Senior Care Specialist, Registered Nurse

This is a fully remote position, open to applicants in United States.

📋 Description

• Perform telephonic health evaluations for members of Medicare, Medicaid, and/or group health plans.

• Create actionable, personalized, and quantifiable care plans tailored to member needs and recognized health risks.

• Build health coaching relationships with members, offering education, motivation, and support regarding chronic condition management.

• Utilize clinical nursing judgment to evaluate member needs and coordinate suitable interventions for urgent situations.

• Assist with transitions of care and safe discharge planning, encompassing coordination of durable medical equipment (DME), home health services, provider appointments, and other essential resources.

• Aid members and caregivers in navigating healthcare benefits, services, and available care options.

• Evaluate physical, environmental, and psychosocial factors that may influence a member's health and overall well-being.

• Collaborate with multidisciplinary teams, including social workers, dietitians, pharmacists, healthcare providers, and other professionals.

• Encourage member self-management by providing education and resources tailored to individual health conditions and objectives.

• Coordinate care and condition management activities among members, caregivers, providers, and other members of the care team.

• Accurately document member interactions, assessments, care plans, interventions, and outcomes in a timely manner within relevant systems.

⛳️ Requirements

• Unrestricted Registered Nurse (RN) license active in the state of residence.

• Active Compact RN license allowing practice in applicable compact states.

• At least 2 years of clinical nursing experience; 3 or more years preferred.

• Strong clinical judgment, critical thinking, and problem-solving abilities.

• Capability to work independently and apply appropriate nursing judgment in a remote setting.

• Intermediate to advanced proficiency in computer skills, including Microsoft Word, Excel, and Outlook.

• Ability to efficiently navigate various computer systems and electronic medical records.

• Excellent verbal and written communication skills.

• Experience with elderly and/or chronically ill populations is preferred.

• Background in care coordination, case management, or managed care is preferred.

• Familiarity with Medicare and/or Medicaid populations is preferred.

• Experience in chronic condition management and patient education is preferred.

• Knowledge of telephonic nursing, health coaching, or remote care management is preferred.

• Experience working within a multidisciplinary healthcare team is preferred.

🏝️ Benefits

• Employees who remain in the role for the required duration may be eligible for bonuses and/or other incentives.

• Daily Pay: Eligible employees may access earned wages before their scheduled payday, subject to applicable program terms.

• Work-from-home options / fully remote work arrangement.