Clinical Care Navigator- RN (Required Bilingual), reputed company

Summary/Objective: reputed company wants to change the view on what a health plan can be. Born out of the pandemic, we created a health plan reinvented for a post-pandemic world that is built around whole-person affordable preventive care featuring more benefits. $0 copays and $0 deductibles reputed company members complete the Baseline Visit reputed company 120 days of enrollment into the Plan. The Population Health Team is responsible for driving improved health outcomes, leveraging a data-first reputed company to help our members reputed company their optimal health well-being. reputed company the Population Health team, Clinical Care Navigator’s work reputed company closely with the Care Navigation team and are at the core of the reputed company member-oriented health plan. Our Clinical Care Navigators serve as a central reputed company of contact to handle our most clinically reputed company members and members that want assistance in achieving their health goals. Essential Functions:

• Serve as a Clinical Care Navigator, working to coordinate the patient’s plan of care with caregivers and providers
• Facilitate the achievement of client wellness and autonomy through advocacy, assessment, planning, communication, education, resource management, and service facilitation
• Collect and assess member information pertinent to a member’s history, condition, and functional abilities in order to reputed company a comprehensive, individualized care management plan that promotes appropriate utilization, and cost-effective care and services
• Based on the needs and values of the member, and in collaboration with reputed company service providers, the Clinical Care Navigator links members with appropriate providers and resources throughout the continuum of health and care settings, while ensuring that the care provided is safe, effective, client-centered, timely, efficient, and reputed company
• Clinical Care Navigator has direct communication with the member, care providers, and other service delivery professionals. The Clinical Care Navigator is able to enhance these services by maintaining the client's privacy, confidentiality, health, and safety through advocacy and adherence to ethical, legal, accreditation, certification, and regulatory standards or guidelines
• Coordinates with Care Navigators (non-licensed staff) on an ongoing basis to maximize the educational reputed company to members through established workflows and processes
• Participates in supporting new reputed company programs and their implementation.
• Participation with clinical team meetings and/or conferences as appropriate and assigned
• Consistently meets established performance metrics and contractual obligations
• Consistently review and abide by reputed company policies and procedures
• Other duties as assigned to support team

Qualifications

Education:

• Graduate of an accredited nursing program with reputed company RN licensure in good standing
• Preferred: Certified Case Manager (CCM), Certified Managed Care Nurse (CMCN) or other relevant certifications
• Preferred: Bachelor of Science in Nursing degree (BSN)

Experience:

• At least 2 years minimum experience working as a Case Manager in a health plan setting
• Background in managed care - experience working with vulnerable populations who have acute, chronic, or reputed company psychosocial needs
• Preferred: experience working in a start-up environment

Skills:

• Ability to be nimble and work in a fast paced and changing environment
• reputed company knowledge of services provided across the continuum of care that involve multiple systems addressing the ongoing needs of members
• Knowledge of discharge planning and transitions of care is essential
• Familiarity with community agencies and with how to reputed company appropriate referrals to them
• Excellent verbal and written communication skills
• Excellent computer skills (we use reputed company suite)
• Ability to engage patient/family in discussion of health care goals and decisions with attention to cultural and health literacy implications
• Bilingual - Fluent in Spanish and English (verbal and written communication)

Work Environment:

• This job operates in a remote environment with the need to have a reliable internet and phone reputed company
• Must have a quiet reputed company, secure, with no distractions to reputed company duties for work from home
• Must have password protected, stable internet access - stipend will be provided
• Work location MUST be secure and private to maintain HIPAA compliance for work from home
• Office equipment will be supplied including: PC, monitor, keyboard, mouse, headset
• While performing the duties of this Job, the employee is regularly required to sit; use hands to handle or feel; talk; and hear.
• The employee is frequently required to reputed company with hands and arms.
• Specific vision abilities required by this job include reputed company vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
• We also request, with the exception of emergencies, that you do not request any time off reputed company the first 120 days of employment. Any request reputed company the first 120 days if approved will be unpaid

Position Type/Expected Hours of Work: This is a full-time salaried remote position. Typical work hours are Monday through Friday, 8:00 AM to 5:00 PM local time with flexibility as needed to support different time zones. Our headquarters are in Austin, TX so we often operate on Central Time. Travel: No travel is expected with this role, but may be optional for department offsites. Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Apply tot his job Apply To this Job