Alpine

Alpine

Care Coordinator, RN

USA, Colorado, Denver

Sponsorship not specified$64k-$91kDetected 14 days ago
PHPComplianceExcelHIPAAEHR/EMRCommunicationCollaborationProblem SolvingMentoringPublic SpeakingMicrosoft Office

About the role

  • Responsible for providing a variety of Care Coordination services within the Primary Care (PC) practice setting, for members that are considered at risk and/or who experience barriers to healthcare.
  • Communicate assessment findings, care plan goals, interventions and outcomes to PC providers in a timely manner.
  • Breaks down problems into smaller components, understands underlying issues, can simplify and process complex issues, understands the difference between critical details and unimportant facts.

Responsibilities

  • Develop, communicate and implement care plans in coordination with members, caregivers, providers and care teams.
  • Participate in Care Rounds, or similar type meeting, at the practice to furnish member reports and updates to care team and collaborate on care plans and strategies.
  • Actively engage PC providers and staff in identifying high risk members and collaborate with providers and care teams on methods for navigating members' care successfully along the care continuum.
  • Collaborate with peers, management and other appropriate resources on complicated situations.
  • Encourages others on the team surrounding their own self development.
  • Fulfills requirements necessary to maintain licensure.
  • Develop and maintain effective professional working relationships with assigned PC Practice(s) setting of providers, the members, care-givers, families and community resources.
  • Communicates and collaborates appropriately to seek guidance and direction with management when necessary.
  • Document member information, contacts and interventions in applicable care management software systems utilizing PHP Care Coordination Standard Operating Procedures.

Requirements

  • RN with valid license in good standing. ( Required Licensure or Certification for this position must be maintained by the employee as defined by the company policies and procedures)
  • Experience with assisting patients through transitions on the care continuum.
  • Experience managing psychosocial issues with patients and families
  • Knowledge of case management, community resources/agencies, program and workflow development, and process improvement.
  • Ability to resolve community resource issues in a creative, positive and timely manner to improve clinical outcomes of members.
  • Experience in conflict management and problem resolution.
  • A minimum of one year of case management experience or a combination of relevant experience, in the fields of healthcare or behavioral health.
  • Accept and work with diverse populations, preferably within the designated region, (age, ethnic groups, socio-economic levels, etc.) and provide culturally sensitive coaching, education and assistance to members and their families.
  • Collaborate with community based resource agencies to effectively manage members. Ability to resolve community resource issues in a creative, positive and timely manner to improve clinical outcomes of members.
  • Skilled in Motivational Interviewing.
  • Skilled in developing and maintaining positive relationships and communicating effectively with internal and external customers.
  • Participate in program development in order to identify appropriate goals of program.
  • Adapt quickly to changing demands in the healthcare industry.
  • Coordinate and/or facilitate meetings.

Nice to have

  • Experience working with high risk DSNP, CSNP Complex member and Medicaid, preferred

Skills

  • Care Coordinator, RN

Compensation

  • $63,502.40-$90,719.20

Benefits

  • Communicate with all internal Physician Health Partners (PHP) departments effectively to result in optimal meeting of business needs.
  • Complete comprehensive assessments to identify needs and barriers to member's ability to manage their medical conditions and treatment plans.
  • Pursue appropriate medical and/or staff intervention in a timely manner to assure problem resolution.

Company info

  • Are you looking to work for a company that has been recognized for over a decade as a Top Place to Work?
  • Apply today to become a part of a company that continues to commit to putting our employees first.

This listing is sourced directly from Alpine's careers page and normalized into a canonical job model.