Care Manager, Registered Nurse - Remote - Care Manager
Company: Sharecare
Location: Alexandria
Posted on: April 18, 2024
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Job Description:
Care Manager, Registered Nurse - Remote
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
Job Summary:
The Care Manager supports the implementation of the CareFirst Value
Based Care Management program by working with CareFirst members.
The Care Manager partners with members, caregivers and the
interdisciplinary care team to ensure members have an effective
plan of care and positive member experience that leads to improved
health outcomes. The Care Manager will advocate, guide and
intervene on behalf of their members to ensure successful
completion of member goals, while providing Complex Case Management
and strategies for health self-management through the duration of
the care plan.
Essential Job Functions:
* Research and identify members with acute and complex health
conditions.
* Engage telephonically with members, caregivers, and providers to
develop a comprehensive plan of care, identify key strategic
interventions, and address the members needs at various stages
along the care continuum.
* Assess the member's ongoing care needs and progress towards goals
throughout the plan duration and make revisions as needed to
address changes in the member's condition, lack of progress toward
goals of the care plan, preference changes, and transitions in care
settings. Coordinates plan of care with goals of member
stabilization, decreased admissions, medication management,
behavior change and ability to self-manage.
* Coordinate patient education in support of standards of care
guidelines and related health issues using the most appropriate
modality for the member.
* Identify relevant benefit and community resources, evaluates
Social determinants of Health and facilitates referrals based on
member need.
* Assist the member in coordination of any additional tests, images
and consults with specialists.
* Perform medication reconciliation at the onset of care plan,
after changes in health status, and every thirty days during the
life cycle of the care plan, assessing for efficacy and drug
interactions/side effects.
* Facilitate and monitor the transition of care which involves
moving the member from one healthcare practitioner to another as
their healthcare needs change. Implements and oversees the agreed
upon plan of care as well as coordinates member follow-up post
discharge.
* Utilize established documentation standards to maintain quality
of care plan documentation to include member progress toward their
established state of being and barriers to achievement of care plan
objectives and outcomes.
* Abide by Value Based Care Management Program Description and
Guidelines.
* Complete mandatory training.
* Actively participate in team huddles and contribute to clinical
learning.
* Remain current on clinical knowledge via self-directed
learning.
Specific Skills/ Attributes:
* Ability to be self-directed, highly organized and proficient in
problem solving skills.
* Comfort with managing multiple tasks and continually
re-prioritizing.
* Ability to meet established deadlines.
* Exceptional oral, written, and presentation skills.
* Ability to effectively communicate and provide positive customer
service to internal and external customers, meeting the
expectations for service excellence.
* Successfully partner with all levels of administrative and
professional personnel.
* Demonstrate resilience and effectively work in a fast-paced
environment with frequently changing priorities, deadlines, and
workloads.
* Success with engaging members. Outstanding customer service
skills and ability to adapt approach to various personalities.
* Ability to extrapolate information from a variety of sources
including medical records to create concise records that accurately
depict the medical "story" of the member.
* Proficiency with data analysis and ability to organize data in
support of reporting needs.
* Ability to proactively identify and assimilate quality
improvement processes into practice.
* Experience with medically oriented care plan documentation.
* Experience working effectively within a matrix organizational
design.
Qualifications:
* Current multi-state compact Registered Nurse licensure in state
of residence is required, with ability to obtain additional
licenses without restriction. BSN preferred.
* Training in motivational interviewing preferred.
* Minimum 3-5 years clinical experience in any of these areas:
acute care, home health, physician office management, managed care
organization, provider relations, pharmaceutical sales.
* Demonstrates computer competencies to include word processing,
spreadsheet, presentation preparation, and database management.
Demonstrated ability to learn customized computer applications.
* Maximize all technology inclusive of Microsoft Teams, Microsoft
Word, Microsoft Excel, Microsoft Outlook, laptop computers, and all
other relevant unified communication technologies.
* This position will be based from a home office which must satisfy
all HIPAA requirements.
Note: The incumbent is required to immediately disclose any
debarment, exclusion, or other event that makes him/her ineligible
to perform work directly or indirectly on Federal health care
programs.
Sharecare, Inc. 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.
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.
Keywords: Sharecare, Annandale , Care Manager, Registered Nurse - Remote - Care Manager, Executive , Alexandria, Virginia
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