Belong Health is hiring a
RN Care Manager

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Belong Health

πŸ’΅ $90k-$105k
πŸ“Remote - Worldwide

Summary

Join Belong Health as a Registered Nurse (RN) Care Manager for the ACO Reach program, where you will apply care management principles to engage beneficiaries and providers, coordinate care, and develop individual care plans.

Requirements

  • Two or more years of experience in a health plan, health care organization (i.e. hospital or clinic), or Accountable Care Organization (ACO)
  • Proficient in navigating multiple systems; strong demonstrated PC skills using Microsoft applications
  • Experience in participating in cross departmental projects and policy and procedure changes, including coordination of activities and initiatives across departments
  • Excellent customer service, trend identification, and analytical skills, with a demonstrated ability to problem solve effectively and efficiently; strong organizational and follow-through skills
  • Commitment to high ethical standards in all work; protects the privacy of member and company data and exercises discretion in handling confidential member information
  • Excellent oral and written communication skills, including presentation skills
  • Strong active listening, issue assessment and problem-solving skills
  • Self-directed and able to work autonomously and as part of a collaborative team
  • Comfortable in a fast-paced environment with multiple cases; able to organize and prioritize work
  • Excellent time management skills; organized and able to prioritize
  • A Bachelor of Science in Nursing (BSN) or equivalent is required
  • Active, unrestricted compact nursing license is required

Responsibilities

  • Work directly with beneficiaries, their families and/or advocates, providers, and community service organizations on an ongoing basis to coordinate care that is safe, timely, effective, efficient, equitable, and reduces barriers to care
  • Orient new members to the Belong Health ACO program and educate the beneficiary and/or caregivers to care management services
  • Advocate, empower, inform, and educate beneficiaries on self-management techniques
  • Conduct assessments to identify barriers and opportunities for intervention
  • Develop and implement the individual care plan (ICP)
  • Lead interdisciplinary care team meetings
  • Collaborate with provider, social workers, discharge planners, and community-based service providers to coordinate care and achieve care plan goals
  • Document all care management activities in the appropriate system in accordance with internal and established documentation procedures
  • Review electronic health records to gather information about beneficiary medical, behavioral health, and social conditions
  • Promote a culture of accountability and performance to meet and exceed personal service vision goals and ensure timely and satisfactory resolution of highly complex, specialized, and non-routine customer issues

Preferred Qualifications

  • Previous care management experience
  • Knowledge of community services and resources
  • Bi-lingual Spanish speaking

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