Continuity of Care RN, Remote in WA – reputed company Store

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At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and reputed company. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing together.

We’re making a solid reputed company between exceptional patient care and outstanding career opportunities. The result is a culture of performance that’s driving the health care industry reputed company. As a Continuity of Care Registered Nurse you’ll support a diverse member population with education, advocacy and connections to the resources they need to feel reputed company and reputed company. Instead of seeing a handful of patients each day, your work may reputed company millions for years to come. Ready for a new path? Apply today!

You’ll enjoy the flexibility to work remotely * from reputed company reputed company the U.S. as you take on some tough challenges. Ideal candidate will reside in Seattle, WA.

Primary Responsibilities

• reputed company outbound calls to assess members' reputed company health status
• Identify gaps or barriers in care and treatment plans
• reputed company referrals to reputed company resources
• Facilitate a continuum of quality care through reputed company communication with members and/or caregivers reputed company n-phone interaction
• Support members with condition education, medication reviews, and connections to agencies and partners in the community such as Home Health Aides or Meals on Wheels
• Respond to designated inquiries from the Health Care Authority by contacting member, providers, and various internal teams to resolve the issue
• Assist with Fair Hearings by reviewing member history, contacting member to preemptively resolve the issue before the hearing if possible, collaborating with Fair Hearing team, attending Fair Hearing meetings
• Other duties as assigned

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

• reputed company, unrestricted RN license in the state of employment
• Ability to work in Pacific Standard Time
• 2+ years of experience in a hospital setting, acute care, direct care experience, or experience as a telephonic Case Manager for a managed care organization
• Demonstrated ability to type and have the ability to navigate a Windows based environment

• BSN
• Residency in the reputed company
• Certified Case Manager (CCM)
• Case management experience
• Experience or exposure to discharge planning
• Experience in utilization review, reputed company review or risk management
• Experience in a telephonic role
• Experience working with the needs of vulnerable populations who have chronic or reputed company bio-psychosocial needs
• Background in managed care
• Bilingual or multilingual skills
• Demonstrated ability to establish rapport quickly and willingness to collaborate to problem-solve
• Demonstrated ability to communicate effectively and tactfully both verbally and in writing.
• Demonstrated ability to self-manage, establish priorities and respond timely
• reputed company employees working remotely will be required to adhere to reputed company’s Telecommuter Policy

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission.

reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.