to identify individual member knowledge, skills, and behavioral needs.
- Identifies and/or coordinates specific health coaching plan needs to address objectives and goals identified during assessments.
- Interfaces with provider and other health professionals to coordinate health coaching plan for the member.
- Implements and/or coordinates coaching and/or care plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioral health needs.
- Uses motivational interviewing to facilitate health behavior change.
- Maintains and evaluates the effectiveness of interventions and/or health coaching plans and modifies as needed.
- Directs members to facilities, community agencies, and appropriate provider/network.
- Refers member to catastrophic case management.
Requirements
- Requires AS in nursing and minimum of 2 years of condition specific clinical or home health/discharge planning experience; or any combination of education and experience, which would provide an equivalent background.
- Current unrestricted RN license in applicable state(s) required.
Preferred Skills, Capabilities And Experiences
- RN compact license is highly preferred.
- BS in nursing preferred.
- Prior case management experience preferred.
- Bilingual in Spanish is highly preferred.
- Experience working with members that have chronic diseases is highly preferred.
- Experience working in home health is preferred.
Benefits
At Elevance Health, we offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Schedule
Work Hours: Monday - Sunday with mandatory 2 weekends a month (4, 10 hour shifts) Eastern Time: 8:00AM - 7:00PM All other time zones: 7:00AM - 6:00PM, 8:00AM -7:00PM or 9:00AM -8:00PM
Pay
Commensurate with experience.