Nurse Coach

Actalent

Nov 3, 2024

Applications are closed

Job
Full-time
Senior Level
Customer Relations
Healthcare
Tampa
Remote

Requirements

Health care
Managed care
Utilization management
Telehealth
Care management
Disease management
Registered Nurse license (NY or IL required)
5 full years of nursing experience (1-2 years of acute nursing experience required - e.g., emergency department, intensive care unit, critical care unit, med-surg, etc.)
Case management/triage experience (telehealth case management a plus!)
Strong communication skills
Ability to navigate through multiple systems/screens
Telehealth/remote work experience
Discharge planning experience
Experience in managed care
Prior experience with adult and geriatric nursing strongly preferred
Friendly and bright personalities preferred
Registered Nurse with a current and unrestricted multistate license
Expertise in telephonic case management
Excellent communication, problem-solving, and decision-making skills
Ability to effectively manage and prioritize tasks
Embrace values of accountability, consistency, engagement, empowerment, respect, and outstanding service
Demonstrated coachability or history of learning new Electronic Medical Record systems

Responsibilities

Engage Post-Acute Care patients in the program and administer initial assessments, progress surveys, and discharge surveys to prevent readmissions.
Perform assessments that directly tie to reducing readmissions, such as educating members about their discharge instructions, ensuring a follow-up PCP appointment is in place, medication reconciliation, educating on the signs and symptoms of their condition, and referring to community resources and caregivers.
Work closely with the Post-Acute Care patient home health agency nurse and physicians to facilitate education and adherence to established healthcare goals and care plans.
Use clinical expertise to review utilization information concerning patient care and match those needs to available care options within the Post-Acute Care Program and specific plan payer guidelines.
Document all interactions, guidance, and interventions in applications.
Act as a clinical resource for Post-Acute Care Coordinators, assisting to clarify referral source directives.
Receive/respond to requests from unlicensed staff regarding scripted clinical questions.
Support ongoing reauthorization decisions for Post-Acute Care patients and issue service reauthorizations for the home care provider based on medical necessity and payer benefit guidelines.
Contact referral sources to advise them of referral status and relay updates to the assigned health plan case manager.
Participate in and contribute to ongoing quality assessment/improvement activities, ensuring the collection of data for improved analysis and preparing reports as needed.
Provide evening and weekend coverage as required, subject to change based on business requirements.

FAQs

Is this position fully remote?

Yes, this position is 100% work from home, and all necessary equipment will be provided.

What are the working hours for this role?

The schedule includes 5x8 hour shifts, which must include Friday and Monday, with one weekend day (Saturday or Sunday) required. The start time is 8am EST.

Is there any training provided for this position?

Yes, there is a 4-6 week training period that occurs Monday to Friday, from 8am to 5pm EST.

Can I take time off during the first 90 days?

No, no time off is allowed for the initial 90 days on contract.

What type of nursing experience is required?

Candidates must have 5 full years of nursing experience, with 1-2 years of acute nursing experience required, such as in the emergency department, intensive care unit, critical care unit, or med-surg.

What qualifications must I have to apply for this job?

Applicants must hold a registered nurse license (NY or IL required) and have experience in care management, utilization management, and telehealth.

What skills are essential for this role?

Essential skills include healthcare knowledge, managed care experience, strong communication, telehealth experience, and the ability to prioritize tasks.

Is previous experience in telehealth important?

Yes, telehealth/remote work experience is preferred, especially experience in telephonic case management.

Will I be provided with tools for working from home?

Yes, all necessary equipment for the home office will be provided.

Is there a requirement for weekend work?

Yes, one weekend day (Saturday or Sunday) is required as part of the schedule.

Actalent

An Engineering and Sciences Services Company | People to Possible

Human Resources

Industry

5001-10,000

Employees

Mission & Purpose

Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We’re supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent’s global footprint and flexible delivery models ensure access to specialized talent where and when you need it. We promote consultant engagement through professional development and provide experiences to ensure continuous learning. Our people are the difference. Our expertise spans capabilities in engineering including product and manufacturing, systems and software, construction management, environmental, architecture and civil; and power and utilities. We focus on sciences capabilities in laboratory sciences, healthcare, and clinical research. Actalent is an operating company of Allegis Group, the global leader in talent solutions.