Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Nurse Coach- (Remote)

Expired Job

Carecentrix Hartford , CT 06183

Posted 5 months ago

Overview

The Nurse Coach utilizes clinical expertise to manage assigned Post-Acute Care patients' transition from acute care setting to the home setting through telephonic outreach to provide education, coaching and care coordination to accomplish the goals of the Post-Acute Care Program.

Responsibilities

  • Engages Post-Acute Care patients in the program and administers initial assessments, progress surveys and discharge surveys in an effort to prevent readmissions.

  • Engages Post-Acute Care patient in the program and performs assessments that directly tie to reducing readmissions.These include but are not limited to: Educating members regarding their Discharge Instructions, ensuring a follow up PCP appointment is in place, medication reconciliation, educating on the signs and symptoms of their condition, referral to community resources and caregiver support.

  • Works closely with the Post-Acute Care patient home health agency nurse, and physicians to facilitate education and adherence to establish health care goals and care plan.

  • Using clinical expertise, reviews utilization information concerning patient care and matches those needs to available care options, within the Post-Acute Care Program and specific plan payer criteria.

  • Documents all interactions, guidance and interventions in applications

  • Acts as a clinical resource for Post-Acute Care Coordinators, assisting to clarify referral source directives. Receives/responds to requests from unlicensed staff regarding scripted clinical questions and issues.

  • May support on-going reauthorization decisions for Post-Acute Care patients and issues service reauthorizations for the home care provider based on medical necessity and payer benefit guidelines.

  • Contacts referral sources to advise them of referral status. Relays referral status and updates to the assigned health plan case managers.

  • Participates in and contributes to ongoing quality assessment/improvement activities, ensures the collection of data for improvement analysis and prepares reports as requested.

  • Participates in an annual Inter-rater reliability Testing Process

  • Typical work schedule is Monday thru Friday 8am to 6pm. Based on business needs, evening and weekend coverage may be needed at times.

Qualifications

  • Associate's or Bachelor's Degree in Nursing and licensure in the state(s) of practice required.

  • Minimum of 5 years of experience as a Registered Nurse

  • Expertise in Case Management and knowledge of URAC standards

  • Broad knowledge of health care delivery/managed care regulations, contract terms/stipulations, prior Case Management/review experience, and governmental home health agency regulations required.

  • Excellent negotiation, communication, problem solving and decision making skills also required.

upload resume icon
See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Risk Management Associate Remote Opportunity New England States

Vanliner Insurance Company

Posted 5 days ago

VIEW JOBS 1/13/2019 12:00:00 AM 2019-04-13T00:00 Overview National Interstate is a member of Great American Insurance Group. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes. Our offerings include traditional insurance and innovative alternative risk transfer (ART) programs, including more than a dozen group captive programs catering to niche wheels markets. We are proud to be a multiple Northcoast 99 winner and Cleveland Plain Dealer Top Workplace in Northeast Ohio. It is because of our talented and dedicated team that we are able to live out our company values of integrity, transparency, fairness, accountability, empowerment and collaboration with each transaction we make. If you are ready to join an engaging and driven team such as ours, we would love to hear from you! Responsibilities * Conducts loss prevention surveys / physical inspections of commercial accounts: * Provides underwriters with an accurate description of the physical and operational details of an insured. * Identifies hazards and potential loss exposures and makes recommendations to eliminate or reduce the potential loss. * Consults with underwriters and other staff regarding account / line-of-business acceptability, exposures and controls pertinent to the various lines of business. * Assists underwriters and other staff relative to account operations, exposures, construction and protection. * Conducts accident investigation and loss analysis to identify causes. * Employs effective sales and communication skills to achieve compliance with recommendations and provides safety and / or supervisory training to insureds. * Conducts joint marketing presentations, in conjunction with Underwriting, Claims and Marketing, to accounts and agents. * Maintains working knowledge of company / department manuals and procedures, and relevant Federal, State and other pertinent codes and regulations applicable to Property, Liability and Casualty lines of coverage. * Performs other duties as assigned. Qualifications * Bachelor's Degree or equivalent experience. * 6 months to 3 years of related experience. Working toward completing certification in area of chosen expertise; appropriate certifications could include Certified Safety Professional (CSP), Certified Fire Protection Specialist (CFPS), Associate Risk Management (ARM), Certified Safety and Health Management (CSHMS), Associate Loss Control Management (ALCM) or Occupational Health and Safety Technician (OHST). * This position will be for a remote employee in the New England territory. The position will require 50-60% of travel. Vanliner Insurance Company Hartford CT

Nurse Coach- (Remote)

Expired Job

Carecentrix