We all depend on healthcare throughout our lifetimes, for ourselves, and our families and friends, but it is notoriously difficult to navigate and understand. As an industry that comprises 20% of the US economy we think healthcare should work better for all of us. At Collective Health we believe it’s time for a new day in healthcare where as members we are informed and empowered to make the right care choices when the decisions are urgent and critical.
At Collective Health, Care Navigation plays a crucial role in helping people get the right support, at the right time, across a wide range of complex health needs. Care Navigation is a comprehensive care management program made up of our team of pharmacists, social workers, nurses, dietitians, and care coordinators that support people dealing with chronic or serious illnesses by guiding them on their journey to help them understand and navigate the disjointed U.S. healthcare system. In joining our Care Navigation team, you’ll have the important role of helping our members achieve better health at a lower cost. You will report to the Manager of Care Navigation.
Start Date:
What you'll do:
- Deliver coordinated, patient-centered virtual Care Management by telephone that improves members’ health outcomes.
- Lead outreach efforts to high-risk individuals and complete care management assessments and care plans for patients enrolled in the program
- Utilizes the Nursing Process and broad knowledge of the whole person, including pharmacy interventions, crisis interventions, and disease-specific education to support members in their care journey
- Help members navigate the complexity of the healthcare system, providing education and empowerment to support members in meeting their healthcare goals
- Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family.
- Identify and discuss current barriers related to members' current conditions and provide interventions to address these barriers and connections to relevant health benefit resources
- Work with other disciplines on co-managed cases and collaborate with other teams to assist with benefits and claims questions
- Coordinate necessary resources that holistically address members’ problems, whether clinical or social
- Provide compassionate, longitudinal follow-up care, building supportive relationships
- Participating in program case rounds and providing input for process improvement opportunities and resources for the team
- Use your expert care management knowledge to mentor and be a resource to other registered nurses on the Care Navigation team
- Other duties and projects as assigned by your manager
To be successful in this role, you'll need:
- Bachelor of Science in Nursing (BSN)
- You have an active RN license in a compact state with the ability to be licensed in other states as needed.
- You have 1+ years experience in case management
- You have 2+ years experience in a hospital or clinical setting
- Bilingual (English/Spanish) or (English/French)
- Maintain current nursing licensure by completing applications for renewal in a timely manner and by complying with all requirements for continuing education.
- Looking for RNs with experience in these areas: med/surg, cancer, behavioral health, maternity, critical care/emergency, pediatric, and community care.
- You are driven, passionate, attentive, enjoy change, and are excited to help people
- You can identify and implement best practices
- You excel at managing a caseload and can complete daily tasks and outreach
- Strong competence and ability to use multiple computer/medical record systems, as well as Google suite
- You are self-aware, able to prioritize and manage multiple assignments while maintaining department performance standards in a remote setting
- You can simultaneously talk, type, and navigate an electronic chart with ease
- You excel working in a telephonic care manager role with no direct/face-to-face patient contact
- A commitment to Collective Health's core values of integrity, transparency and trust
Pay Transparency Statement
This is a hybrid position based out of one of our offices: Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office three days per week (Plano, TX) or two days per week (Plano, TX). #LI-hybrid
The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/
About Collective Health
Collective Health is the leading health benefits platform that brings together medical, dental, vision, pharmacy, and program partners into an integrated solution that better enables employees and their families to understand, navigate, and pay for healthcare. By reducing the administrative lift of delivering health benefits, providing an intuitive member experience, and helping control costs and improve outcomes, the company guides employees toward healthier lives and companies toward healthier bottom lines.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact [email protected].
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