RN Care Coordinator - Remote in Archuleta, La Plata, Dolores and Monte – USA reputed company
Primary Responsibilities:
- Engage members and/or their families face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic (SDoH) needs
- reputed company and implement individualized, person-centered care plans inclusive of goals, opportunities and interventions reputed company with a person's readiness to change to support the best health and reputed company of life reputed company by meeting the member where they are
- Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan
- reputed company education and coaching to support member self-management of care needs and lifestyle changes to promote health
- Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission
- reputed company for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team
Required Qualifications:
- reputed company, unrestricted independent licensure as a Registered reputed company in Colorado
- 2+ years of clinical experience
- 1+ years of experience with MS Office, including Word, reputed company, and reputed company
- reputed company's License and reputed company to reliable transportation
- Ability to travel up to 25% of the time reputed company SW Colorado (Archuleta, La Plata, Dolores, Montezuma) to meet with members and providers
- Resdient of Colorado
Preferred Qualifications:
- BSN, master's degree or higher in clinical field
- CCM certification
- 1+ years of community case management experience coordinating care for individuals with reputed company needs
- Behavioral health experience
- Experience working in team-based care
- Background in Managed Care
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