Care Manager RN/Coach

ESSENTIAL FUNCTIONS

• Develops personalized treatment plans using provider care plans and member preferences using a coach approach and the pillars of Lifestyle Medicine
• Supports a proactive, multidisciplinary team approach directed toward prevention, education and health promotion
• Establishes supportive relationship with members
• Assesses member’s educational / clinical / social needs, prioritizing care based on elicited information from the member, Epic, and data analysis
• Acts as resource for members
• Documents touchpoints and progress into the electronic medical record
• Collaborates with the full scope of clinical team members to arrange for further medical treatment when needed
• Provides support and tools needed to help members take control of their health
• Delivers exceptional member experiences and engaging members in their healthcare journeys
• Improves health outcomes and better management of any chronic condition
• Lowers healthcare costs while improving outcomes
• Consults with other members of the healthcare team to solve problems and seek advice
• Works closely with client’s vendors as appropriate to support member’s needs where appropriate
• Identifies emergency situations and provides care within legal scope of practice
• Maintains member privacy and confidential member information
• Participates in outreach / follow-up phone calls and follow-up member visits
• Provides condition specific self-care education to client employee enrolled in the various condition management programs
• Serves as member advocate
• Acts as facilitator of Care Team meetings.
• For clients with CC+, proactive outreach to high-risk members identified through claims data
• Coaches effectively virtually using video and phone
• Collaborates with health center staff to coordinate and promote health and wellness programs
• May require other duties as assigned.

JOB REQUIREMENTS

Education :

• Currently licensed Registered Nurse in state of practice
• Current certification AHA or ARC Basic Life Support for health care providers
• Current Wellness Coach Certification from Wellcoaches® OR equivalent International Coach Federation-accredited program certification (must be obtained within 24 months of hire)
• Bachelor's degree (BSN) from four-year college or university (preferred)

Experience :

• At least three years’ experience as a Registered Nurse caring for members with any of the following conditions : Type 2 diabetes, asthma, heart disease, heart failure or hypertension.
• Experience in Condition Management, Certificate in Case Management, Care Coordination, Certified Diabetes Educator (CDE) Certified Diabetes Care and Education Specialist (CDCES) a plus

Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves.

In addition to competitive pay, Premise offers benefits packages including medical, dental, vision, life insurance, 401(k), paid holidays and vacation time, a company-sponsored wellness program, and much more our talent acquisition team will be happy to share with you.