Clinical RN Comp Care - Remote

Sharecare • Full-time • Remote (US) • 5d ago

Job Description:

Sharecare is the leading digital health company that helps people – no matter where they are in their health journey – unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit

www.sharecare.com

Start date: January 20, 2024

Shift:

Split Shift: Monday - Friday, 7-11am and 4-8pm CT. Required to work every 3rd Saturday from 8am-4:30pm CT.

Training: 4 weeks from 8am – 4:30pm CT. Due to the structured training schedule, new hires are unable to miss any days of training for the first 90 days. Hours are on Central Standard Time.

Job Summary:

The RN has the responsibility for supporting the goals and objectives of the care enhancement program by providing high quality telephonic support in an appropriate, efficient and cost-effective manner while ensuring high quality care. The RN coordinates with the Primary Care Provider and all other members of the health care team to support appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for early identification of those assigned participants who are at risk for increasing acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines.

An RN is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate in the orientation and to take the pre and posttests to review competency during orientation. Yearly competency test is required for all Sharecare clinicians.

Essential Job Functions:

Achievement of Clinical Objectives

Reviews status of participant’s preventive health exams as defined by the disease-specific Standards of Care guidelines. Initiate appropriate interventions for member.

Contacts participant by telephone as needed for information sharing, assessment, intervention, and behavioral goal setting.

Identifies educational needs of participant and facilitate educational opportunities (i.e., mails patient education materials; refer to health plan if appropriate).

Reviews participant’s functional status, formal and informal family support system, determining participant’s desired outcome of care and needs for participant education.

Develops and facilitates implementation of a care plan addressing the total healthcare needs of the participants. Specific focus and resources will be directed to the specific problem resulting in the appropriate stratification level.

Identifies participant barriers to accessing health care services. Coordinates with Provider Service Managers and/or other members of the disease management program team when available to remove system barriers.

Functions as integral part of the multi-disciplinary team. Facilitates communication exchange with primary managing physician and other providers, health plan, and the disease management program team.

Coordinates with other colleagues to ensure continuity of care for assigned participant panel to avoid gaps in care or call campaigns.

Accepts warm transfer calls from non-RN colleagues for assessment and/or additional discussion with participant when necessary.

Specific Skills/ Attributes:

Excellent listening skills.

Ability to be self-directed, highly organized, and proactive.

Qualifications:

This position requires a responsive, committed individual who recognizes the impact of the health care delivery system on the clinical and financial outcomes of the member population and can identify and take action to facilitate system improvements.

The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Current RN license appropriate for the state in which the Business Unit is located and able to obtain licensure in other states, as required by state law or contract.

The successful candidate must possess a High School diploma and a Diploma in Nursing, an Associate’s Degree in nursing or Bachelor’s Degree in nursing with a BSN preferred.

Minimum of 3 years recent experience in a clinical setting.

Basic knowledge of physiology and chronic disease appropriate for an RN.

Language Skills: Ability to communicate with members, other members of the team, physicians, and plan representatives. Effective oral and written communication skills. Ability to read, analyze, and interpret common scientific and technical journals. Ability to effectively present information to audiences with a variety of knowledge/skill levels.

Math Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, percent and to draw and interpret bar graphs.

Reasoning Ability: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exits. Ability to interpret and organize data in an effective and useful manner; ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Computer Skills: To perform this job successfully, an individual should have basic computer skills and be familiar with a Windows operating system.

Counseling/Teaching Skills: Able to effectively educate people in a telephonic environment utilizing and promoting adult learning and behavior change as needed.

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.