Future RN's within HMC - 40691 - (US-CO-Denver - 80299)

Minimum Education: Tech School
Job Type: Full Time
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Complex Care:
Performs care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum and ensuring member access to services appropriate to their health needs. Primary duties may include, but are not limited to: Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. Works with member to assess knowledge of condition, educates where necessary with goal of improving health and health behavior. Implements referrals as appropriate. Coordinates internal and external resources to meet identified needs. Monitors and evaluates effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.

Disease Management/Condition Care:
Participates in delivery of patient education and disease management interventions and performs health coaching for members, across multiple lines, for health improvement/management programs for chronic diseases. Essential duties may include, but are not limited to: 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. Monitors and evaluates 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 as appropriate.

Skills:
* As business needs may require, this position may require additional state licenseseither now or in the future. Inability or unwillingness to obtain these required licenses may result in either re-assignment (if available) or termination. Obtaining required licenses is arequirement for continued employment* Current unrestricted Colorado RN license and 2-3 years of condition specific clinical or home health/discharge planning experience or any combination of education and experience which would provide an equivalent background. (Complex Care area requires5 years clinical experience.* Hours during initial training will be full time 40 hours per week 8:30am-5pm Monday - Friday. After this available shifts include:Full Time: 12:30-9pm (5 days), 10:30am-9pm (4 days) or a Split Shift between a.m. and p.m. hours. Also one Saturday per month.* This position is a staff level position as an RN within a Call Center environment.* Requires strong oral and written communication skills, analytical and research skills, motivational skills, and PC skills to include word processing, spreadsheet, and database applications, organizational and problem-solving skills, and decision-making skills.* Prior case management experience preferred.

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