Transitions of Care RN- Carebridge 100% Virtual- Bilingual Preferred
Core
Conduct behavioral or clinical assessments and coordinate health coaching plans for members with chronic diseases to improve health management and facilitate referrals.
Role type
Licensed Nurse (Transitions of Care RN)
Builds
Health coaching plans and care coordination interventions
Domain
Healthcare / Chronic Disease Management
Required skills
Clinical assessment, Health coaching, Motivational interviewing, Care plan coordination, Referral management, Disease management
Preferred skills
Bilingual Spanish, Case management, Home health experience, Chronic disease management
Technologies
None stated
Responsibilities
Conduct behavioral or clinical assessments to identify member needs, Coordinate specific health coaching plans, Interface with providers to coordinate care plans, Implement and monitor effectiveness of interventions, Direct members to facilities and agencies, Refer members to catastrophic case management