SNF Utilization Management RN - Compact Rqd
HumanaSalary not specified
Full Time
Mid-level (3 to 4 years), Senior (5 to 8 years)
Not SpecifiedCompensation
Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
- 3-4 Years of RN Care Management/telephonic case management experience
- An unrestricted Compact RN license obtained in the United States with the ability to secure other licensure states
- Role will work 8:00am - 5:00pm CST or MST
Responsibilities
- Engaging with newly discharged patients telephonically to understand their needs, supported by technology and data tools
- Conducting assessments to identify comorbid conditions, ED/hospitalization history, medications, psychosocial factors, and patient values and preferences
- Developing care plans in partnership with patients and their caregivers - problems, goals, interventions - while continuously evaluating the patient’s progress
- Explaining complicated medical terms in plain language
- Educating patients on their chronic conditions including teaching “red flags,” developing plans during an exacerbation, and identifying barriers to important care elements such as medication adherence
- Hearing the red flags and providing active care management to close the gaps
- Partnering with the TOC Nurse Practitioners and Physicians to ensure smooth handoffs, comprehensive follow-up, and coordinated care during the post-discharge period
- Referring patients to Devoted Medical when applicable and working closely on partnering for patient care
- Working closely with Devoted Community Guides (locally-based social workers) to identify community-based organizations to support patients in meeting their goals
- Coordinating post-treatment care and DME needs
- Collaborating closely with PCP partners to coordinate care and deliver evidence-based, effective, and accessible health care
Skills
Key technologies and capabilities for this role
Questions & Answers
Common questions about this position
What experience is required for the Transitions of Care RN Case Manager role?
The role requires 3-4 years of RN Care Management or telephonic case management experience and an unrestricted Compact RN license obtained in the United States with the ability to secure licensure in other states.
What are the working hours for this position?
The role works 8:00am - 5:00pm CST or MST.
Is this a remote or in-office position?
This information is not specified in the job description.
What is the salary or compensation for this role?
This information is not specified in the job description.
What kind of candidate is Devoted Health looking for in this RN Case Manager role?
They seek a caring, compassionate, solution-oriented RN enthusiastic about patient experience, committed to integrity and excellence, adaptable to a startup environment, and ready to innovate in care delivery.
Devoted Health
Medicare Advantage plans with personalized support
About Devoted Health
Devoted Health provides Medicare Advantage plans aimed at simplifying and making healthcare more affordable for seniors aged 65 and older. Their plans include services like provider and pharmacy searches, prescription drug coverage, and preventive care rewards. Members pay premiums for these plans, and the company may also receive government payments for managing Medicare benefits. What sets Devoted Health apart from competitors is their high level of customer service, featuring Devoted Health Guides who assist members in navigating their healthcare options and addressing common issues with traditional insurance. Additionally, they promote preventive care through the Devoted Dollars program, which rewards members for engaging in health activities. The goal of Devoted Health is to create a more compassionate and accessible healthcare experience for its members.
Waltham, MassachusettsHeadquarters
2017Year Founded
$2,194.5MTotal Funding
SERIES_ECompany Stage
HealthcareIndustries
1,001-5,000Employees
Benefits
Comprehensive health plan
401(k) retirement plan
Generous vacation and holiday time
Lyra mental health resources
Time off to vote
Risks
Increased competition from Medicare Advantage providers like Clover Health and Oscar Health.
Potential regulatory changes affecting Medicare Advantage plans by CMS.
Rising healthcare costs could impact the affordability of Devoted Health's plans.
Differentiation
Devoted Health offers personalized assistance through Devoted Health Guides for member support.
The company emphasizes preventive care with its Devoted Dollars rewards program.
Devoted Health integrates virtual and in-home care with top local providers.
Upsides
Devoted Health raised $287 million in Series E funding in 2024.
The company expanded Medicare Advantage plans to eight new states in 2023.
Devoted Health achieved a 5-star Medicare Advantage rating in Ohio in 2023.
Related Jobs
RemoteRemoteCare Manager, Telephonic Nurse 2
HumanaSalary not specified
- Full Time
- Mid-level (3 to 4 years)
RemoteCollections Representative
Owens & Minor$25,397 - $35,443/year
- Full Time
- Entry Level & New Grad
RemoteRN Care Manager - Remote, nationwide
HumanaSalary not specified
- Full Time
- Mid-level (3 to 4 years), Senior (5 to 8 years)
RemoteMedical Director (Post-Acute Care)
WellSkySalary not specified
- Full Time
- Mid-level (3 to 4 years), Senior (5 to 8 years)