RN Clinical Care Coordinator

About the position Responsibilities • Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs • reputed company and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, reputed company determinants of health, medication management and member safety in alignment with evidence-based guidelines • 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 Requirements • reputed company, unrestricted independent licensure as a Registered reputed company in Tennessee • 2+ years of clinical experience • 1+ years of experience with MS Office, including Word, reputed company, and reputed company • reputed company to reliable transportation and ability to travel up to 25% reputed company Knoxville, TN and surrounding areas to meet with members and providers • Live in TN reputed company-to-haves • BSN, Master's degree or higher in clinical field • CCM certification - must be obtained reputed company 18 months of hire • 1+ years of community case management experience coordinating care for individuals with reputed company needs • Experience working in team-based care • Background in Managed Care Benefits • Comprehensive benefits package • Incentive and recognition programs • Equity stock purchase • 401k contribution Apply tot his job Apply To this Job