Senior Care Specialist, Registered Nurse

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

📋 Description

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

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

• Build health coaching relationships while providing education, motivation, and support for managing chronic conditions.

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

• Assist in transitions of care and safe discharge planning, which includes coordinating durable medical equipment (DME), home health services, provider appointments, and other resources.

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

• Evaluate physical, environmental, and psychosocial elements affecting members' health and overall well-being.

• Collaborate with social workers, dietitians, pharmacists, healthcare providers, and other professionals in the healthcare field.

• Encourage member self-management through condition-appropriate education and resources.

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

• Accurately and promptly document member interactions, assessments, care plans, interventions, and outcomes in relevant systems.

⛳️ Requirements

• Valid, unrestricted Registered Nurse (RN) license in the state of residence.

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

• At least 2 years of clinical nursing experience.

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

• Capability to work autonomously and make sound nursing decisions in a remote setting.

• Proficient in intermediate to advanced computer skills, including Microsoft Word, Excel, and Outlook.

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

• Strong verbal and written communication skills.

• Preferred experience in caring for elderly and/or chronically ill populations.

• Preferred experience in care coordination, case management, or managed care.

• Preferred experience with Medicare and/or Medicaid populations.

• Preferred experience in managing chronic conditions and patient education.

• Preferred experience in telephonic nursing, health coaching, or remote care management.

• Preferred experience working within a multidisciplinary healthcare team.

🏝️ Benefits

• Potential eligibility for bonuses and/or other incentives for employees who remain actively employed throughout the required assignment duration.

• Daily Pay access to earned wages prior to the regularly scheduled payday, subject to applicable program terms.

• Work-from-home arrangement.